Practice Quiz

NCLEX-RN

Category - Pharmacological

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Danica Casa has a history of severe asthma. Her friend called the clinic because Danica has difficulty breathing, chest tightness, and cough. According to her friend, Danica took two puffs of salmeterol. The nurse’s initial action is to:
  1. Ask the last time when salmeterol was taken.
  2. Find out what triggered the asthma attack.
  3. Instruct the patient to take a puff of albuterol or a similar short-acting bronchodilator.
  4. Instruct the friend to bring Danica to the emergency room.
Explanation
Answer: C - The patient may be suffering from acute asthma attack and should take a short-acting bronchodilator, such as albuterol. If symptoms don’t subside after taking albuterol, she should seek emergency treatment as soon as possible. Salmeterol is a long-acting bronchodilator; this drug is taken regularly to prevent acute exacerbation of asthma. Finding out what triggered the asthma attack is not a priority action during acute asthma attack.
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