Author Question: An ultrasonic nebulizer is being used to deliver a hypotonic solution. The patient suddenly re-ports ... (Read 39 times)

gonzo233 · **on:** Jul 16, 2018

An ultrasonic nebulizer is being used to deliver a hypotonic solution. The patient suddenly re-ports shortness of breath. The respiratory therapist auscultates, which reveals wheezing over both lung fields.

Which of the following actions should be taken first?
1. Observe the patient.
2. Give the patient oxygen.
3. Add a bronchodilator to the treatment.
4. Immediately stop the treatment.
a. 1, 2, and 3 c. 2 and 4
b. 1 and 3 d. 4

Question 2

A hypotonic solution with an ultrasonic nebulizer is ordered for a patient who has a history of hyperreactive airways. In such a situation, the respiratory therapist should recommend which of the following?

1. Refuse to give the treatment.
2. Suggest giving a bronchodilator before the hypotonic solution.
3. Suggest that an isotonic solution be used instead.
4. Administer oxygen before the hypotonic solution.
a. 1 c. 3 and 4
b. 2 and 3 d. 4

Ddddd · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

ANS: D
If bronchospasm occurs during therapy, treatment must be stopped immediately, oxygen must be provided, and appropriate bronchodilator therapy should be initiated as soon as possible.

Answer to Question 2

ANS: B
If the physician still requests bland aerosol therapy for this patient, pretreatment with a broncho-dilator might be required. In addition, isotonic solutions (0.9 saline) might also be better toler-ated by these patients than water. Administered oxygen will not prevent bronchospasmeven if an isotonic solution is used in a patient with hyperreactive airways.