The nurse is teaching the parents of a 7-year-old boy with asthma ...

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The nurse is teaching the parents of a 7-year-old boy with asthma about the medications that have been prescribed, including a drug that is generally used as an adjunct to a beta-2 adrenergic agonist for treatment of bronchospasm.
 
  Which drug is the nurse describing? A) Ipratropium
  B) Montelukast
  C) Cromolyn
  D) Theophylline

Question 2

A woman who has undergone a right-sided modified-radical mastectomy returns from surgery. Which nursing intervention would be most appropriate at this time?
 
  A) Ask the client how she feels about having her breast removed.
  B) Attach a sign above her bed to have BP, IV lines, and lab work in her right arm.
  C) Encourage her to turn, cough, and deep breathe at frequent intervals.
  D) Position her right arm below heart level.

[nickk12214]

Answer to Question 1

A
Response:
Ipratropium is an anticholinergic administered via inhalation to produce bronchodilation without systemic effects. It is generally used as an adjunct to a beta-2 adrenergic agonist. Montelukast decreases the inflammatory response by antagonizing the effects of leukotrienes. Cromolyn prevents release of histamine from sensitized mast cells. Theophylline provides for continuous airway relaxation.

Answer to Question 2

C
Response:
Upon return from surgery, the nurse should encourage the client to turn, cough, and deep breathe at frequent intervals, at least every 2 hours, to help expand collapsed alveoli, clear inhalation anesthetic agents from the body, and prevent postoperative atelectasis and pneumonia. Asking the client how she feels about her breast removal should be done at a later time, when she is more alert and oriented and has had time to think about what has happened. The sign should state that no BP, IV lines, and lab work should be done on the client's right arm. The right arm should be elevated on a pillow to promote lymph drainage.