The nurse helps a client establish goals to control asthma with ...

[storky111]

The nurse helps a client establish goals to control asthma with medications. The nurse emphasizes that the preferred drugs for long-term control of asthma are:
 
  1. inhaled corticosteroids.
  2. inhaled beta 2 agonists.
  3. anticholinergics.
  4. systemic corticosteroids.

Question 2

A client with persistent asthma has a history of multiple allergies, including peanuts and soy. The nurse knows that, given this history, which prophylactic medication should be avoided?
 
  1. Cromolyn (Intal)
  2. Ipratropium (Atrovent)
  3. Triamcinolone (Azmacort)
  4. Zafirlukast (Accolate)

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Answer to Question 1

Correct Answer: 1
Rationale 1: Inhaled corticosteroids decrease inflammation, resulting in fewer asthma attacks.
Rationale 2: Beta 2 agonists are the most effective drugs for relieving acute bronchospasm, not preventing bronchospasm.
Rationale 3: Anticholinergics are alternative drugs used for clients who cannot tolerate short-acting beta agonists during an acute asthma attack.
Rationale 4: Systemic corticosteroids are used for short periods to reduce the frequency of acute asthma attacks.
Global Rationale: Inhaled corticosteroids are the drugs of choice for prevention of asthmatic attacks and for the management of chronic asthma. Oral corticosteroids are used for the short-term management of acute asthma attacks. Beta 2 agonists are the most effective drugs for relieving acute bronchospasm, not preventing bronchospasm. Anticholinergics are alternative drugs used for clients who cannot tolerate short-acting beta agonists during an acute asthma attack.

Answer to Question 2

Correct Answer: 2
Rationale 1: Cromolyn does not contain soy or peanut products.
Rationale 2: Ipratropium contains a substance derived from soya lecithin, so it is contraindicated in the presence of soy allergies.
Rationale 3: Triamcinolone does not contain soy or peanut products.
Rationale 4: Zafirlukast does not contain soy or peanut products.
Global Rationale: Ipratropium is contraindicated in patients with hypersensitivity to soya lecithin or related food products such as soybean and peanut. Soya lecithin is used as a propellant in the inhaler. Cromolyn, triamcinolone, and zafirlukast do not contain soy or peanut products.

[storky111]

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