The nurse is caring for a client who is taking a bronchodilator. In what disease process should bronchodilators be used cautiously?
liver failure
renal failure
respiratory failure
heart failure
The Correct Answer is D
A. Liver failure does not have a direct contraindication with bronchodilators, though careful monitoring is needed.
B. Renal failure is not a direct contraindication for bronchodilator use; however, kidney function can affect drug metabolism and clearance.
C. Respiratory failure may necessitate bronchodilator therapy rather than caution, especially in conditions like COPD or asthma where bronchodilators are crucial for management.
D. Heart failure requires caution with bronchodilators because they can lead to increased heart rate and blood pressure, potentially exacerbating heart failure symptoms or leading to arrhythmias.
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Correct Answer is B
Explanation
A. This statement is accurate as antiviral drugs primarily reduce the severity and duration of viral infections but do not prevent transmission to others.
B. The statement that "antivirals are the cure for viral infections" is incorrect, as most antivirals manage symptoms or reduce viral load rather than completely curing the infection, indicating a need for further instruction.
C. This statement is correct; following prescribed application guidelines for topical antivirals is essential to avoid skin irritation or decreased efficacy.
D. This statement is also correct, as using gloves or a finger cot is recommended to prevent contamination and protect the healthcare worker from exposure while applying topical antivirals.
Correct Answer is B
Explanation
A. Excessive thirst is not a common adverse effect associated with albuterol.
B. Albuterol, a beta-agonist, can cause tachycardia as an adverse effect; a heart rate of 99 beats/min may indicate this response.
C. An oral temperature of 100°F may suggest a mild infection or other issues, but it is not a specific adverse effect of albuterol.
D. Diarrhea is not typically associated with albuterol use and is less likely to be attributed to the medication.