【最新ISPN测试题】ISPN测试题(191)
2016/6/16 河南安琪职业培训学校

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     Exercise:

     1、Cromolyn sodium is prescribed for the client with allergic asthma. The nurse should plan care understanding that which is an action of this medication?

     1.Dilate the bronchi.

     2.Increase the number of eosinophils.

     3.Promote the migration of eosinophils into the inflammatory site.

     4.Inhibit the release of mediators from mast cells after exposure to an antigen.

     Correct Answer:4

     Cromolyn sodium is an antiasthmatic, antiallergic, and mast cell stabilizer that inhibits the release of mediators from mast cells after exposure to an antigen. It can also interrupt the migration of eosinophils into the inflammatory site and decrease the number of eosinophils. These actions decrease airway hyperresponsiveness in some clients with asthma. It has no bronchodilating action.

     2、A client has begun therapy with oxtriphylline (Choledyl). The nurse determines that the client understands dietary alterations if the client states to limit which items while taking this medication?Select all that apply.

     1.Milk

     2.Coffee

     3.Oysters

     4.Oranges

     5. Pineapple

     6. Chocolate

     Correct Answer:2,6

     Oxtriphylline is a xanthine bronchodilator. The nurse teaches the client to limit the intake of xanthine-containing foods while taking this medication. These include coffee and chocolate. The other food items are acceptable to consume.

     3、An outbreak of pediculosis capitus has occurred at a local school. The school nurse is providing instructions to the parents of the children attending the school regarding the application of permethrin (Nix). Which action should the nurse tell the parents to take?

     1.Apply permethrin before washing the hair.

     2.Apply permethrin at bedtime and rinse it off in the morning.

     3.Avoid saturating the hair and scalp when applying permethrin.

     4.Allow permethrin to remain on the hair 10 minutes and then rinse with water.

     Correct Answer:4

     The instructions for the use of permethrin include wash, rinse, and towel-dry the hair; apply sufficient volume to saturate the hair and scalp; allow the medication to remain on the hair 10 minutes, and then rinse with water. The remaining options are incorrect instructions.

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