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If a dental patient has an asthma attack and the bronchodilator does not provide relief, it may be necessary for the dentist to administer ____ intravenously.Group of answer choicesimmunomodulatorsantihistaminescortisolepinephrine PreviousNext

Question

If a dental patient has an asthma attack and the bronchodilator does not provide relief, it may be necessary for the dentist to administer ____ intravenously.Group of answer choicesimmunomodulatorsantihistaminescortisolepinephrine PreviousNext

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Solution

If a dental patient has an asthma attack and the bronchodilator does not provide relief, it may be necessary for the dentist to administer epinephrine intravenously. Epinephrine is a medication that can help to open up the airways in a severe asthma attack. It is important to note that this should only be done under medical supervision.

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Case study #2: Chapter 8A 55-year-old female presents in the dental office for a crown preparation with final impressions on tooth number 30. As the auxiliary seats the patient, she asks the patient if there have been any changes in her medical history. The patient states that her physician has given her a bronchodilator. The procedure concludes with no complications and the dentist leaves the treatment room. As the patient is preparing to leave, she begins to cough, and the auxiliary observes that the patient is having difficulty breathing. The auxiliary looks for the patient’s bronchodilator.Questions4. What type of asthma attack is the patient most likely experiencing?5. What should the auxiliary have done prior to the beginning of treatment?6. What other condition could the patient be experiencing?

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1. Which of these explains why epinephrine is given to patients having asthma?*1 pointA. It increases the patient’s output thereby relieving the patient’s difficulty of breathing.B. It dilates the bronchus thereby enabling the patient to breathe easily.C. It loosens mucous secretions of the patient.D. It relieves dilation of the bronchus.2. Which of the following positions would you place a client who is having an asthmatic attack?*1 pointA. lateralB. orthopneicC. dorsal recumbentD. supine3. A 7-year-old client who’s having epistaxis was brought to the ER. Which of the following nursing intervention is appropriate for the client?*1 pointA. Let the client sit and tilt the head upwards to prevent aspiration.B. Apply warm compress.C. Tell the client to pinch the bony part of the nose.D. Apply cold compress.4. The doctor ordered nasal packing with neo-synephrine to stop the client’s bleeding. Which of the following statements is true regarding nasal packing?*1 pointA. There is no dietary limitation when the nasal packing is inserted.B. The client should avoid blowing the nose for 2 days after the removal of the nasal packing.C. The nasal packing will be placed for 1 day only.D. The client should avoid taking axillary temperature.5. A client with sinusitis comes to the outpatient department complaining of headache, fever, and nasal congestion. Which of the following nursing interventions is appropriate for the client?*1 pointA. Give acetaminophen to relieve client’s decongestion.B. Apply warm compress to the affected sinus to relieve swelling.C. Administer antibiotics to relieve pain.D. Tell the client to decrease fluid intake to prevent nasal congestion.6. A client is scheduled for a tonsillectomy. Which of the following laboratory findings would you report to the physician?*1 pointA. Low BUNB. Low creatinineC. Prolonged INRD. Normal WBC7. Which of the following symptoms would indicate that the client is experiencing an inflamed maxillary sinus?*1 pointA. Pain behind or between the eyes.B. Pain at the forehead.C. Pain at the vertex of the skull.D. Pain in the client’s cheek.8. After tonsillectomy, which of the following findings would alert the nurse to suspect early hemorrhage in the client?*1 pointA. Frequent swallowing or drooling of bright red secretions.B. Pulse rate of 95 bpm.C. BP of 110/70 mmHgD. Body temperature of 32.2C9. Which of the following interventions is indicated to a client who has undergone tonsillectomy?*1 pointA. Place the client in a supine position after the procedure.B. Give cold beverages like ice cream.C. Advise the client to avoid cold drinks.D. Place an ice collar over the client’s neck.10. Which of the following assessment findings would help confirm a diagnosis of asthma in a client suspected of having the disorder?*1 pointA. Circumoral cyanosisB. Increased forced expiratory volume.C. expiratory wheezingD. Normal breath sounds11. Which of the following types of asthma involves an acute asthma attack brought on by an upper respiratory infection?*1 pointA. EmotionalB. ExtrinsicC. IntrinsicD. Mediated12. A client with acute asthma showing inspiratory and expiratory wheezes and a decreased expiratory volume should be treated with which of the following classes of medication right away?*1 pointA. Beta-adrenergic blockersB. BronchodilatorsC. Inhaled steroidsD. Oral steroids13. Which of the following acid-base imbalance is present in the late stage of asthma?*1 pointA. Respiratory alkalosisB. Respiratory acidosisC. Metabolic acidosisD. Metabolic alkalosis14. A 58-year-old client with a 40-year history of smoking one to two packs of cigarettes a day has a chronic cough producing thick sputum, peripheral edema, and cyanotic nail beds. Based on this information, he most likely has which of the following conditions?*1 pointA. Adult respiratory distress syndrome (ARDS)B. AsthmaC. Chronic obstructive bronchitisD. Emphysema15. A 66-year-old client has marked dyspnea at rest, is thin, and uses accessory muscles to breathe. He’s tachypneic, with a prolonged expiratory phase. He has no cough. He leans forward with his arms braced on his knees to support his chest and shoulders for breathing. This client has symptoms of which of the following respiratory disorders?*1 pointA. ARDSB. AsthmaC. Chronic obstructive bronchitisD. Emphysema

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