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A Client Is Having a Severe Asthma Attack Lasting Over

Question 218

Multiple Choice

A client is having a severe asthma attack lasting over 4 hours after exposure to animal dander.  On arrival, the pulse is 128/min, respirations are 36/min, pulse oximetry is 86% on room air, and the client is using accessory muscles to breathe.  Lung sounds are diminished and high-pitched wheezes are present on expiration.  Based on this assessment, the nurse anticipates the administration of which of the following medications?  Select all that apply.


A) Inhaled albuterol nebulizer every 20 minutes
B) Inhaled ipratropium nebulizer every 20 minutes
C) Intravenous methylprednisolone
D) Montelukast 10 mg by mouth STAT
E) Salmeterol metered-dose inhaler every 20 minutes

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