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AACN CCRN-Adult Exam - Topic 1 Question 26 Discussion

A patient with a history of asthma presents with acute onset of dyspnea, a non-productive cough, and tachypnea. He is very anxious, restless, and tachycardic. Which of the following is a first-line drug for these symptoms?
D) beta-agonist
A) leukotriene inhibitor
B) anticholinergic
C) mast cell stabilizer

AACN CCRN-Adult Exam - Topic 1 Question 26 Discussion

Actual exam question for AACN's CCRN-Adult exam
Question #: 26
Topic #: 1
[All CCRN-Adult Questions]

A patient with a history of asthma presents with acute onset of dyspnea, a non-productive cough, and tachypne

a. He is very anxious, restless, and tachycardic. Which of the following is a first-line drug for these symptoms?

Show Suggested Answer Hide Answer
Suggested Answer: D

Beta-agonists are the first-line drugs for acute asthma exacerbations because they rapidly reverse bronchoconstriction and improve airflow. They act by stimulating beta-2 receptors in the smooth muscle of the airways, causing relaxation and dilation. Beta-agonists can be administered by inhalation, nebulization, or injection. Examples of beta-agonists include albuterol, levalbuterol, and terbutaline.


Management of Acute Asthma Exacerbations | AAFP: This article states that ''Quick-relief medicines include: Albuterol (ProAir HFA, Proventil-HFA, Ventolin HFA, others). Levalbuterol (Xopenex, Xopenex HFA).''

Asthma attack - Diagnosis and treatment - Mayo Clinic: This article states that ''If you're in the yellow zone, the plan will tell you how many puffs of your quick-relief medicine to take and how often you can repeat the dose. Young children or people who have difficulty with an inhaler use a device called a nebulizer to inhale the medicine in a mist. Quick-relief medicines include: Albuterol (ProAir HFA, Proventil-HFA, Ventolin HFA, others). Levalbuterol (Xopenex, Xopenex HFA).''

Contribute your Thoughts:

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Steffanie
3 days ago
Agreed! Beta-agonists work fast for acute symptoms.
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Susana
8 days ago
Definitely! I think the beta-agonist is the first-line drug here.
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Florinda
14 days ago
This question is tricky! I feel like I need to review my pharmacology.
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Ceola
19 days ago
I thought leukotriene inhibitors were first-line for asthma?
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Clarence
24 days ago
Mast cell stabilizers take too long to work, right?
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Joye
29 days ago
Wait, are we sure it’s not an anticholinergic?
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Elly
1 month ago
I agree, that’s the go-to for asthma attacks.
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Halina
1 month ago
Definitely a beta-agonist!
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Lenna
1 month ago
I’m a bit confused about mast cell stabilizers; I don’t think they work quickly enough for acute symptoms like this.
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Kenneth
2 months ago
I feel like anticholinergics are sometimes used, but they might not be the first choice in this scenario.
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Franklyn
2 months ago
I think I saw a similar question where beta-agonists were highlighted as the go-to for immediate relief.
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Laurena
2 months ago
I remember that beta-agonists are often used for acute asthma attacks, but I'm not sure if they're the absolute first-line.
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