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    Hesi med surg proctored exam (respgitcvs) MCHPS University
    Select All That Apply

    Patient Data. Exhibits Review history, nurses' notes, and prescriptions. Which other medications might be helpful for this client in his management of asthma? Select all that apply.

    Explanation & Rationale

    Rationale: A. Glucocorticoids: Inhaled or systemic corticosteroids reduce airway inflammation and prevent exacerbations in asthma. They are an important part of long-term management, complementing rescue inhalers by addressing the underlying inflammatory process. B. Angiotensin-converting enzyme (ACE) inhibitor: ACE inhibitors are antihypertensives, not asthma treatments. They may actually worsen respiratory symptoms by inducing cough, making them inappropriate for asthma management. C. Loop diuretic: Loop diuretics are used to manage fluid overload and heart failure. They do not improve airway inflammation or bronchospasm, so they have no role in asthma treatment. D. Long-acting beta agonists: LABAs provide prolonged bronchodilation and are effective for long-term control when combined with inhaled corticosteroids. They help reduce the frequency of exacerbations but are not used as rescue medications. E. Antiproliferative agents: These medications are used in cancer treatment or transplant immunosuppression. They do not target asthma’s inflammatory or bronchospastic mechanisms. F. Biologics: Biologic therapies such as monoclonal antibodies (e.g., omalizumab, mepolizumab) target specific immune pathways in severe or allergic asthma. They can reduce exacerbation frequency and improve long-term control in clients with poorly controlled asthma despite standard therapies.

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