Difficulty: Medium
Average Score: 89%
Full-length
Which of the following medications requires close observation for bronchospasm in the client with chronic obstructive pulmonary disease or asthma?
Correct answer
D
Rationale
Verapamil has the respiratory side effect of nasal or chest congestion, dyspnea, shortness of breath (SOB), and wheezing. Amrinone has the effect of increased contractility and dilation of the vascular smooth muscle. It has no noted respiratory side effects. Epinephrine has the effect of bronchodilation through stimulation. Propranolol, esmolol, and labetalol are -blocking agents, which can increase airway resistance and cause bronchospasms.