Respiratory Question #37


A client enters the emergency department because of being awakened in the night with a bronchospasm. The client is diagnosed with asthma and the nurse provides instructions on which medications to utilize for onset of bronchospasm?


  1. montelukast.
    • Rationale:
  2. fluticasone-salmeterol.
    • Rationale:
  3. albuterol inhaler.
    • Rationale:
  4. budesonide-formoterol.
    • Rationale:



Albuterol inhaler represents a short acting bronchodilator inhaler that is typically used as a “rescue” medication to provide quick relief of asthma symptoms. All of the other choices are for prevention measures and not for quick relief. Montelukast (Singulair) is a leukotriene receptor antagonist that relieves symptoms of asthma such as wheezing, and may be used when asthma symptoms occur seasonally. Fluticasone-salmeterol (Advair) is also used for prevention modality for symptoms such as wheezing and has long-acting beta agonist plus a corticosteroid. Budesonide-formoterol (Symbicort) is used to prevent symptoms of wheezing and should not be used for quick-relief either.

Learning Outcomes

Test Taking Tip

Video Rationale