CAN'T STOP!
Asthma is?
a lung disease caused by inflammation (swelling) accompanied with wheezing, shortness of breath, chest tightness, and coughing.
What two types of preventive medications are used to treat the symptoms of Asthma?
Quick-relief medicines & Long-term control medicines
Albuterol - (Inhaled short-acting beta-2-agonists) &
Fluticasone - (Inhaled steroids)
The nurse is evaluating the effectiveness of therapy for a client following treatment for an asthma attack. Which assessment finding is the best indicator that the therapy has been effective?
A) No wheezing.
B) Oxygen saturation is 96%.
C) Capillary refill is 2 seconds.
D) Respiratory rate is 18 breaths/min.
B) Oxygen saturation is 96%.
What is the best way to avoid acute asthma attacks?
Avoid triggers
A nurse is assessing a client who has a history of asthma. Which of the following factors should the nurse identify as a risk for asthma?
A) Gender
B) Environmental allergies
C) Alcohol use
D) Race
B) Environmental allergies
Which clinical manifestation should the nurse expect to observe in the client with asthma? (Select all that apply.)
A) Cough
B) Dyspnea
C) Wheezing
D) Bradycardia
A,B,C
A client is admitted in the emergency department for asthma. Which diagnostic and lab test should the nurse expect to be ordered? (Select all that apply.)
A) A drug test
B) Pulse oximetry
C) Peak expiratory flow
D) Allergy skin test
B,C,D
Which intervention is appropriate for the nurse to implement for a client who is short of breath? (Select all that apply.)
A) Provide a mechanical ventilator
B) Advise them to restrain from speaking
C) Place the client in the prone position.
D) Administer oxygen as prescribed.
D) Administer oxygen as prescribed.
The nurse is teaching a client who is newly diagnosed with asthma. Which manifestation of an asthma attack should the nurse include?
A) Chest pain
B) Headache
C) Wheezing
D) Bradycardia
C) Wheezing
Inhaled _________________ can help control the inflammation that occurs in the airways of most people who have asthma.
A) The Devil's lettuce
B) Corticosteroids
C) Gasoline
D) Paint thinners
B) Corticosteroids
The nurse is evaluating the oxygenation status of a client during an asthma attack. Which diagnostic tool should be most useful for gathering this information?
A) Cardiac monitor
B) Peak flowmeter
C) Pulse oximetry
D) Chest x-ray
C) Pulse oximetry
A client who is experiencing an acute asthma attack is brought to the emergency department. Which action should the nurse take first?
A) Auscultate the client's lungs.
B) Determine when the shortness of breath began.
C) Obtain a peak flowmeter reading.
D) Administer an inhaled corticosteroid.
A) Auscultate the client's lungs.
The nurse is preparing to teach a client who is newly diagnosed with asthma on how to prevent asthma triggers. Which trigger should the nurse include in the teaching plan? (Select all that apply.)
A) Cigarette smoke
B) Indoor pets
C) Stuffed animals
D) Mattress covers
An effective plan for a patient with Asthma should consist of?
A) Education about the use of recreational drugs
B) Education about being active without having asthma symptoms
C) Education about pollination
D) Education about the stress of being a parent
B) Education about being active without having asthma symptoms
Asthma triggers are the same from person to person and so are the strategies to reduce asthma flare-ups.
True or False?
False
There is no known cure for asthma, but it can be controlled with a doctor using proper medications, avoiding triggers, and tracking the symptoms.
True or False?
True
A nurse is reinforcing teaching with a client on the purpose of taking a bronchodilator. Which of the following client statements indicates an understanding of the teaching?
A) "This medication can decrease my immune response."
B) "I take this medication to prevent asthma attacks."
C) "I need to take this medication with food."
D) "This medication has a slow onset to treat my symptoms."
B) "I take this medication to prevent asthma attacks."
The nurse is developing a teaching plan for a client with asthma. Which teaching point has the highest priority?
a) Avoid contact with fur-bearing animals.
b) Change filters on heating and air conditioning units frequently.
c) Take prescribed medications as scheduled.
d) Avoid goose down pillows.
c) Take prescribed medications as scheduled.
Is asthma an obstructive or restrictive disease?
Obstructive Disease
When admitting a patient with the diagnosis of asthma exacerbation, the nurse will assess for which of the following potential triggers? (Select all that apply.)
A. Exercise B. Allergies C. Emotional stress D. Decreased humidity
A,B,C
The drug in the rescue inhaler is a _______________________ which ____________________ resistance to air flow.
bronchodilator, decreases
The nurse is examining a client newly diagnosed with asthma. Which pathological characteristic should the nurse expect in this client during physical examination?
A) Expiratory wheezing
B) Dead space
C) Increased lung volume
D) Air trapping
A) Expiratory wheezing
A client has been taught how to use a peak flowmeter at home for asthma control. The daily peak flow is 75% of the baseline. Which action should the client take in this situation?
A) Increase the dosage of daily corticosteroid and monitor her breathing.
B) Take her bronchodilator and recheck the peak flow.
C) Contact the healthcare provider.
D) Go to the nearest emergency department for an evaluation.
B) Take her bronchodilator and recheck the peak flow.
A nurse is caring for a client 2 hr after admission. The client has an SaO2 of 91%, exhibits audible wheezes, and is using accessory muscles when breathing. Which of the following classes of medications should the nurse expect to administer?
A) Antibiotic
B) A Beta blocker
C) Antiviral
D) Beta2 agonist
D) Beta2 agonist