asthma NCLEX Exam 1 questions and Correct

asthma NCLEX Exam 1 questions and Correct Answers Latest Version 2023 2024 Guaranteed Success A clinician is developing the plan of care for a patient with a history of asthma. Which of the following is the priority problem for this patient during an acute exacerbation?

• risk for ineffective airway clearance
• ineffective breathing pattern
• activity intolerance
• altered coping - Correct Answerb

A clinician is providing teaching for inhaled corticosteroid technique. Which information should be included in teaching?

A "You should inhale as quickly and as deeply as possible when you take a puff."

B "Spacers are not necessary. They are mostly for looks."

C "Press the canister down, breathe in slowly and deeply, hold your breath for a few seconds and then slowly exhale."

D "It is not necessary to rinse your mouth after using your inhaler." - Correct Answerc

A health care provider is educating a patient with a history of asthma on the ways to prevent upper respiratory infections. Which of these pieces of information are most important to include? Select all that apply.

• " you should wash your hands frequently"

• " make sure you get flu shot annually"

• " consider pretreating before activity"

• "avoid small children during flu season"

• " avoid sudden changes in temperature" - Correct Answera, b, d
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A health care provider is evaluating the management of a child with a history of asthma. Which of the following statements from the child's mother would be most concerning to the health care provider?

• "My child uses her inhaler about once or twice a week."

• "When my child has an attack, she usually has to use her rescue inhaler 4 times

before her breathing improves."

• "My child's peak flow reading is usually about 90 percent of her personal best."

• "My child sometimes has to take breaks during gym class to catch her breath." -

Correct Answerb

A health care provider is providing staff education on the management of acute asthma exacerbations. Which information is most important for the staff to know?

• Methylprednisolone is only given in cases of respiratory arrest
• short-acting beta 2 agonists are often included in first line treatment
• acute exacerbation are classified by clinical presentation , but not changes PEF
• supplemental oxygen is generally not indicated - Correct Answerb

A patient has exercise-induced asthma. Which of the following actions can the patient

perform to help prevent an attack during exercise. Select all that apply:

• Avoid warming up before exercise

• Administer a short-acting beta agonist before exercise

• Administer a short -acting beta agonist after exercise

• avoid exercising when experiencing a respiratory illness - Correct Answerb. d

option A is wrong because the patient should warm up or at least 10-15 minutes before exercising, and option C is wrong bc the beta agonist should be adminstered BEFORE exercise ( not after)

A patient is in the emergency department receiving albuterol via nebulizer. which of the following symptoms will the healthcare provider suspect are adverse effects of the albuterol? Select all that apply.

• Palpitations

• Urinary urgency

• tachycardia
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