asthma NCLEX questions

asthma NCLEX questions ScienceMedicinePulmonology sandy_jacob5 Save Asthma NCLEX Questions 14 terms mt6399Preview NCLEX Questions- Asthma 20 terms mary_g_mcdaniel Preview COPD NCLEX Chronic.32 terms MilohmylovePreview COPD Teacher Iren 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." c 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

b

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."

b 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

b Which of the following should be included in peak flow measurement teaching?

• " inhale deeply, put your mouth over mouthpiece, then exhales slow and steady"

b."Exhale deeply, put your mouth over mouthpiece, then inhale slow and steady."

• "Exhale deeply, put your mouth over mouthpiece, then inhale hard and fast."

D."Inhale deeply, put your mouth over mouthpiece, then exhale hard and fast." d Which of the following statements from the patient indicates the patient understands the risks associated with albuterol sulfate/ipratropium bromide (DuoNeb) nebulizer treatments?

• " I am at increased risk of cataracts if I use this medication"
• this medication interacts with some common blood pressure medications"
• " I can take this medication every hour as needed for shortness of breath"
• this medication is safe to use if I become pregnant"

b

Which of the following statements from a patient with environmental allergies indicates the need for further education?

• " I should keep my home clean and tidy"
• " I should wash my bedding at least weekly"
• carpet helps reduce allergens"
• " I should monitor daily pollen counts"

c Which of the following would the patient most likely report as triggers for asthma attack? Select all that apply.

• exercise
• warm air
• cold air
• inhaled corticosteroids
• pollen

a, c, e The healthcare provider is performing an assessment on a patient who is taking propranolol (Inderal) for supraventricular tachycardia. Which assessment finding is an indication the patient is experiencing an adverse effect of this drug?

• paresthesia
• bradycardia
• urinary retention
• dry mouth

b Which of the following medications are most likely to be ordered for a patient with a history of moderate persistent asthma exacerbations?Select all that apply.

• Ipratropium bromide and albuterol sulfat ( DuoNeb)
• fluticasone (Flovent)
• Albuterol sulfate (Proventi )
• Montelukast ( singulair )
• Metoprolol ( oppressor)

a, b, c, d

Which of the following should be included in patient education for a patient newly diagnosed with asthma? Select all that apply.

• pretreating with an inhaler before exercise can prevent asthma symptoms
• check with your healthcare provider using an OTC medications
• avoid smoke, pollen, and cold air
• a peak expiratory flow meter should not be used during exacerbations
• a rescue inhaler should be with you at all all times

a, b, c, e Which of the following interventions should be implemented for a patient experiencing an acute asthma attack? Select all that apply.

• administer a short acting beta adrenergic agonist up to there times at 20 mins intervals
• encourage the patient to take quick, deep breaths
• administer oxygen
• encourage the use of an incentive spirometer
• encourage pursed lip breathing
• assess lung sounds

a, c, e, f 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"

a, b, d