ASTHMA QUESTIONS NCLEX

ASTHMA QUESTIONS NCLEX

5.0 (5 reviews) Students also studied Terms in this set (7) George Brown College Nursing Save NCLEX Questions- Asthma 20 terms mary_g_mcdaniel Preview asthma NCLEX questions 22 terms sandy_jacob5Preview Respiratory NCLEX Questions Asth...41 terms Brock_NoldyPreview Pneum 34 terms abd 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.)

• Exercise B. Allergies C. Emotional stress D. Decreased

humidity A,B,C Although the exact mechanism of asthma is unknown, there are several triggers that may precipitate an attack. These include allergens, exercise, air pollutants, respiratory infections, drug and food additives, psychologic factors, and GERD.A nurse is working on a respiratory care unit where many of the patients are affected by asthma. Which of the following actions by the nurse would most likely increase respiratory difficulty for the patients?

• Wearing perfume to work
• Encouraging patients to ambulate daily
• Allowing the patients to eat green leafy vegetables
• Withholding antibiotic therapy until cultures are

obtained

• Wearing perfume to work People with asthma should avoid extrinsic allergens

and irritants (e.g., dust, pollen, smoke, certain foods, colognes and perfumes, certain types of medications) because their airways become inflamed, producing shortness of breath, chest tightness, and wheezing. Many green leafy vegetables are rich in vitamins, minerals, and proteins, which incorporate healthy lifestyle patterns into the patients' daily living routines. Routine exercise is a part of a prudent lifestyle, and for patients with asthma the physical and psychosocial effects of ambulation can incorporate feelings of well-being, strength, and enhancement of physical endurance. Antibiotic therapy is always initiated after cultures are obtained so that the sensitivity to the organism can be readily identified.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

A client is admitted to the emergency department with an acute asthma attack. The physician prescribes ephedrine sulfate, 25 mg subcutaneously (S.C.). How soon should the ephedrine take effect?

a) Rapidly

b) In 3 minutes

c) In 1 hour

d) In 2 hours

A A slightly obese client with a history of allergy-induced asthma, hypertension, and mitral valve prolapse is admitted to an acute care facility for elective surgery. The nurse obtains a complete history and performs a thorough physical examination, paying special attention to the cardiovascular and respiratory systems. When percussing the client's chest wall, the nurse expects to

elicit:

• resonant sounds.
• hyperresonant sounds.
• dull sounds.
• flat sounds.

A The physician prescribes triamcinolone (Azmacort) and salmeterol (Serevent) for a client with a history of asthma.What action should the nurse take when administering these drugs?

a) Administer the triamcinolone and then administer

the salmeterol.

b) Administer the salmeterol and then administer the

triamcinolone.

c) Allow the client to choose the order in which the drugs

are administered.

d) Monitor the client's theophylline level before

administering the medications.

b) Administer the salmeterol and then administer the triamcinolone.

The nurse is caring for a client experiencing an acute asthma attack. The client stops wheezing and breath

sounds aren't audible. This change occurred because:

• the attack is over.
• the airways are so swollen that no air can get through.
• the swelling has decreased.
• crackles have replaced wheezes.
• the airways are so swollen that no air can get through.