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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