CH 40 resp Flashcards
3) A client asks the nurse why they must continue to take their asthma prescription when they have not had an asthma attack in several months. Which response should the nurse provide the client?
- “The prescription should be taken indefinitely to prevent future asthma attacks.”
- “The prescription is still needed to decrease inflammation in your airways and help prevent an attack.”
- “The prescription needs to be taken or your lungs can become increasingly damaged if you continue to have asthma attacks.
- “The prescription should be taken for at least a year and if you have not had an asthma attack within that year you will be able to stop taking your prescription.”
- “The prescription is still needed to decrease inflammation in your airways and help prevent an attack.”
19) Which statement made by a client provided education about the use of albuterol (VoSpire ER) indicates further education is required?
a. “This is a short-acting beta agonist.”
b. “The effects can last up to 12 hours.”
c. “I can use this for chronic asthma.”
d. “I can use this as needed for acute episodes.”
c. “I can use this for chronic asthma.”
1) A client prescribed an albuterol (Proventil) via inhaler asks the nurse why they can’t just take a pill. Which response should the nurse provide?
1. “When you inhale the prescription the blood supply in the lungs absorbs it rapidly resulting in quicker effects.”
2. “Oral prescriptions will not relieve your symptoms; you must have an inhaled prescription for relief of symptoms.”
3. “Oral prescriptions produce too many side effects.”
4. “The prescription cannot be absorbed in the GI tract because the acid in the stomach will destroy it.”
- “When you inhale the prescription the blood supply in the lungs absorbs it rapidly resulting in quicker effects.”
4) Which information should the nurse include when discussing inhalation therapy as part of a treatment plan for the client’s asthma?
1. Inhalation therapy is effective because it provides around-the-clock therapy, as opposed to oral medications.
2. Inhalation therapy is the preferred treatment for adolescents because it is easier for them to manage.
3. Inhalation therapy is effective because it provides both systemic and local relief of symptoms.
4. Inhalation therapy is effective because it goes to the direct site of action in the respiratory tract
- Inhalation therapy is effective because it goes to the direct site of action in the respiratory tract
24) A client with COPD tells the nurse, “I don’t see why I need to stop smoking because the damage to my lungs is already done.” Which statement should the nurse provide the client?
1. “If you stop smoking, your lungs have a good chance of improving quickly.”
2. “Your symptoms may be lessened if you aren’t smoking.”
3. “You should at least try because smoking is associated with other diseases.”
4. “If you stop smoking the disease process will not advance.”
- “Your symptoms may be lessened if you aren’t smoking.”
26) Which assessment questions should the nurse ask the parents of a young child diagnosed with asthma?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
a. “Has your child eaten any new foods?”
b. “Does anyone smoke in the home?”
c. “Have any chemicals been used in your home?”
d. “Has your child recently traveled to any warm climates?”
e. “Have you changed the laundry soap recently?”
a. “Has your child eaten any new foods?”
b. “Does anyone smoke in the home?”
c. “Have any chemicals been used in your home?”
e. “Have you changed the laundry soap recently?”
27) Which foods should the nurse associate with triggering asthma? Select all that apply. 1. Cured meat 2. Dairy products 3. Grapefruit juice 4. Nuts 5. Shellfish
- Cured meat
- Dairy products
- Nuts
- Shellfish
29) Which should the nurse monitor for a young child prescribed a corticosteroid for asthma? Select all that apply. a. Height b. Bone density c. IQ d. Weight e. EKG
a. Height
b. Bone density
d. Weight
15) Which should the nurse recognize is a long-term control prescription used to treat asthma?
1. Systemic corticosteroids
2. Intermediate acting beta2-adrenergic agonists
3. Anticholinergics
4. Mast cell stabilizers
- Mast cell stabilizers
8) Which information should the nurse include in the education for the client prescribed inhaled ipratropium (Atrovent)?
Select all that apply.
1. Wait 15 minutes between inhaled dosages.
2. The prescription may also be used for acute asthma attacks.
3. Report any increased dyspnea.
4. Report any changes in urinary pattern.
5. Use the medication consistently, not occasionally.
- Report any increased dyspnea.
- Report any changes in urinary pattern.
- Use the medication consistently, not occasionally.
2) Which information should the nurse include in the education for a client with asthma?
Select all that apply.
1. Drink additional fluids.
2. Eat small, frequent meals.
3. Sleep in a warm room.
4. Complete activity in the morning and rest in the afternoon.
5. Avoid foods high in protein.
- Drink additional fluids.
2. Eat small, frequent meals.
20) For which class of prescription should the nurse monitor a client for a fungal infection of the throat?
1. Methylxanthines
2. Inhaled beta-adrenergic agonists
3. Mast cell inhibitors
4. Inhaled corticosteroid
- Inhaled corticosteroid
21) Which condition is an adverse effect of a beta-adrenergic agonist?
1. Bradycardia
2. Constipation
3. Tachycardia
4. Runny nose
- Tachycardia
16) Which long-term control prescriptions have an anti-inflammatory mechanism of action? Select all that apply. a. Immunomodulators b. Methylxanthines c. Mast cell stabilizers d. Leukotriene modifiers e. Inhaled corticosteroids
c. Mast cell stabilizers
d. Leukotriene modifiers
e. Inhaled corticosteroids
