Respiratory Disorders - Asthma Flashcards
Respiratory Disorders - Asthma (Burke Book - Chapter 23)
The nurse is caring for a client with acute asthma. When reporting to the next shift, it is most important for the nurse to describe:
A. Medication effectiveness
B. Intake and output results
C. Lung assessment findings
D. Level of consciousness
C. Lung assessment findings
Rationale:
Manifestations of acute asthma attack include chest tightness, wheezing, SOB, and anxiety. Asthma can lead to respiratory distress if not managed properly. The medication effectiveness is also reported.
Respiratory Disorders - Asthma (Burke Book - Chapter 23)
When teaching use of a metered-dose inhaler (MDI), the nurse instructs her client to:
A. Take quick shallow breaths in rapid succession while holding the canister down.
B. Use the inhaler containing the anti-inflammatory drug first, then the bronchodilator.
C. Use the anti-inflammatory drug as needed to treat acute episodes of wheezing.
D. Rinse the mouth after using the inhaler to reduce systemic absorption of the drug.
D. Rinse the mouth after using the inhaler to reduce systemic absorption of the drug.
Rationale:
Rinsing the mouth after using the inhaler reduces systemic drug absorption and reduces the risk of thrush associated with some anti-inflammatory drugs used to treat asthma and COPD. Bronchodilators are used to treat asthma and COPD. Bronchodilators are used treat acute attacks of asthma and before using anti-inflammatory drugs by MDI
Respiratory Disorders - Asthma (Burke Workbook - Chapter 23)
The nurse is teaching the client about her asthmatic condition. The focus of the nursing plan should be:
A. preventing death.
B. controlling symptoms.
C. preventing asthma attack.
D. instructing about the pathophysiology of asthma as a disease.
C. preventing asthma attack.
Respiratory Disorders - Asthma (Burke Workbook - Chapter 23)
The client with asthma is being evaluated for Ineffective Airway Clearance. Which of the following nursing interventions should be the nurse’s highest priority?
A. Monitor oxygen saturation level
B. Check the chart for the latest ABG report
C. Assess respiratory effort
D. Check the amount and color of sputum
C. Assess respiratory effort
Respiratory Disorders - Asthma (ATI Med Surge Book - Ch. 19)
A nurse is reinforcing discharge teaching with a client who has a new prescription for prednisone (Detlasone) for athsma. Which of the following client statements indicates a need for further teaching?
A. “I will drink plenty of fluids while taking this medication.”
B. “I will tell the doctor if I have black, tarry stools.”
C. “I will take my medication on an empty stomach.”
D. “I will monitor my mouth for cold sores.”
C. “I will take my medication on an empty stomach.”
Rationale:
Prednisone can case an upset stomach and gastric irritation, so it should be taken with food. The other options are all correct statements regarding this medication.
Respiratory Disorders - Asthma (ATI Med Surge Book - Ch. 19)
A nurse is reinforcing healthy habits with a client who has asthma. Which of the following would be appropriate to include? (Select all that apply)
A. Quit smoking. B. Wear a mask around irritants. C. Stay indoors. D. Get a flu shot yearly. E. Exercise regularly.
A. Quit smoking.
B. Wear a mask around irritants.
D. Get a flu shot yearly.
E. Exercise regularly.
Rationale:
Clients should exercise regularly to promote cardiac health and muscle strength.
Respiratory Disorders - Asthma (ATI Med Surge Book - Ch. 19)
Two hours after arriving on the medical-surgical unit, the client develops dyspnea. SaO2 is 91%, and the client is exhibiting audible wheezing and use of accessory muscles. Which of the following medications should the nurse expect to administer?
A. Antibiotic
B. Beta-Blocker
C. Antiviral
D. Beta2 Agonist
D. Beta2 Agonist
Rationale:
The nurse should expect to administer a beta2-Agonist. Beta2-Agonists are used for relief of acute symptoms. An antibiotic, antiviral, and beta blocker, would not be indicated for this condition.
Respiratory Disorders - Asthma (ATI Med Surge Book - Ch. 19)
A nurse collects data from a client for possible side effects of corticosteroid therapy asthma. Which of the findings below are consistent with side-effects of corticosteroids?
A. Hyperglycemia
B. Frequent brown stools
C. Weight loss
D. Pink oral mucosa
A. Hyperglycemia
Rationale:
Hyperglycemia is a side effect of anti-inflammatory drug. Other side effects include, black tarry stools, weight gain, fluid retention, and mouth sores. Brown stools and pink oral mucosa are expected findings. Weight gain, instead of weight loss, is a side effect of corticosteroid therapy.
