A newly diagnosed patient asks the nurse to explain asthma. Which of the following explanations by the nurse is correct?
"Your airways are inflamed and spastic."
"You have fluid in your lungs that is causing shortness of breath."
"Your airways are stretched and nonfunctional."
"You have a low-grade infection that keeps your bronchial tree irritated."
The Correct Answer is A
A. Asthma is a chronic respiratory condition characterized by inflammation and hyperresponsiveness of the airways. This inflammation leads to bronchoconstriction, causing symptoms like wheezing, shortness of breath, chest tightness, and coughing. This description accurately captures the primary pathological features of asthma.
B. Fluid in the lungs, also known as pulmonary edema, is not a characteristic of asthma. Pulmonary edema is usually associated with conditions such as heart failure or acute respiratory distress syndrome (ARDS), not asthma.
C. Airway stretching and nonfunctionality are not characteristics of asthma. Conditions like bronchiectasis involve permanent dilation and damage to the airways, leading to chronic infections and impaired clearance of mucus, but this is different from asthma.
D. Asthma is not primarily caused by an infection, although infections can trigger asthma exacerbations. The primary issue in asthma is chronic inflammation and hyperresponsiveness of the airways, which are not caused by a low-grade infection but by a combination of genetic and environmental factors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. A decrease in the respiratory rate from 32 breaths/minute to 20 breaths/minute indicates improved respiratory status and effectiveness of nursing care. A lower respiratory rate suggests that the patient's breathing is becoming less labored, and oxygenation may be improving.
A. A lower heart rate may suggest a reduction in pain, improved oxygenation, or decreased stress on the cardiovascular system. However, other factors such as medications, rest, and hydration can also influence heart rate. Overall, a decrease in heart rate is a favorable finding.
C. A slight decrease in blood pressure from 140/80 mm Hg to 130/78 mm Hg may indicate a positive response to nursing care. However, blood pressure fluctuations can be influenced by various factors, including hydration status, medications, and underlying medical conditions.
D. Pain management is an essential aspect of nursing care, particularly for patients with lower respiratory infections who may experience discomfort due to coughing, chest congestion, and inflammation. However, pain levels can fluctuate over time and may require ongoing assessment and intervention.
Correct Answer is A
Explanation
A. Lean proteins like baked turkey breast are generally well-tolerated by individuals with GERD. Turkey is low in fat, which reduces the likelihood of triggering reflux symptoms.
B. Spaghetti with red sauce can be problematic for individuals with GERD due to the acidity of the tomato sauce, which can exacerbate reflux symptoms. Tomato-based foods are often best avoided or consumed in moderation by those with GERD.
C. Corned beef brisket is high in fat, which can increase the risk of reflux symptoms. Fatty foods, especially those high in saturated fat like corned beef, are known triggers for GERD.
D. Citrus flavors, including lemon, can trigger reflux symptoms in some individuals. However, if the dish is prepared with a small amount of lemon pepper seasoning and does not cause symptoms for the individual, it may be acceptable.
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