A nurse in a clinic is reviewing the home medications of client who has a history of asthma, and who is at the clinic to have a routine annual physical. Which statement made by the patient would indicate a need for further action by the nurse?

"My acid reflux is much better since I started taking omeprazole."

"I take my fluticasone inhaler on a schedule, even if I'm not having symptoms."

"I use my albuterol inhaler when I have an asthma attack."

"I take metoprolol to control my blood pressure."

Answer and Explanation

The Correct Answer is D

A.   This statement is relevant to the patient's health but does not indicate a need for further action by the nurse. Omeprazole is a common medication for acid reflux.
B.   This statement is appropriate for patients with asthma. Fluticasone is a maintenance inhaler used to prevent asthma attacks, and taking it regularly as prescribed is important.
C.   This statement is correct. Albuterol is a quick-relief inhaler used to treat asthma attacks.
D.   This statement indicates a potential interaction with the patient's asthma medications. Beta-blockers like metoprolol can worsen asthma symptoms in some patients. The nurse should discuss this with the patient's doctor to determine if the benefits of metoprolol outweigh the risks for this individual.

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Correct Answer is A

Explanation

A. AMD affects the macula, which is responsible for central vision and fine detail. As the condition progresses, patients often experience a gradual loss of central vision, which can make it difficult to read, recognize faces, and perform tasks that require sharp vision. Distortion of straight lines (metamorphopsia) is also common, where straight lines may appear wavy or bent.
B. Floaters and flashes of light are more commonly associated with conditions affecting the vitreous body of the eye or retinal detachment, rather than AMD. These symptoms can occur due to changes in the vitreous gel or as a result of other retinal issues, but they are not the primary symptoms of AMD.
C. Cloudy vision and glare are typically associated with cataracts, not AMD. Cataracts cause the lens of the eye to become cloudy, leading to blurred vision and increased sensitivity to glare. AMD does not cause the lens to cloud, so these symptoms are not characteristic of AMD.
D. Loss of peripheral vision is more characteristic of glaucoma rather than AMD. AMD primarily affects central vision, leaving peripheral vision relatively intact until the disease progresses to an advanced stage. Glaucoma, on the other hand, often leads to a gradual loss of peripheral vision.

A. "A primary goal when caring for clients who have a chronic illness is to cure them of the condition." B. "Clients with chronic illness may have to dedicate a lot of time to managing their disease." C. "Individuals with the same chronic illness may experience a completely different trajectory of the illness." D. "The client and caregiver should be educated on the prescribed treatment plan."

Correct Answer is A

Explanation

A. This statement is incorrect because many chronic illnesses are not curable. The goal of care for chronic illnesses is often to manage the condition, improve quality of life, and prevent complications, rather than achieving a complete cure.
B. This statement is accurate. Managing a chronic illness often requires significant time and effort, including medication adherence, lifestyle changes, and regular medical appointments.
C. The trajectory of a chronic illness can vary greatly between individuals, even those with the same condition. Factors such as genetics, lifestyle, and access to care can influence the course of the illness.
D. This statement is accurate. Educating the client and caregiver about the prescribed treatment plan is essential for optimal management of chronic illnesses. This includes understanding medication dosages, side effects, and lifestyle modifications.

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A nurse in a clinic is reviewing the home medications of client who has a history of asthma, and who is at the clinic to have a routine annual physical. Which statement made by the patient would indicate a need for further action by the nurse?

Nursing Test Bank

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