A nurse in a provider's office is caring for a client who has asthma and reports that the manifestations get worse while exercising. Which of the following statements should the nurse make?

"Refrain from doing any exercises until your symptoms show improvement."

"Use your long-acting beta agonist inhaler after exercise-induced symptoms appear."

"Use your short-acting beta agonist inhaler before exercising."

"It is safe to exercise if your peak flow meter measures in the red zone."

Answer and Explanation

The Correct Answer is C

Rationale:

A. "Refrain from doing any exercises until your symptoms show improvement.": Completely avoiding exercise is not necessary for most people with asthma and can negatively impact cardiovascular health. The goal is to control symptoms so that safe activity is possible.

B. "Use your long-acting beta agonist inhaler after exercise-induced symptoms appear.": Long-acting beta agonists are used for maintenance therapy, not for quick relief. They are not appropriate for immediate symptom control before or after exercise.

C. "Use your short-acting beta agonist inhaler before exercising.": Short-acting beta agonists, such as albuterol, can be taken 5–20 minutes before exercise to prevent exercise-induced bronchospasm. This is the recommended approach for clients with exercise-triggered asthma.

D. "It is safe to exercise if your peak flow meter measures in the red zone.": The red zone indicates severe airway narrowing and poor asthma control, requiring immediate medical attention. Exercise in this state could worsen symptoms and lead to respiratory distress.

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Correct Answer is B

Explanation

Rationale:

A. Ensure that pork is included in the evening meal: Pork and pork-derived products are prohibited in Islam due to religious dietary laws. Serving pork would be culturally inappropriate and could cause distress to the client, as it violates halal dietary practices.

B. Schedule for meals to be served after sundown: During Ramadan, Muslims fast from dawn to sunset, abstaining from food and drink during daylight hours. Scheduling meals after sundown aligns with their religious observance and supports cultural sensitivity and nutritional needs.

C. Avoid red meat in the client's meals: Islam does not prohibit the consumption of red meat as long as it is halal-slaughtered. There is no religious requirement during Ramadan to avoid red meat, so this action is unnecessary unless restricted for other health reasons.

D. Wait 1 hr after the client consumes dairy to serve poultry: This practice is not part of Islamic dietary rules and is not relevant to Ramadan fasting. It has no religious basis and would not address the specific dietary considerations for a devout Muslim during Ramadan.

A. The client's lung sounds remain clear during the transfusion. B. The client's blood pressure increases to 140/85 mm Hg following the transfusion C. The client's hemoglobin level increases following the transfusion. D. The client is afebrile during the transfusion.

Correct Answer is C

Explanation

Rationale:

A. The client's lung sounds remain clear during the transfusion: Clear lung sounds indicate the absence of fluid overload or pulmonary complications, which is a safety indicator, but it does not reflect the effectiveness of the transfusion in improving oxygen-carrying capacity.

B. The client's blood pressure increases to 140/85 mm Hg following the transfusion: A sudden rise in blood pressure could indicate fluid overload or a transfusion reaction, not necessarily a positive response to the transfusion.

C. The client's hemoglobin level increases following the transfusion: An increase in hemoglobin indicates that the transfused red blood cells have effectively raised the client’s oxygen-carrying capacity, demonstrating a positive therapeutic response.

D. The client is afebrile during the transfusion: Remaining afebrile indicates the absence of a febrile transfusion reaction, which is a safety measure, but it does not show that the transfusion achieved its therapeutic goal.

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A nurse in a provider's office is caring for a client who has asthma and reports that the manifestations get worse while exercising. Which of the following statements should the nurse make?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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