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 C

Explanation

Rationale:

A. Generativity vs self-absorption: This stage occurs in middle adulthood, typically between ages 40 and 65, when individuals focus on contributing to society, guiding the next generation, and creating a lasting legacy.

B. Trust vs mistrust: This is the first stage of Erikson’s theory, occurring in infancy (birth to 1 year). It centers on developing a sense of trust when basic needs are met consistently by caregivers.

C. Identity vs role confusion: This stage occurs during adolescence (approximately ages 12 to 18) and involves exploring personal values, beliefs, and goals to develop a stable sense of self. Success leads to identity formation, while failure results in role confusion.

D. Intimacy vs isolation: This stage takes place in young adulthood (approximately ages 20 to 40) and focuses on forming deep, committed relationships while balancing independence and emotional closeness.

A. Provide a tracheostomy tray at the bedside. B. Place the client in supine position. C. Place a plastic tongue depressor at the client's bedside. D. Insert an IV saline lock.

Correct Answer is D

Explanation

Rationale:

A. Provide a tracheostomy tray at the bedside: A tracheostomy tray is not routinely required for seizure precautions, as airway obstruction in seizures is usually managed through positioning and suctioning.

B. Place the client in supine position: The supine position can increase the risk of airway obstruction and aspiration after a seizure. A side-lying position is preferred to help maintain an open airway and promote drainage of secretions.

C. Place a plastic tongue depressor at the client's bedside: Placing any object in a client’s mouth during or after a seizure can cause injury to the teeth, gums, or airway. Modern seizure precautions avoid using tongue blades or depressors entirely.

D. Insert an IV saline lock: Having IV access readily available allows rapid administration of emergency medications such as benzodiazepines if the client experiences another seizure. This intervention supports prompt treatment and stabilization.

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A nursery nurse is attending the birth of a post-term infant.

Exhibits

Drag words from the choices below to fill in each blank in the following sentence.

Upon review of the medical record, the nurse should determine the infant newborn is at risk for developing

and .

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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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