A nurse is teaching a 12yearold child who is newly diagnosed with asthma about managing the condition to prevent asthma attacks. Which of the following statements by the child should indicate to the nurse that the teaching has been effective?

"Eliminating allergens that irritate my lungs can help me avoid getting an asthma attack."

"If I control my asthma, I will miss fewer days of school."

"Even if I control my asthma well, I won't be able to participate in sports or physical activities."

"Coughing and shortness of breath in the morning can be a sign that my asthma is well controlled."

Answer and Explanation

The Correct Answer is A

Choice A reason: This statement indicates that the child understands the role of allergens in triggering asthma symptoms and the importance of avoiding or reducing exposure to them. Allergens such as dust mites, animal dander, mold, and pollen can cause inflammation and constriction of the airways, leading to wheezing, coughing, and shortness of breath. The nurse should teach the child how to identify and eliminate or minimize allergens in the home, school, and outdoor environments.
Choice B reason: This statement is true, but it does not indicate that the child has learned how to manage the condition to prevent asthma attacks. Missing school days is a consequence of poorly controlled asthma, not a cause or a trigger¹². The nurse should teach the child how to use a written asthma action plan, which includes daily medications, peak flow monitoring, and rescue medications, to achieve good asthma control and reduce the risk of exacerbations.
Choice C reason: This statement is false and indicates that the child has a misconception about the impact of asthma on physical activity. Physical activity is beneficial for children with asthma, as it can improve lung function, cardiovascular fitness, and quality of life. The nurse should teach the child how to prevent exercise-induced bronchoconstriction, which is a common trigger of asthma symptoms, by using a short-acting bronchodilator before exercise, warming up and cooling down, and avoiding exercise in cold or polluted air.
Choice D reason: This statement is false and indicates that the child does not recognize the signs of poor asthma control. Coughing and shortness of breath in the morning are common symptoms of nocturnal asthma, which is a sign of uncontrolled asthma and a risk factor for severe asthma attacks. The nurse should teach the child how to monitor and record asthma symptoms and peak flow readings, and how to adjust medications according to the asthma action plan.

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Correct Answer is B

Explanation

Choice A reason: Occasional bubbling in the water seal chamber. This finding does not indicate that the client is experiencing a complication, but rather that the chest tube is functioning properly. Occasional bubbling in the water seal chamber occurs when the client exhales, coughs, or sneezes, and it shows that air is being removed from the pleural space.

Choice B reason: Continuous bubbling in the water seal chamber. This finding indicates that the client is experiencing a complication because it suggests that there is an air leak in the chest tube system. An air leak can prevent the lung from expanding and cause respiratory distress.

Choice C reason: Fluctuations in the fluid level in the water seal chamber. This finding does not indicate that the client is experiencing a complication, but rather that the chest tube is functioning properly. Fluctuations in the fluid level in the water seal chamber occur when the client breathes, and they show that the pressure in the pleural space is changing.

Choice D reason: Constant bubbling in the suction control chamber. This finding does not indicate that the client is experiencing a complication, but rather that the chest tube is functioning properly. Constant bubbling in the suction control chamber occurs when the suction source is connected, and it shows that the suction is working.

A. Right hemiparesis B. Aphasia C. Inability to recognize his family members D. Difficulty reading

Correct Answer is C

Explanation

Choice A reason: This is incorrect. Right hemiparesis is not a common finding in clients who had a stroke involving the right hemisphere. Hemiparesis is the weakness or partial paralysis of one side of the body. It usually affects the opposite side of the body from the side of the brain that is damaged by the stroke. Therefore, a stroke in the right hemisphere would more likely cause left hemiparesis, not right hemiparesis.
Choice B reason: This is incorrect. Aphasia is not a common finding in clients who had a stroke involving the right hemisphere. Aphasia is the loss or impairment of language functions, such as speaking, understanding, reading, or writing. It usually affects the dominant hemisphere of the brain, which is the left hemisphere for most people. Therefore, a stroke in the right hemisphere would less likely cause aphasia, unless the person is lefthanded or ambidextrous.
Choice C reason: This is correct. Inability to recognize his family members is a common finding in clients who had a stroke involving the right hemisphere. This is a type of agnosia, which is the loss or impairment of the ability to recognize objects, people, sounds, shapes, or smells. The right hemisphere of the brain is responsible for processing visual and spatial information, as well as facial recognition. A stroke in this area can damage the ability to identify familiar faces, even those of close relatives or friends.
Choice D reason: This is incorrect. Difficulty reading is not a common finding in clients who had a stroke involving the right hemisphere. Reading is a language function that involves the recognition and comprehension of written words. It usually depends on the dominant hemisphere of the brain, which is the left hemisphere for most people. Therefore, a stroke in the right hemisphere would less likely cause difficulty reading, unless the person is lefthanded or ambidextrous.

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A nurse is teaching a 12yearold child who is newly diagnosed with asthma about managing the condition to prevent asthma attacks. Which of the following statements by the child should indicate to the nurse that the teaching has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a disposable three chamber chest tube in place. Which of the following findings should indicate to the nurse that the client is experiencing a complication?

Correct Answer is B

Explanation

A nurse is caring for a client who has had a stroke involving the right hemisphere. Which of the following alterations in function should the nurse expect?

Correct Answer is C

Explanation

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