The nurse is evaluating the patients understanding of education on environmental control for asthma management. Which statement by the patient indicates effective teaching?
"We will replace the carpet in our bedroom with tile.
"We'll keep the plants in our home dusted."
"We're glad the dog can continue to sleep in our bedroom.
"We'll be sure to use the fireplace often to keep the house warm in the winter."
The Correct Answer is A
A. This statement indicates a good understanding of environmental control for asthma management. Carpets can trap dust, allergens, and mold, which can trigger asthma attacks. Replacing the carpet with tile can help to reduce exposure to these allergens.
B. While dusting plants can help to reduce exposure to allergens, it is not as effective as removing potential allergens from the environment altogether. Plants themselves can also be sources of allergens, so it might be best to remove them from the home, especially the bedroom.
C. Pets, especially dogs and cats, can be a significant source of allergens for people with asthma. Keeping a pet in the bedroom can increase exposure to allergens and trigger asthma attacks.
D. Burning wood in a fireplace can produce smoke and other pollutants that can irritate the airways and trigger asthma attacks. It is best to avoid using fireplaces, especially during the winter months.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Infectious mononucleosis is caused by the Epstein-Barr virus, not by streptococcal bacteria. Therefore, antibiotics for streptococcal pharyngitis would not prevent this illness.
B. Rheumatic fever is a serious complication that can occur after an untreated streptococcal infection. It can affect the heart, joints, and nervous system. Treating streptococcal pharyngitis with antibiotics effectively reduces the risk of developing rheumatic fever.
C. While streptococcal bacteria can cause pneumonia, the primary concern with acute streptococcal pharyngitis is rheumatic fever. Pneumonia can be a complication, but it is not the most critical disease to prevent with antibiotics in this context.
D. Nasopharyngitis, often referred to as the common cold, is typically caused by viruses. Antibiotics would not prevent this condition, as it is not related to streptococcal infections.
Correct Answer is C
Explanation
A. While obtaining a peak flow reading can provide valuable information about the child’s lung function and severity of the exacerbation, it is not the priority action during a status asthmaticus situation. The immediate focus should be on reversing the acute bronchospasm and ensuring the child can breathe effectively.
B. Identifying the cause of the asthma exacerbation (such as allergens, respiratory infections, or environmental factors) is important for long-term management and prevention. However, during a crisis, the priority is to address the immediate respiratory distress rather than to investigate the underlying cause.
C. Short-acting beta-2 agonists (e.g., albuterol) are the first-line treatment during an acute asthma exacerbation because they work quickly to relax bronchial smooth muscle and relieve airway obstruction. Administering a SABA can rapidly improve the child's breathing and oxygenation.
D. Inhaled glucocorticoids (e.g., fluticasone) are used to reduce inflammation in the airways and are important in long-term asthma management. However, they do not act as quickly as SABAs and are not the first step in the acute management of status asthmaticus. While they may be part of the treatment plan, they should follow the administration of a SABA during an acute episode.
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