The nurse is teaching a client with newly diagnosed asthma. Which instructions should the nurse include to reduce the likelihood of an asthma attack? (Select all that apply)

Avoid smoking.

Call 911 if your peak flow meter reading is in the red zone.

Wash bedclothes in hot water.

Keep house fresh with air fresheners.

Ensure to use your inhaler at least 30 minutes before exercising.

Answer and Explanation

Correct Answer : A,B,C

Choice A reason: Smoking is a significant trigger for asthma attacks. Tobacco smoke contains numerous irritants and chemicals that can inflame the airways and make asthma symptoms worse. Avoiding smoking, as well as second-hand smoke, is crucial for managing asthma and reducing the likelihood of attacks.

Choice B reason: The peak flow meter is a crucial tool for asthma management. It measures how well air moves out of the lungs. If a reading is in the red zone, it means that the airway is significantly obstructed, and immediate medical intervention is required. Calling 911 ensures that the patient gets timely help, which can be life-saving in severe asthma attacks.

Choice C reason: Washing bed clothes regularly is important because dust mites, which are common asthma triggers, thrive in bedding. Regular washing at a high temperature can kill these mites and reduce their presence, thereby minimizing one of the common indoor asthma triggers.

Choice D reason: Keeping the house fresh with air fresheners is actually not recommended for asthma patients. Many air fresheners contain volatile organic compounds (VOCs) and other chemicals that can irritate the airways and trigger asthma symptoms. Instead, maintaining good ventilation and using non-chemical methods to keep the air fresh is preferred.

Choice E reason: Using an inhaler two hours before exercising is not a standard recommendation for asthma management. Typically, a quick-relief inhaler (bronchodilator) is used 15-30 minutes before exercise to prevent exercise-induced bronchoconstriction. The two-hour mark is not effective in ensuring the medication's peak action during the exercise period.

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Correct Answer is ["A","B","D"]

Explanation

Choice A reason: Placing defibrillator pads and preparing for defibrillation is typically not indicated for supraventricular tachycardia (SVT) unless the patient is unresponsive or pulseless, which requires immediate emergency intervention. SVT is usually managed with vagal maneuvers or medications.

Choice B reason: Cardizem (diltiazem) is not administered subcutaneously. It is usually given orally or intravenously for the treatment of arrhythmias. Requesting clarification on this order is necessary to ensure the correct administration route.

Choice C reason: Preparing for synchronized cardioversion is an appropriate order for the treatment of unstable SVT if medications are ineffective. This procedure involves delivering a timed electrical shock to restore normal heart rhythm.

Choice D reason: Adenosine is not administered orally. It is typically given as a rapid intravenous push to treat SVT. Preparing adenosine for oral administration is incorrect and requires clarification to ensure the patient's safety and effective treatment.

Choice E reason: Preparing for adenosine IV is appropriate as it is the correct route of administration for treating SVT.

A. "Use of eye drops will improve vision over time." B. "Double vision is a common symptom of glaucoma." C. "Without treatment, glaucoma can cause blindness." D. "Glaucoma is caused by inadequate production of fluid within the eye."

Correct Answer is C

Explanation

Choice A reason: The statement "Use of eye drops will improve vision over time" is incorrect. Eye drops for glaucoma help to manage intraocular pressure but do not typically improve vision. They are used to prevent further vision loss.

Choice B reason: The statement "Double vision is a common symptom of glaucoma" is incorrect. Double vision is not a typical symptom of glaucoma. Glaucoma primarily affects peripheral vision.

Choice C reason: The statement "Without treatment, glaucoma can cause blindness" is accurate. Glaucoma is a leading cause of blindness if not treated properly. Managing intraocular pressure is crucial to prevent damage to the optic nerve.

Choice D reason: The statement "Glaucoma is caused by inadequate production of fluid within the eye" is incorrect. Glaucoma is usually caused by increased intraocular pressure due to inadequate drainage of the aqueous humor within the eye.

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The nurse is teaching a client with newly diagnosed asthma. Which instructions should the nurse include to reduce the likelihood of an asthma attack? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse identifies the client exhibiting supraventricular tachycardia and calls the provider. Several orders are given. For which of the following orders would the nurse request further clarification? (Select all that apply)

Correct Answer is ["A","B","D"]

Explanation

A nurse is providing education for a client who has glaucoma. Which statement should the nurse include in the teaching?

Correct Answer is C

Explanation

A client prescribed albuterol sulfate by inhalation is unable to cough up secretions. What actions should the nurse teach the client to help clear bronchial secretions effectively?

A nurse is caring for a client who is found unresponsive and pulseless in their room. An ECG confirms the client is in pulseless ventricular tachycardia (VT). The nurse should anticipate the need for taking which of the following actions?

The nurse is assessing a client's eyes and notes that when the client looks at a near object, the pupil constricts, but when the client looks at an object in the distance, the pupil dilates. The nurse should identify this finding as which condition?

In reviewing a 50-year-old client's medical record, which clinical manifestation should the nurse plan to assess for?

A client seen in the clinic with shortness of breath and fatigue is being evaluated for a possible diagnosis of heart failure. Which laboratory result will be the most useful to monitor?

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