Which of the following items should the nurse include in teaching Sara about asthma? (Select all that apply)

Determine Trigger

Health Promotion

Stress Management

Keep a Journal

Start a running program

Answer and Explanation

Correct Answer : A,B,C,D

Choice A reason: Identifying triggers (e.g., allergens, exercise) prevents asthma exacerbations by avoiding bronchoconstriction causes. It empowers Sara to control exposure, a cornerstone of asthma education supported by evidence for long-term management success.

Choice B reason: Health promotion, like vaccinations and smoking cessation, reduces asthma triggers and infections. It strengthens overall respiratory health, a key teaching point to minimize exacerbations and improve Sara’s quality of life.

Choice C reason: Stress management reduces anxiety, a known asthma trigger via hyperventilation or vagal response. Techniques like deep breathing help Sara maintain control, making it a vital component of comprehensive asthma education.

Choice D reason: Keeping a journal tracks symptoms, triggers, and medication use, aiding asthma control. It provides data for healthcare adjustments, empowering Sara with self-monitoring, a proven strategy in personalized asthma management plans.

Choice E reason: Starting a running program risks exacerbating asthma via exercise-induced bronchospasm, especially without control. It’s not suitable teaching; gradual activity with medical clearance is safer, not an initial recommendation.

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Correct Answer is C

Explanation

Choice A reason: Titrating nitroprusside requires adjusting IV infusion based on MAP, a skilled nursing task. Assistants can’t perform this, as it involves pharmacology and critical judgment beyond their scope in a crisis.

Choice B reason: Setting up a BP machine to monitor every 15 minutes is a technical task within an assistant’s role. It requires no interpretation, supporting the RN’s management of hypertensive crisis safely and effectively.

Choice C reason: Teaching stress relief demands nursing expertise in patient education and psychology. Assistants lack training to deliver this, making it an RN duty to ensure comprehension and relevance in care.

Choice D reason: Evaluating nitroprusside’s effect involves analyzing BP trends and drug response, a clinical skill. Delegation is inappropriate, as assistants can’t assess therapeutic outcomes or adjust care in this critical scenario.

A. The patient’s blood pressure is 164/98. B. The patient’s oxygen saturation is 90%. C. The patient reports feeling weak. D. The patient appears somnolent and difficult to arouse.

Correct Answer is D

Explanation

Choice A reason: Blood pressure of 164/98 mmHg is elevated but not immediately life-threatening in respiratory failure. It may reflect stress or chronic hypertension, less urgent than neurologic changes signaling CO2 narcosis.

Choice B reason: Oxygen saturation of 90% is low but manageable with oxygen therapy in respiratory failure. It’s concerning, yet less critical than somnolence, which indicates severe CO2 retention requiring urgent intervention.

Choice C reason: Weakness is nonspecific in respiratory failure, possibly from hypoxia or fatigue. It’s not as immediately alarming as somnolence, which directly reflects brain suppression from high PaCO2, needing prompt reporting.

Choice D reason: Somnolence and difficulty arousing signal CO2 narcosis from hypercapnia (high PaCO2), a medical emergency. It indicates respiratory acidosis impairing brain function, requiring immediate provider notification for ventilatory support.

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Which of the following items should the nurse include in teaching Sara about asthma? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The registered nurse (RN) is caring for a patient with a hypertensive crisis who is receiving sodium nitroprusside. Which nursing action can the nurse delegate to an experienced nursing assistant?

Correct Answer is C

Explanation

The nurse is admitting a patient with possible respiratory failure and a high PaCO2. Which assessment information would the nurse immediately report to the health care provider?

Correct Answer is D

Explanation

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