Asthma

The client is asking how to use peak expiratory flow meter. Which statement indicates an understanding about using the peak expiratory flow meter?

"I have to put the device in my mouth and exhale fully."

What are the diagnostic assessments that will help in evaluate a client's asthma severity? Select all that apply.

*Allergy skin testing *Peak flow meter *Pre- and post-bronchodilater spirometry

What are some things that can trigger an asthma exacerbation? Select all that apply.

*Exercise *Cigarette smoking *Pet dander *Acid reflux

The nurse is preparing a discharge plan for Sally. What health prevention strategies could reduce or prevent exacerbation of her asthma? Select all that apply.

*Identify any possible allergens and remove from her environment *Take fluticasone twice daily regardless of symptoms *Pneumococcal, SARS-CoV2, and influenza vaccinations

The client is admitted due to status asthmaticus. Sally is alert and oriented. She has diffuse expiratory wheezes present. Vital signs: T: 97.8F, BP: 145/90, P: 110, RR: 28, O2 Sat: 87%. Which of the following nursing actions should the nurse recommend when notifying the healthcare provider? Select all that apply.

*Maintain the head of bed upright *Administer albuterol by nebulizer *Have bag-valve-mask and airway equipment available in the room

The nurse is preparing Sally for discharge. She has an unlicensed assistive personnel (UAP) working with her today. Which of the following items can the UAP assist the nurse with in preparing the discharge? Select all that apply.

*Obtain a wheelchair and bring it to her room for discharge *Help pack her belongings for transport

A client is being admitted to the unit with status asthmaticus. What are two priority nursing actions in preparing for this client's arrival? Select all that apply.

*Obtain an artificial airway of the appropriate size to be available before client arrival *Ensure there is an unopened, functioning bag-valve-mask available in the room

A nurse is assessing a client who has been treated for an acute exacerbation of asthma. Which findings indicate the client's condition has improved? Select all that apply.

*Respiratory rate normalized *Oxygen saturation increased *Decreased expiratory wheezing

Review the assessment note below and select the items that are consistent with risk factors and pertinent items for asthma exacerbation.​

*Shortness of breath *Cough *Asthma *Gastroesophageal reflux *eczema *albuterol *montelkast *salmetrol *fluticasone *RR: 26 *O2 Sat 89% *Diffuse expiratory wheezes

The client is admitted with acute exacerbation of asthma secondary to allergic reaction to pollen. The client presented in emergency department with difficulty of breathing, 88% oxygen saturation in room air, restlessness, multiple hives on the upper chest and back. Which medications are likely to be used to treat this exacerbation of asthma? Select all that apply.

*albuterol *diphenhydramine *methylprednisolone

1. Opens bronchial tubes by increasing beta-2 receptor stimulation ​ 2. Blocks leukotriene activity, an inflammatory marker 3. Opens bronchial tubes, increases diagphragmatic function, and central stimulation of breathing 4. ​Reduces inflammation by reducing activity in the immune system ​ 5. Reduce inflammatory response by blocking histamine receptors ​ 6. ​Blocks the binding of IgE to receptor sites on mast cells ​ 7. Decrease mucus and open the bronchial tubes by blocking cholinergic and muscarinic response ​

1. Beta agonist 2. Leukotriene inhibitor 3. Methylxanthines 4. Corticosteroid 5. Antihistamine 6. IgE receptor blocker 7. Anticholinergics

The client is experiencing shortness of breath. When assessing the client's breathing, which assessment finding is consistent with an exacerbation of asthma?

Diffuse expiratory wheezing

When seeing a client with suspected asthma, the healthcare provider wants to know if a bronchodilator will be effective. Which diagnostic study can the nurse expect will be ordered?

Beside spirometry

On discharge, Sally is receiving albuterol via metered dose inhaler and fluticasone via dry powder inhaler. What is the most appropriate health teaching that focused on using dry powder inhaler?

Put it in a dry place

Sally experienced shortness of breath at home during the day. At 1pm she decided to measure her peak flow. Her results averaged 175 mL/min. What should Sally do next?

Use her albuterol nebulizer for 10 minutes

What medication can cause bronchodilation?

albuterol