Asthma PrepU

The nurse has finished teaching a 15-year-old client how to use an inhaler to treat asthma. What statement by the client suggests an understanding of the teaching?

"I need to shake the inhaler well before taking the medication."

A male client presents to the emergency department in bronchospasm. He has a history of smoking two packs per day for 20 years and is prescribed phenytoin to control a seizure disorder that developed after a head injury 3 years ago. Based on the client's history, what would the nurse expect the health care provider to order?

A modified dose of aminophylline

After reviewing information about drugs used to treat lower respiratory system conditions, a group of nursing students demonstrate understanding of the information when they identify which as an example of a short-acting beta-2 agonist (SABA)?

Albuterol

During the summer, a female client experiences increased periods of acute symptoms of her asthma. The health care provider increases the dose frequency of which of her medications?

Albuterol

Mr. Ashum is prescribed an albuterol inhaler as part of his treatment regimen for asthma. What is the mechanism of action for this medication?

Albuterol causes relaxation of the bronchial smooth muscles

Respiratory symptoms are treated with many types of drugs, including

Anti-inflammatory agents

Mr. Lou, 68 years old, is prescribed zafirlukast drug therapy. The nurse is aware that due to his age, he may experience decreased renal clearance of zafirlukast. What measure is the nurse expected to take?

Arrange for frequent follow-up appointments

A client is experiencing an acute asthmatic attack. Which agent would be most effective?

Beta-2 selective adrenergic agonist

Before administering a prescribed bronchodilator to a client experiencing acute breathing distress, which assessment(s) should the nurse complete? Select all that apply.

Blood pressure Pulse Lung sounds Respiratory rate

After teaching a group of nursing students about xanthine derivatives, the instructor determines that the teaching was successful when the students correctly state which result(s) of using these medications? Select all that apply.

Cause flushing Cause a reduction in airway inflammation Stimulate CNS to promote bronchodilation

A nurse is providing discharge planning for a 45-year-old woman who has a prescription for oral albuterol. The nurse will question the patient about her intake of which of the following?

Coffee

Shane, a 25-year-old man, is diagnosed with asthma. He began an albuterol MDI 2 weeks ago. He reports that his symptoms persist in spite of using albuterol MDI as prescribed. What advice should the nurse give the client?

Contact the health care provider to obtain adjunctive medications

The nursing instructor is teaching a session explaining mast cell stabilizers. The instructor determines the session is successful when the students correctly choose which drug as an example?

Cromolyn

A client with asthma has been prescribed an anti-inflammatory medication. How does an anti-inflammatory drug reduce this client's bronchoconstriction?

Decreasing airway hyperreactivity to stimuli

A client who has been admitted to the healthcare center has been diagnosed with emphysema. The arterial blood gas results reveal respiratory acidosis. Based on this information, what should the nurse explain to the client that is the cause of the respiratory acidosis?

Excess carbon dioxide in the blood

An adult client with newly diagnosed asthma presents for client education regarding situations that could precipitate an asthma attack. In this teaching, which precipitants would the nurse state may trigger an attack?

Exercise Allergens Mold Cigarette smoke

A client is prescribed an inhaled corticosteroid. The nurse would instruct the client about which as a possible adverse reaction(s)?

Fungal infection Pharyngeal irritation

A nurse is providing education to a 56-year-old man who is admitted to the emergency department with an acute asthma attack. The nurse's initial assessment reveals that the patient has a history of pneumonia, drinks large quantities of coffee, and eats a high-calorie diet. Albuterol is prescribed for him. The important consideration when the nurse is preparing a teaching plan will be that the patient

Has a high coffee intake

Which would the nurse identify as being involved with asthma?

Hyperactive airways

The nurse is reviewing a client's morning blood work and notes a theophylline level of 22.2 mcg/mL (123.21 µmol/L). What action should the nurse take?

Inform the health care provider that the client has toxic theophylline levels

The nurse is caring for a client with chronic obstructive pulmonary disease. The plan of care will focus on what client problem?

Lack of patent airway

The nurse teaches a client receiving an inhaled corticosteroid about the possibility of developing oral thrush. Which action(s) would the nurse include in the teaching plan as a way to reduce this risk? Select all that apply.

Performing strict oral hygiene Cleaning the inhaler per package instructions Using proper technique when administering dose

A nurse is caring for a client with chronic bronchiectasis. The nurse should assess the patient for which clinical manifestation?

Purulent cough

A client, experiencing respiratory distress related bronchi constriction, will benefit from what therapeutic action provided by anticholinergic medication therapy?

Relaxation of smooth muscle

A client is being evaluated for a possible diagnosis of emphysema. What client characteristic should the nurse monitor to provide evidence of the disorder?

Respiratory expiration

The nurse is evaluating the education of a client that uses albuterol for an acute asthma attack. The nurse knows that the lesson has been effective when the client states that albuterol is which of the following types of medication?

SABA

A female client presents to the emergency department with acutely deteriorating asthma. Her husband tells the nurse that his wife takes salmeterol. He then tells the nurse that he gave her three extra puffs when she became ill. What statement is correct in this situation?

Salmeterol is contraindicated based on his wife's condition

A client has been diagnosed with chronic obstructive pulmonary disease. The client has been prescribed bronchodilators by nebulizer for home use. The nurse should teach the client to:

Sit in a fully upright position when administering the medication

A 42-year-old male client has a history of smoking for 20 years. The client states he is feeling fine and asks why stopping smoking is necessary. What information might the nurse share with the client about smoking?

Smoking decreases the size of the tubes leading to the lungs

A client is experiencing an episode of status asthmaticus. What is the primary challenge facing the staff as they attempt to manage the client's respiratory crisis?

The bronchospasm does not respond to usual treatment measures

What action by the client would indicate that the client understands how to use an inhaler?

The client holds his or her breath for several seconds after compressing the canister

Why are inhaled steroids used to treat asthma and COPD?

They act locally to decrease release of inflammatory mediators

The nurse is aware that the health care provider often orders combination therapy for the treatment of asthma for what reason?

To allow for smaller doses of each agent to be given

A 70-year-old client is being treated for chronic obstructive pulmonary disease (COPD) with theophylline. What will be a priority assessment by the nurse?

Use of nicotine