Asthma

Which type of medication is used to maintain daily control of asthma? Anti-inflammatories Anticholinergics Bronchodilators Vasodilators

Anti-inflammatories

The patient is prescribed an inhaled corticosteroid to treat her asthma. You prepare patient teaching material based on the practitioner's prescription for maintenance medication. Drag and drop the classification of medication about which you should educate the patient. anti-inflammatories arterial blood gas (ABG) bronchodilators complete blood count (CBC) decreased wheezing fumes increased wheezing mechanical ventilation oxygen therapy pet dander status asthmaticus

Anti-inflammatories Rationale: Anti-inflammatories, typically inhaled corticosteroids, reduce mucous production and swelling. This makes the airways less sensitive and less likely to react to asthma triggers. Long-term control medications are used daily to maintain control of the asthma, even when a patient is not experiencing symptoms.

The practitioner orders diagnostic testing to measure oxygenation of the blood, acid-base balance, and partial pressure of carbon dioxide after administration of oxygen. Which nursing action is appropriate? anti-inflammatories arterial blood gas (ABG) bronchodilators complete blood count (CBC) decreased wheezing fumes increased wheezing mechanical ventilation oxygen therapy pet dander status asthmaticus

Arterial blood gas (ABG) Rationale:Arterial blood gas (ABG) monitoring is an invasive sampling of arterial blood to measure oxygenation of the blood, acid-base balance, and the partial pressure of carbon dioxide. ABGs identify the patient's response to oxygen and ventilation therapy and medications.

You are teaching the patient the medication that should be administered during an acute asthma attack. Drag and drop the drug classification you should teach the patient about. anti-inflammatories arterial blood gas (ABG) bronchodilators complete blood count (CBC) decreased wheezing fumes increased wheezing mechanical ventilation oxygen therapy pet dander status asthmaticus

Bronchodilators Rationale: Bronchodilators such as B2-adrenergic agonists relax the bronchial smooth muscle helping to open the airway, decreasing obstruction. Anticholinergics are another group of bronchodilators that relax the muscles around the larger airways or bronchi.

The patient has a change of status. You notify the practitioner that she is experiencing respiratory failure and will require mechanical ventilation. Drag and drop the assessment data you noted. anti-inflammatories arterial blood gas (ABG) bronchodilators complete blood count (CBC) decreased wheezing fumes increased wheezing mechanical ventilation oxygen therapy pet dander status asthmaticus

Decreased wheezing Rationale: If a patient's wheezing decreases and she has barely audible or no breath sounds, this indicates respiratory failure, a medical emergency. Contact a physician immediately as the patient may require mechanical ventilation.

A client, newly diagnosed with asthma, has recovered from an acute attack. The nurse analyzes possible triggers in the environment. Which triggers could have caused the exacerbation? Select all that apply. Client walking in hallway two times today Gift basket in room containing boxed food items Fellow staff nurse in hallway wearing perfume Flower arrangement on client's bedside table Visitor who smells of cigarette smoke

Fellow staff nurse in hallway wearing perfume Flower arrangement on client's bedside table Visitor who smells of cigarette smoke

You advise the patient to avoid wood-burning stoves, fireplaces, aerosol sprays, and strong perfume. Drag and drop the type of irritant you are teaching the patient to avoid. anti-inflammatories arterial blood gas (ABG) bronchodilators complete blood count (CBC) decreased wheezing fumes increased wheezing mechanical ventilation oxygen therapy pet dander status asthmaticus

Fumes Rationale: Fumes are often a trigger for a patient who is diagnosed with asthma. Once a patient's irritant is identified, it is important for the patient to avoid it if at all possible. Other common triggers for an asthma exacerbation include environmental smoke, air pollution, and elevated altitudes.

A client has diminished breath sounds after receiving an albuterol nebulizer treatment for asthma. What are the nurse's priority actions? Select all that apply. Obtain a 12-lead ECG. Request a beta blocker. Document the finding. Notify the healthcare provider. Provide mechanical ventilation, if ordered.

Notify the healthcare provider. Provide mechanical ventilation, if ordered.

Kyra presents with wheezing, tachypnea, dyspnea, and an inability to complete a sentence. Current oxygen saturation (SaO2) is 88%. Which therapy should you initiate for this patient? anti-inflammatories arterial blood gas (ABG) complete blood count (CBC) decreased wheezing fumes increased wheezing mechanical ventilation oxygen therapy bronchodilators pet dander status asthmaticus

Oxygen therapy Rationale: The patient is exhibiting symptoms associated with asthma. An SaO2 of 88% indicates respiratory distress. An appropriate treatment option for this patient is oxygen therapy, which is administered to treat the associated hypoxemia.

Which topics should the nurse include in the discharge teaching plan of a client newly diagnosed with asthma? Select all that apply. Pursed-lip breathing Possible triggers Signs and symptoms Using the incentive spirometer Using a peak flow meter

Pursed-lip breathing Possible triggers Signs and symptoms Using a peak flow meter

The patient reports chest tightness, wheezing, dry cough, and shortness of breath. You note severe respiratory distress. Clinical manifestations are unresponsive to typical rescue treatment. Drag and drop the complication the patient is experiencing. anti-inflammatories arterial blood gas (ABG) bronchodilators complete blood count (CBC) decreased wheezing fumes increased wheezing mechanical ventilation oxygen therapy pet dander status asthmaticus

Status asthmaticus Rationale: Status asthmaticus is an acute exacerbation of asthma that is unresponsive to typical rescue treatment with bronchodilators even after repeated, frequent doses. Symptoms can vary from mild to severe, including bronchospasm, inflammation, and excessive mucous production with mucus plugging. Patients report chest tightness, wheezing, dry cough, shortness of breath, and severe respiratory distress.

During an acute asthma attack, the nurse should expect which finding? Increased peak flow reading Increased incentive spirometer reading Client able to breathe comfortably Wheezing on auscultation

Wheezing on auscultation