Asthma Chapter 15
A client who is experiencing an acute asthma attack is brought to the emergency department. Which action should the nurse take first? A. Auscultate the client's lungs. B. Determine when the shortness of breath began. C. Obtain a peak flowmeter reading. D. Administer an inhaled corticosteroid.
A
A pediatric client who has asthma is unable to speak, has shortness of breath, and has diminished breath sounds. Which type of asthma exacerbation is the client experiencing based on the assessment findings? A. Severe B. Moderate C. Mild D. Minimal
A
The nurse is examining a client newly diagnosed with asthma. Which pathological characteristic should the nurse expect in this client during physical examination? A. Expiratory wheezing B. Air trapping C. Dead space D. Increased lung volume
A
The nurse is preparing to teach a client who is newly diagnosed with asthma on how to prevent asthma triggers. Which trigger should the nurse include in the teaching plan? (Select all that apply.) A. Stuffed animals B. Indoor pets C. Cigarette smoke D. Mattress covers E. Tile floors in the house
A,B,C
A client is admitted in the emergency department for asthma. Which diagnostic and lab test should the nurse expect to be ordered? (Select all that apply.) A. Allergy skin testing B. Pulse oximetry C. Spirometry D. Arterial blood gas E. Peak expiratory flow
A,B,D,E
The nurse is caring for a client diagnosed with status asthmaticus who is currently not receiving any medical treatment. Which risk factor should the nurse consider for this client? (Select all that apply.) A. Hyperresonance B. Anxiety C. Alkalosis D. Hyporeflexia E. Hypercapnia
A,B,E
Which clinical manifestation should the nurse expect to observe in the client with asthma? (Select all that apply.) A. Dyspnea B. Bradycardia C. Wheezing D. Cough E. Retractions
A,C,D,E
Which intervention is appropriate for the nurse to implement for a client who is short of breath? (Select all that apply.) A. Monitor level of consciousness. B. Place the client in the prone position. C. Monitor skin color and temperature. D. Administer oxygen as prescribed. E. Provide endotracheal suctioning as needed.
A,C,D,E
The nurse is auscultating the lungs of an asthmatic client during an acute attack. Which is the correct technique that the nurse should use during this assessment? A. Auscultate the anterior and posterior thorax over the client's hospital gown. B. Auscultate for at least one full respiration in each location on the thorax. C. Listen as the client inhales, and then move to the next site on the thorax during exhalation. D. Ask the client to breathe in and out rapidly through the mouth while auscultating each location.
B
The nurse is completing an admission history on a client with hypertension and possible asthma who is experiencing a new onset of wheezing and shortness of breath. Which information from the client's health history may identify the cause of the asthma attack? A. The client took two acetaminophen (Tylenol) tablets for a headache that morning. B. The client started a nonsteroidal anti-inflammatory drug (NSAID) 1 hour prior. C. Two weeks ago, the client had an influenza vaccination. D. The client visited the zoo yesterday.
B
A client with a history of asthma presents with bradycardia and severe wheezing. Which action should be the nurse's priority? A. Encouraging the client to cough and breathe deeply B. Auscultating the lungs C. Preparing to assist with intubation and mechanical ventilation D. Administering an intravenous (IV) corticosteroid
C
The nurse is discharging a client following a status asthmaticus episode. Which information should the nurse include in the asthma-teaching plan to prevent recurrence of episodes? (Select all that apply.) A. Using the inhaled corticosteroid when shortness of breath occurs B. Carrying a rapid-acting bronchodilator inhaler at all times C. Avoiding breathing in strong odors and smoke D. Recommending that the client not be vaccinated for pneumonia E. Getting a yearly influenza vaccination
B,C,E
The nurse is discharging a client who is newly diagnosed with asthma. Which topic should the nurse include in the discharge teaching? (Select all that apply.) A. Complications associated with oxygen therapy B. How to use a peak flowmeter C. Self-administration of inhaled corticosteroids D. Side effects of theophylline E. When to contact the healthcare provider
B,C,E
The nurse is evaluating the oxygenation status of a client during an asthma attack. Which diagnostic tool should be most useful for gathering this information? A. Chest x-ray B. Peak flowmeter C. Pulse oximetry D. Cardiac monitor
C
The nurse is teaching a client with asthma about peak flowmeter use. Which action by the client indicates that the teaching was successful? A. The client anticipates using montelukast for readings in the red zone. B. The client plans to contact the healthcare provider when the readings are in the green zone. C. The client uses the albuterol inhaler for peak flow readings in the yellow zone. D. The client exhales slowly into the mouthpiece to obtain a reading.
C
The nurse is evaluating the effectiveness of therapy for a client following treatment for an asthma attack. Which assessment finding is the best indicator that the therapy has been effective? A. No wheezing. B. Respiratory rate is 18 breaths/min. C. Capillary refill is 2 seconds. D. Oxygen saturation is 96%.
D
A client calls the clinic nurse and reports the following readings: baseline peak flow of 600 L/min and the current peak flow of 420 L/min. Which instruction should the nurse give this client? A. Go to the closest emergency department. B. Avoid any asthma triggers and repeat the peak flow testing. C. Notify the healthcare provider. D. Use the albuterol (bronchodilator) inhaler.
D
A client has been taught how to use a peak flowmeter at home for asthma control. The daily peak flow is 75% of the baseline. Which action should the client take in this situation? A. Go to the nearest emergency department for an evaluation. B. Contact the healthcare provider. C. Increase the dosage of daily corticosteroid and monitor her breathing. D. Take her bronchodilator and recheck the peak flow.
D
A client with acute shortness of breath is brought to the emergency department. Which action should the nurse take during the initial assessment? A. Complete pulmonary function testing. B. Assess for allergies before treatment. C. Briefly ask specific questions about the client's current respiratory status. D. Place the client supine to complete a full physical assessment.
D
The nurse is teaching a client who is newly diagnosed with asthma. Which manifestation of an asthma attack should the nurse include? A. Headache B. Bradycardia C. Chest pain D. Wheezing
D
