adult 1 ch 28 asthma management EAQ

When reviewing the use of dry powder inhalers (DPIs) with a patient who has asthma, which instruction would the nurse provide?

"Close your lips tightly around the mouthpiece and breathe in deeply and quickly."

After the nurse has finished teaching about metered-dose inhaler (MDI) use for asthma, which patient statement indicates the need for additional teaching?

"I should avoid using a spacer with this inhaler because it is ineffective."

Which statement by a patient with newly diagnosed asthma indicates a good understanding of the nurse's teaching about asthma?

"I will keep my rescue inhaler with me at all times."

Which statement by the caregiver of a patient with asthma indicates a need for more education about management of the disease?

"If the peak flow is in the yellow zone, we will need to go to the hospital."

Which statement by a patient indicates good understanding of the purpose of a spacer when using a metered-dose inhaler?

"More of the medication will get down into my lungs to help my breathing."

Which response by the nurse is best when a patient with asthma asks "How will I know when my metered-dose inhaler (MDI) is empty?"

"You need to keep track of how many puffs you have used."

Which information will the nurse include when educating a patient with asthma about use of a peak flow meter?

"You should find your personal best peak flow reading for comparison."

In which order will a patient who has asthma take these steps when using a peak flow meter?

1.Ensure that the indicator is at the bottom of the numbered scale. 2.Stand up. 3.Take a deep breath to fill the lungs. 4.Place the mouthpiece in the mouth and close the lips. 5.Blow hard and fast in a single blow.

The nurse will instruct a patient with asthma to perform the steps for using a peak flow meter in which order?

1.Move the indicator to the bottom of the numbered scale. 2.Take a deep breath. 3.Place the mouthpiece in your mouth. 4.Blow out as hard and fast as you can.

When an asthmatic patient has been prescribed 4 puffs of salmeterol daily and the metered-dose inhaler (MDI) canister has 200 total puffs available, the MDI will need to be replaced in how many days? Record your answer using a whole number. __ days

50

When a patient has a prescription for albuterol 5 mg via nebulizer and the albuterol is available as a solution containing 2.5 mg/3 mL, how many mL will the nurse use for the correct dose? Fill in the blank. __ mL

6

Which action would the nurse take when caring for a patient who has a history of asthma and experiences wheezing after vigorous exercise?

Advise the patient to avoid breathing dry air

Which inhaler would the nurse be prepared to administer to the patient at the onset of an asthma attack?

Albuterol

Which time is best to obtain peak flow readings?

Between noon and 2:00 p.m.

Which is the priority assessment for a patient experiencing an acute asthma exacerbation?

Inspection of the chest wall

Which action by a patient indicates a good understanding of the best way to determine if the prescribed metered-dose inhaler (MDI) canister is empty?

Keeping track of the number of inhalations used

The nurse would monitor which comorbidity in the patient who requires high doses of inhaled corticosteroids (ICSs) for asthma management?

Osteoporosis

After the nurse has taught the technique of pursed lip breathing, which patient action indicates a need for correction?

Puffing of cheeks while exhaling air

Which actions will the nurse take to relieve anxiety for a patient who is experiencing an acute asthma attack? Select all that apply.

Remain calm, quiet, and reassuring. Utilize the "talking down" technique. Place the patient in a semi-Fowler's position. Coach the patient to use pursed lip breathing

Which instruction will the nurse include when teaching a patient to use a hand-held nebulizer?

Sit in an upright position during the treatment

Which assessment finding by the nurse indicates a common adverse effect of a patient's prescribed albuterol inhaler?

Tachycardia

Which patient action indicates good understanding of the nurse's instructions about the use of a metered-dose inhaler (MDI)?

Waits one minute between each puff from the MDI

Which factors are possible triggers for asthma exacerbations? Select all that apply.

aspirin perfume animal dander GERD

When admitting a patient with a diagnosis of asthma exacerbation, the nurse will assess for which potential triggers? Select all that apply.

exercise allergies emotional stress upper respiratory infections

Which position will the nurse use when caring for a patient who is experiencing an asthma exacerbation?

high fowlers

To prevent respiratory complications of chronic obstructive pulmonary disease, which vaccines will the nurse plan to administer? Select all that apply.

influenza pneumococcal

Which of these methods for oxygen administration are high-flow devices? Select all that apply.

venturi mask mechanical ventilator