NUR 330 Exam 3 Review Questions With
Correct Answers
Know how to instruct a pt. to use a metered dose inhaler (MDI) - CORRECT
| | | | | | | | | | | | | | |
ANSWER✔✔-1. Take cap off and shake inhaler | | | | | |
2. Breathe out all the way
| | | | |
3. Hold the inhaler the way your doc said: A) 1-2 inches in front of your mouth B)
| | | | | | | | | | | | | | | | | |
Use spacer/holding chamber C) Put the inhaler in your mouth, you will see a lot
| | | | | | | | | | | | | | |
of people do this
| | |
4. Breathe in slowly: as you start breathing in slowly, through your mouth, press
| | | | | | | | | | | | | |
down on the inhaler one time. Keep breathing in slowly, as deeply as you can
| | | | | | | | | | | | | |
5. Hold you breath as you count to 10 slowly, if you can. For inhaled quick-relief
| | | | | | | | | | | | | | | |
meds wait about one minute between puffs if it is NOT a quick relief med. Rinse
| | | | | | | | | | | | | | | |
mouth after inhaling a steroid or could cause thrush (a yeast infection in the
| | | | | | | | | | | | | |
mouth identified by while painful patches)
| | | | |
6. Clean MDI PRN with hot water only. Dry overnight
| | | | | | | | |
7. Know when it will run out. Most MDIs have 200 puffs. If you are to take 8 puffs
| | | | | | | | | | | | | | | | | | |
per day, divide this by the number of puffs in the inhaler (200/8=25). You will
| | | | | | | | | | | | | | |
have 25 days to use this inhaler. write the dates on the canister in which it will
| | | | | | | | | | | | | | | | |
run out.
|
Know what to teach pt about a pulmonary function test (PFT) and what to
| | | | | | | | | | | | | |
instruct them for the test. - CORRECT ANSWER✔✔-Teach: It is used to evaluate
| | | | | | | | | | | | |
lung function. It involves the use of spirometer to assess air movement as pt.
| | | | | | | | | | | | | |
performs prescribed respiratory maneuvers.
| | |
,Instruct: Avoid scheduling immediately after meal time. Avoid administration of
| | | | | | | | | |
inhaled bronchodilator 6 hours before procedure. Explain procedure to pt. Assess
| | | | | | | | | | |
for resp. distress before procedure and report. Provide rest after the procedure
| | | | | | | | | | |
How to find your personal best peak flow number... - CORRECT ANSWER✔✔-- The
| | | | | | | | | | | |
highest peak flow number you can achieve over a 2 week period when asthma is
| | | | | | | | | | | | | | | |
under control |
- Because each pt. asthma is different, each pt. PEF may be higher or lower than
| | | | | | | | | | | | | | | |
the PEF of another pt. similar to body weight and height.
| | | | | | | | | |
- To find the best peak flow number:
| | | | | | |
* Do at least 2x/day for 2-3 weeks
| | | | | | |
* When you wake up & in later afternoon or early evening
| | | | | | | | | | |
* 15-20 minutes after taking inhaled short acting beta2-agonist for quick relief
| | | | | | | | | | |
* As instructed by health care provider
| | | | | |
What to do for a patient once you know their peak flow number... - CORRECT
| | | | | | | | | | | | | | |
ANSWER✔✔-- Let your health care provider know | | | | | |
- They will give you the number's that will tell pt. what to do
| | | | | | | | | | | | |
- The peak flow numbers are put into zone set up like traffic lights, that help you
| | | | | | | | | | | | | | | | |
know what to do when your peak flow number changes...
| | | | | | | | |
Peak flow number: Green Zone - CORRECT ANSWER✔✔-80% of your personal
| | | | | | | | | | |
best numbers signals good control. No asthma symptoms present. Take your
| | | | | | | | | | |
medications as usual | |
,Peak flow number: Yellow Zone - CORRECT ANSWER✔✔-50% to less than 80% of
| | | | | | | | | | | | |
your personal number signals caution. If remain in this zone after several
| | | | | | | | | | | |
measures of peak flow, take inhaled short-acting beta 2 agonist.
| | | | | | | | | |
If continue in yellow zone, asthma may not be under good control. Ask doctor if
| | | | | | | | | | | | | | |
need to change or increase your patient's daily medications
| | | | | | | |
Peak flow number: Red zone - CORRECT ANSWER✔✔-Les than 50% of your
| | | | | | | | | | | |
personal best numbers signals a medical alert. You MUST take an inhaled short
| | | | | | | | | | | | |
acting beta 2 agonist immediately.
| | | |
Call health care provider or ED & ask what to do, or go directly to hospital ED
| | | | | | | | | | | | | | | |
Actions to take when Peak Flow Numbers change - CORRECT ANSWER✔✔-PEF
| | | | | | | | | | |
goes between ____L/min and ____ L/min (50% less than 80% of personal best,
| | | | | | | | | | | | |
yellow zone) |
ACTION: take inhaled short acting beta 2 agonist as prescribed by your doctor
| | | | | | | | | | | |
PEF increases 20% or more when measured before & after taking an inhaled
| | | | | | | | | | | | |
short-acting beta 2 agonist | | |
ACTION: Talk to your doctor about adding more medicine to control your asthma
| | | | | | | | | | | | |
better
What should nurses teach patients with asthma.. - CORRECT ANSWER✔✔-- What
| | | | | | | | | | |
is asthma
|
- What is good asthma control
| | | | |
, - Environmental/ trigger control
| | |
- Medications
|
- How to use an inhaler, spacer, nebulizer
| | | | | | |
- Breathing techniques
| |
- Correct use of peak flow meter
| | | | | |
- Asthma action plan
| | |
Asthma: Subjective Data - CORRECT ANSWER✔✔-Past- Allergic reactions, sinus
| | | | | | | | |
issues, previous sinus attacks & hospitalizations, Gastroesophageal reflux,
| | | | | | | |
Occupational exposures to chemical irritants
| | | |
Medications- Adherence, inhaler technique, meds that may precipitate attack in
| | | | | | | | | |
susceptible asthmatics | |
Activity- exercise; fatigue; decreased or absent exercise tolerance
| | | | | | |
Sleep- rest: awaken from sleep due to cough or breathing problems; insomnia
| | | | | | | | | | |
Coping- stress tolerance: emotional distress, stress in work environment or home
| | | | | | | | | |
Nursing Diagnosis fro Asthma - CORRECT ANSWER✔✔-- Ineffective airway
| | | | | | | | |
clearance
- Anxiety
|
- Deficient knowledge
| |
Correct Answers
Know how to instruct a pt. to use a metered dose inhaler (MDI) - CORRECT
| | | | | | | | | | | | | | |
ANSWER✔✔-1. Take cap off and shake inhaler | | | | | |
2. Breathe out all the way
| | | | |
3. Hold the inhaler the way your doc said: A) 1-2 inches in front of your mouth B)
| | | | | | | | | | | | | | | | | |
Use spacer/holding chamber C) Put the inhaler in your mouth, you will see a lot
| | | | | | | | | | | | | | |
of people do this
| | |
4. Breathe in slowly: as you start breathing in slowly, through your mouth, press
| | | | | | | | | | | | | |
down on the inhaler one time. Keep breathing in slowly, as deeply as you can
| | | | | | | | | | | | | |
5. Hold you breath as you count to 10 slowly, if you can. For inhaled quick-relief
| | | | | | | | | | | | | | | |
meds wait about one minute between puffs if it is NOT a quick relief med. Rinse
| | | | | | | | | | | | | | | |
mouth after inhaling a steroid or could cause thrush (a yeast infection in the
| | | | | | | | | | | | | |
mouth identified by while painful patches)
| | | | |
6. Clean MDI PRN with hot water only. Dry overnight
| | | | | | | | |
7. Know when it will run out. Most MDIs have 200 puffs. If you are to take 8 puffs
| | | | | | | | | | | | | | | | | | |
per day, divide this by the number of puffs in the inhaler (200/8=25). You will
| | | | | | | | | | | | | | |
have 25 days to use this inhaler. write the dates on the canister in which it will
| | | | | | | | | | | | | | | | |
run out.
|
Know what to teach pt about a pulmonary function test (PFT) and what to
| | | | | | | | | | | | | |
instruct them for the test. - CORRECT ANSWER✔✔-Teach: It is used to evaluate
| | | | | | | | | | | | |
lung function. It involves the use of spirometer to assess air movement as pt.
| | | | | | | | | | | | | |
performs prescribed respiratory maneuvers.
| | |
,Instruct: Avoid scheduling immediately after meal time. Avoid administration of
| | | | | | | | | |
inhaled bronchodilator 6 hours before procedure. Explain procedure to pt. Assess
| | | | | | | | | | |
for resp. distress before procedure and report. Provide rest after the procedure
| | | | | | | | | | |
How to find your personal best peak flow number... - CORRECT ANSWER✔✔-- The
| | | | | | | | | | | |
highest peak flow number you can achieve over a 2 week period when asthma is
| | | | | | | | | | | | | | | |
under control |
- Because each pt. asthma is different, each pt. PEF may be higher or lower than
| | | | | | | | | | | | | | | |
the PEF of another pt. similar to body weight and height.
| | | | | | | | | |
- To find the best peak flow number:
| | | | | | |
* Do at least 2x/day for 2-3 weeks
| | | | | | |
* When you wake up & in later afternoon or early evening
| | | | | | | | | | |
* 15-20 minutes after taking inhaled short acting beta2-agonist for quick relief
| | | | | | | | | | |
* As instructed by health care provider
| | | | | |
What to do for a patient once you know their peak flow number... - CORRECT
| | | | | | | | | | | | | | |
ANSWER✔✔-- Let your health care provider know | | | | | |
- They will give you the number's that will tell pt. what to do
| | | | | | | | | | | | |
- The peak flow numbers are put into zone set up like traffic lights, that help you
| | | | | | | | | | | | | | | | |
know what to do when your peak flow number changes...
| | | | | | | | |
Peak flow number: Green Zone - CORRECT ANSWER✔✔-80% of your personal
| | | | | | | | | | |
best numbers signals good control. No asthma symptoms present. Take your
| | | | | | | | | | |
medications as usual | |
,Peak flow number: Yellow Zone - CORRECT ANSWER✔✔-50% to less than 80% of
| | | | | | | | | | | | |
your personal number signals caution. If remain in this zone after several
| | | | | | | | | | | |
measures of peak flow, take inhaled short-acting beta 2 agonist.
| | | | | | | | | |
If continue in yellow zone, asthma may not be under good control. Ask doctor if
| | | | | | | | | | | | | | |
need to change or increase your patient's daily medications
| | | | | | | |
Peak flow number: Red zone - CORRECT ANSWER✔✔-Les than 50% of your
| | | | | | | | | | | |
personal best numbers signals a medical alert. You MUST take an inhaled short
| | | | | | | | | | | | |
acting beta 2 agonist immediately.
| | | |
Call health care provider or ED & ask what to do, or go directly to hospital ED
| | | | | | | | | | | | | | | |
Actions to take when Peak Flow Numbers change - CORRECT ANSWER✔✔-PEF
| | | | | | | | | | |
goes between ____L/min and ____ L/min (50% less than 80% of personal best,
| | | | | | | | | | | | |
yellow zone) |
ACTION: take inhaled short acting beta 2 agonist as prescribed by your doctor
| | | | | | | | | | | |
PEF increases 20% or more when measured before & after taking an inhaled
| | | | | | | | | | | | |
short-acting beta 2 agonist | | |
ACTION: Talk to your doctor about adding more medicine to control your asthma
| | | | | | | | | | | | |
better
What should nurses teach patients with asthma.. - CORRECT ANSWER✔✔-- What
| | | | | | | | | | |
is asthma
|
- What is good asthma control
| | | | |
, - Environmental/ trigger control
| | |
- Medications
|
- How to use an inhaler, spacer, nebulizer
| | | | | | |
- Breathing techniques
| |
- Correct use of peak flow meter
| | | | | |
- Asthma action plan
| | |
Asthma: Subjective Data - CORRECT ANSWER✔✔-Past- Allergic reactions, sinus
| | | | | | | | |
issues, previous sinus attacks & hospitalizations, Gastroesophageal reflux,
| | | | | | | |
Occupational exposures to chemical irritants
| | | |
Medications- Adherence, inhaler technique, meds that may precipitate attack in
| | | | | | | | | |
susceptible asthmatics | |
Activity- exercise; fatigue; decreased or absent exercise tolerance
| | | | | | |
Sleep- rest: awaken from sleep due to cough or breathing problems; insomnia
| | | | | | | | | | |
Coping- stress tolerance: emotional distress, stress in work environment or home
| | | | | | | | | |
Nursing Diagnosis fro Asthma - CORRECT ANSWER✔✔-- Ineffective airway
| | | | | | | | |
clearance
- Anxiety
|
- Deficient knowledge
| |
