EAQ- LEWIS MED SURG CH.29, NURSING MANAGEMENT:
OBSTRUCTIVE PULMONARY DISEASES: ASTHMA MANAGEMENT EXAM
QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS
On examining a patient with asthma the nurse finds that the patient experiences
asthmatic symptoms throughout the day, besides experiencing night-time
awakenings more than four times a week. The patient's forced expiratory volume
in the first second of expiration (FEV1) is less than 60%, and normal activity is
very limited. Which treatment option should the nurse consider appropriate?
1. Advise maintaining control of asthma symptoms.
2. Follow up after a month.
3. Reevaluate in two to six weeks.
4. Consider oral corticosteroids.
4. Consider oral corticosteroids.
Experiencing symptoms of asthma throughout the day and also experiencing nighttime
awakenings more than four times a week is suggestive of poorly controlled asthma. This
patient also has an FEV1 less than 60%; normal activity being very limited correlates
with that. Treatment with oral corticosteroids should be considered. Advice for
maintaining control of asthma symptoms and following up after a month can be given in
case of well controlled asthma. Reevaluation in two to six weeks is suggested if the
, asthma is not well controlled or if the patient experiences symptoms more than two
times a month.
The nurse is teaching a patient how to use a hand-held nebulizer. Which guideline
is correct?
1. Sit in an upright position during the treatment.
2. Take short, shallow breaths while inhaling the medication.
3. Rinse the nebulizer equipment under running water once a week.
4. During the treatment, breathe in and hold the breath for five seconds.
1. Sit in an upright position during the treatment.
The patient is placed in an upright position that allows for most efficient breathing to
ensure adequate penetration and deposition of the aerosolized medication. The patient
must breathe slowly and deeply through the mouth and hold inspirations for two or three
seconds. Deep diaphragmatic breathing helps ensure deposition of the medication.
Instruct the patient to breathe normally in between these large forced breaths to prevent
alveolar hypoventilation and dizziness. After the treatment instruct the patient to cough
effectively. An effective home-cleaning method is to wash the nebulizer equipment daily
in soap and water, rinse it with water, and soak it for 20 to 30 minutes in a 1:1 white
vinegar-water solution, followed by a water rinse and air drying.
A 45-year-old patient is experiencing an asthma exacerbation. To facilitate
airflow, the nurse should place the patient in which position?
OBSTRUCTIVE PULMONARY DISEASES: ASTHMA MANAGEMENT EXAM
QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS
On examining a patient with asthma the nurse finds that the patient experiences
asthmatic symptoms throughout the day, besides experiencing night-time
awakenings more than four times a week. The patient's forced expiratory volume
in the first second of expiration (FEV1) is less than 60%, and normal activity is
very limited. Which treatment option should the nurse consider appropriate?
1. Advise maintaining control of asthma symptoms.
2. Follow up after a month.
3. Reevaluate in two to six weeks.
4. Consider oral corticosteroids.
4. Consider oral corticosteroids.
Experiencing symptoms of asthma throughout the day and also experiencing nighttime
awakenings more than four times a week is suggestive of poorly controlled asthma. This
patient also has an FEV1 less than 60%; normal activity being very limited correlates
with that. Treatment with oral corticosteroids should be considered. Advice for
maintaining control of asthma symptoms and following up after a month can be given in
case of well controlled asthma. Reevaluation in two to six weeks is suggested if the
, asthma is not well controlled or if the patient experiences symptoms more than two
times a month.
The nurse is teaching a patient how to use a hand-held nebulizer. Which guideline
is correct?
1. Sit in an upright position during the treatment.
2. Take short, shallow breaths while inhaling the medication.
3. Rinse the nebulizer equipment under running water once a week.
4. During the treatment, breathe in and hold the breath for five seconds.
1. Sit in an upright position during the treatment.
The patient is placed in an upright position that allows for most efficient breathing to
ensure adequate penetration and deposition of the aerosolized medication. The patient
must breathe slowly and deeply through the mouth and hold inspirations for two or three
seconds. Deep diaphragmatic breathing helps ensure deposition of the medication.
Instruct the patient to breathe normally in between these large forced breaths to prevent
alveolar hypoventilation and dizziness. After the treatment instruct the patient to cough
effectively. An effective home-cleaning method is to wash the nebulizer equipment daily
in soap and water, rinse it with water, and soak it for 20 to 30 minutes in a 1:1 white
vinegar-water solution, followed by a water rinse and air drying.
A 45-year-old patient is experiencing an asthma exacerbation. To facilitate
airflow, the nurse should place the patient in which position?
