ASTHMA AND COPD EAQ CHAPTER 27 IGGY MED-SURGICAL
BOOK EXAM QUESTIONS AND ANSWERS VERIFIED
Which topic is most important for the nurse to include when reviewing asthma
management with an older-adult patient?
-Frequent peak flow assessments
-Need to reduce strenuous exercise
-Increased used of rescue medications
-Correct use of controller medication
Correct use of controller medication
Rationale: Correct use by older-adult patients of controller medications is the most
important factor helping avoid asthma attack. Older-adult do not necessarily need to
increase peak flowmeter use or to reduce strenuous exercise. Older-adult patients
become less sensitive to bronchodilating medications, so increased use of rescue drugs
is not effective
Which information about engaging in exercise will the nurse give a patient with
asthma?
-"Adjust your exercise routine as needed to avoid asthma triggers."
-"Aerobic exercise is considered too strenuous for people with asthma."
-"Strenuous exercise is not recommended for people who have asthma."
-"keep a short-acting beta agonist on hand to use as needed while exercising"
, "adjust your exercise routine as needed to avoid asthma triggers."
Rationale: Patient who have asthma are encouraged to exercise to maintain cardiac
health, enhance skeletal muscle strength, and promote ventilation and perfusion.
Patient should be taught to modify routine PRN to avoid triggering attackes, but may
participate in aerobic exercise. Short-acting exercise beta agonists may be used prior to
exercise to prevent bronchospasm.
[page 541]
Which statement by the patient with asthma indicates a need for further
teaching?
-"the fluticasone inhaler is used as a rescue medication."
-"I will use albuterol inhaler when I am wheezing or SOB"
-"I may need oral steroid medications when my asthma action plan is not
working."
-"When I have symptoms in the yellow zone, I will need to take more medicine."
"The fluticasone inhaler is used as a rescue medication."
Rationale: fluticasone is a maintenance medication to prevent or reduce the incidence
of asthma flares. Albuterol is a rescue medication that is used to treat symptoms such
as wheezing or SOB. Systemic steroids are added when medications used in the yellow
zone are not effective. The yellow zone requires an increase in medication.
Which answer by the nurse is appropriate when a patient with asthma asks why it
is necessary to use an inhaled corticosteroid everyday?
-"Daily medications help reduce the risk for irreversible changes in your lungs."
-"Using a daily steroid medication will prevent the need for rescue medication."
BOOK EXAM QUESTIONS AND ANSWERS VERIFIED
Which topic is most important for the nurse to include when reviewing asthma
management with an older-adult patient?
-Frequent peak flow assessments
-Need to reduce strenuous exercise
-Increased used of rescue medications
-Correct use of controller medication
Correct use of controller medication
Rationale: Correct use by older-adult patients of controller medications is the most
important factor helping avoid asthma attack. Older-adult do not necessarily need to
increase peak flowmeter use or to reduce strenuous exercise. Older-adult patients
become less sensitive to bronchodilating medications, so increased use of rescue drugs
is not effective
Which information about engaging in exercise will the nurse give a patient with
asthma?
-"Adjust your exercise routine as needed to avoid asthma triggers."
-"Aerobic exercise is considered too strenuous for people with asthma."
-"Strenuous exercise is not recommended for people who have asthma."
-"keep a short-acting beta agonist on hand to use as needed while exercising"
, "adjust your exercise routine as needed to avoid asthma triggers."
Rationale: Patient who have asthma are encouraged to exercise to maintain cardiac
health, enhance skeletal muscle strength, and promote ventilation and perfusion.
Patient should be taught to modify routine PRN to avoid triggering attackes, but may
participate in aerobic exercise. Short-acting exercise beta agonists may be used prior to
exercise to prevent bronchospasm.
[page 541]
Which statement by the patient with asthma indicates a need for further
teaching?
-"the fluticasone inhaler is used as a rescue medication."
-"I will use albuterol inhaler when I am wheezing or SOB"
-"I may need oral steroid medications when my asthma action plan is not
working."
-"When I have symptoms in the yellow zone, I will need to take more medicine."
"The fluticasone inhaler is used as a rescue medication."
Rationale: fluticasone is a maintenance medication to prevent or reduce the incidence
of asthma flares. Albuterol is a rescue medication that is used to treat symptoms such
as wheezing or SOB. Systemic steroids are added when medications used in the yellow
zone are not effective. The yellow zone requires an increase in medication.
Which answer by the nurse is appropriate when a patient with asthma asks why it
is necessary to use an inhaled corticosteroid everyday?
-"Daily medications help reduce the risk for irreversible changes in your lungs."
-"Using a daily steroid medication will prevent the need for rescue medication."
