Exam Preparation/ NR 567 Final Exam Practice Exam
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HL has had asthma for a number of years and has been in
denial about her disease. At the age of 22 years, she
wants to better manage her condition. Her doctor tells her
that she is a Step 4 asthmatic and explains to her how to
use a peak flow meter. HL's personal best is 300 mL. Now
she is in the pharmacy and she has selected a peak flow
meter to purchase but admits to forgetting the steps for
using it. Which of the following statements are correct in
counseling HL on the appropriate use of a peak flow meter
,- ANSWER-A.Use the peak flow meter in the morning,
before taking any asthma medications.
B. Record the highest number of each day in a log book.
E. If the value recorded is < 150 mL, go to the hospital
immediately, regardless of symptoms.
Using a peak flow meter requires the patient to be in a
standing (or at least in an upright) position for the best
measurement. Patients should blow out as hard and as
fast as possible.
A patient with mild, intermittent asthma has been
prescribed an albuterol MDI. Counsel the patient on the
correct use of the device. Place the instructions for proper
MDI technique below in the correct order (left-click the
, mouse to highlight, drag, and order the answer options;
ALL options must be used) - ANSWER-ABCDE
Shake for 5 secs, breathe out, place in mouth, press top
and breathe in, hold breath 10 secs
CH is a 16 year-old teenager who has asthma. His only
medication is Ventolin HFA which he uses for acute
symptoms. When asked how many times he has used his
Ventolin, he states he used it twice on Sunday, one time
on Tuesday and one time on Wednesday. It is now
Thursday. What would be an appropriate recommendation
to make at this time? (Select ALL that apply.) - ANSWER-
Continue to take the Ventolin PRN for acute symptoms.
Start Pulmicort Flexhaler 2 inhalations BID for better
symptom control.