EAQ ASTHMA, COPD, EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS 100% GUARANTEED PASS
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EAQ ASTHMA
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EAQ ASTHMA
EAQ ASTHMA, COPD, EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS 100% GUARANTEED PASS
A patient who has been taking low-dose inhaled corticosteroids along with long-acting Beta2 agonists for three months is assessed for control of asthma. The patient's laboratory reports reveal inadequate cont...
A patient who has been taking low-dose inhaled corticosteroids along with long-acting Beta2 agonists
for three months is assessed for control of asthma. The patient's laboratory reports reveal inadequate
control of asthma. Which treatment does the nurse expect to be prescribed?
a. Leukotriene receptor antagonist
b. Short-acting Beta2 agonist as needed
c. Medium dose inhaled corticosteroids and long-acting Beta2 agonist
d. High-dose inhaled corticosteroids, long-acting Beta2 agonist, and oral corticosteroids
c. Medium dose inhaled corticosteroids and long-acting Beta2 agonist
Low dose inhaled corticosteroids + long-acting Beta2 agonists = Step 3 care to control exacerbations
Patient needs Step 4 to control symptoms = includes medium dose inhaled corticosteroids + long-acting
Beta2 agonist
Short-acting Beta2 agonists used for intermittent asthma
Leukotriene receptor antagonists = Step 2
High dose inhaled corticosteroids + long-acting Beta2 agonists + oral corticosteroids = Step 6 = severe &
life threatening asthma exacerbations that did not respond to dual therapy
When should a nurse schedule postural drainage for a patient who has chronic obstructive pulmonary
disease (COPD)?
a. 1 hour before a meal
b. Immediately after meals
,c. After providing juice to the patient
d. After administering nasal medications
a. 1 hour before a meal
OR 3 hours after meals
to avoid nausea & vomiting
Juice may make patient feel nausea
Nasal medications may be excreted during drainage
A patient receives a prescription for amalizumab. What medication route of administration and
schedule will the nurse include in the information provided to the patient?
a. IV, every 4-6 hr
b. 2-4 puffs, every 20-30 min
c. Subcu, every 2-4 weeks
d. Orally, 1 hr before meals or 2 hr after meals
c. Subcu, every 2-4 weeks
monoclonal antibody that decreases circulating free IgE levels
While teaching a 45-year-old patient with asthma about the appropriate use of a peak flow meter, the
nurse instructs the patient to notify the health care provider immediately if which situation occurs?
a. Less than 50% of the patient's personal best is achieved.
b. Peak flow measurements remain unchanged after exercise.
c. Wheezing is improved moderately with the use of a bronchodilator.
d. The short-acting bronchodilator is being used every 3-4 days.
,a. Less than 50% of the patient's personal best is achieved.
indicates medical emergency related to poor gas exchange and air flow.
Wheezing should be improved with bronchodilator.
The nurse is assessing a patient with asthma who has been diagnosed with a severe and life-
threatening exacerbation. What findings would the nurse find?
a. Increased CO2 level
b. Speaking in short sentences
c. Increased pH level on an arterial blood gas (ABG)
d. Peak expiratory flow rate (PEFR) is 70% of the personal best
a. Increased CO2 level
Early in exacerbation the CO2 level is decreased, but increases if exacerbation is prolonged or severe.
Patient unable to speak in sentences & only speak a few words at a time.
pH level on ABG decreases as episode is prolonged, but is increased early in exacerbation.
PEFR is 40% of patient's personal best
The patient has a prescription for each of the inhalers. Which one should the nurse offer to the patient
at the onset of an asthma attack?
a. Albuterol
b. Salmeterol
c. Beclomethasone
d. Ipratropium bromide
a. Albuterol
Short-acting Bronchodilator - given initially when patient experiences asthma attack.
Salmeterol - long-acting Beta2 adrenergic agonist - not used for acute asthma attacks
, Beclomethasone - anticholinergic aget - less effective than Beta2 adrenergic agonists; may be used in
emergency with patient unable to tolerate short-acting Beta2 adrenergic agonists (SABAs)
Before discharge, the nurse discusses nutrition with the patient with emphysema and pneumonia. The
nurse instructs the patient to do what?
a. Increase intake of hot foods
b. Eat three large meals per day
c. Rest for 30 min before eating
d. Exercise before meals to increase appetite
c. Rest for 30 min before eating
should conserve energy to eat & should rest for at least 30 min before eating to increase energy needed
to eat.
Patient should consume 5-6 meals per day
Avoid hot foods
Exercise after eating to conserve energy.
A 45-year-old patient is experiencing an asthma exacerbation. To facilitate airflow, the nurse should
place the patient in which position?
a. Prone
b. Supine
c. High-Fowler's
d. Trendelenburg
c. High-Fowler's
allows for optimal chest expansion & enlist aid of gravity during inspiration.
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