Chapter 21 - Asthma

Question 1

A nurse in the ED is caring for a client who is experiencing an acute asthma attack. Which of the following assessments indicates that the respiratory status is declining? (Select all that apply)
A. SaO2 95%
B. Wheezing
C. Retraction of sternal muscle 
D. Pink mucous membranes
E. Tachycardia

Answer 1

B. Wheezing
C. Retraction of sternal muscle
E. Tachycardia

Question 2

A nurse is caring for a client 2 hr after admission. The client has an SaO2 of 91%, exhibits audible wheezes, and is using accessory muscles when breathing. Which of the following classes of medications should the nurse expect to administer? 
A. Antibiotic 
B. Beta-blocker 
C. Antiviral 
D. Beta2 agonist

Answer 2

D. Beta2 agonist

** cause dilation of the bronchioles to relieve wheezing and open the airways**

Question 3

A nurse is providing discharge teaching to a client who has a new prescription for prednisone for asthma. Which of the following client statements indicates understanding?
A. I will decrease my fluid intake while taking this medication
B. I will expect to have black, tarry stools
C. I will take medication with meals
D. I will monitor for weight loss while on this medication

Answer 3

C. I will take medication with meals

Question 4

A nurse is assessing a client who has a history of asthma. Which of the following client statements indicates understanding? 
A. Sex
B. Environmental allergies
C. Alcohol use
D. History of diabetes

Answer 4

B. Environmental allergies

Question 5

A nurse is reinforcing teaching with a client on the purpose of taking a bronchodilator. Which of the following client statements indicates understanding?
A. This medication can decrease my immune response
B. I take this medication to prevent asthma attacks
C. I need to take this medication with food
D. This medication has a slow onset to treat my symptoms

Answer 5

B. I take this medication to prevent asthma attacks