Asthma By Rnpedia.Com

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1. What is asthma?

Explanation

Asthma is a chronic respiratory disease characterized by inflammation and narrowing of the airways, leading to symptoms such as wheezing, coughing, and shortness of breath. It is not related to heart failure, intestinal illness, or being a mild ailment.

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Asthma By Rnpedia.Com - Quiz

Asthma is a chronic disease that causes a patient to have difficulties in breathing as it narrows the airways in the lung. It is important to ensure you... see moreprescribe accurate medication to a patient that coincides with their diagnosis. Take the quiz below to test out what you know about asthma. see less

2. Perfumes and cleaning products can be an Asthma trigger.

Explanation

Try not to wear perfumes to school. Limit the use of scented aerosols in the center. Try to use non-aerosol cleaners while Asthmatic children are present.

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3. What should you do when you have an asthma?

Explanation

When you have asthma, it is important to use the medicines as prescribed. Asthma medications help to control and manage the symptoms of asthma, such as wheezing, coughing, and shortness of breath. By following the prescribed medication regimen, you can effectively prevent and reduce asthma attacks. It is crucial to adhere to the prescribed dosage and frequency to maintain proper control over your asthma and minimize the risk of exacerbations.

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4. Common signs and symptoms include:
  • Excessive coughing
  • Wheezing
  • Chest Tightness
  • Shortness of breath
  • Waking at night

Explanation

The given signs and symptoms are commonly associated with respiratory issues such as asthma. Excessive coughing, wheezing, chest tightness, and shortness of breath are all indicative of respiratory problems. Waking at night can also be a sign of asthma, as symptoms often worsen during sleep. Therefore, it is true that these signs and symptoms are common in respiratory conditions.

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5. Which answer best describes common outdoor Asthma triggers?

Explanation

The correct answer is "All of the above" because all three options mentioned - changes in weather and temperature, pollen, and air pollution - are common outdoor asthma triggers. Changes in weather and temperature can cause asthma symptoms to worsen, while pollen from trees, grasses, and weeds can trigger allergic reactions in individuals with asthma. Additionally, air pollution, such as smog and smoke, can irritate the airways and lead to asthma symptoms. Therefore, all three options are valid triggers for outdoor asthma symptoms.

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6. Dust and dust mites can trigger Asthma too.  What are ways to reduce the chances?

Explanation

The question asks for ways to reduce the chances of asthma triggers caused by dust and dust mites. The options provided suggest keeping classrooms clean and clutter-free, regularly dusting furniture with a damp cloth, allowing sufficient time for drying, and washing pillows, blankets, and stuffed toys often. All of these options are effective ways to reduce the chances of asthma triggers caused by dust and dust mites.

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7. What can lead to an asthma attack?

Explanation

All of the above can lead to an asthma attack. Airway obstruction occurs when the airways become narrowed or blocked, making it difficult for air to flow in and out of the lungs. Airway irritability refers to the sensitivity of the airways to certain triggers, such as allergens or irritants, which can cause them to become inflamed and constricted. Inflammation is a key component of asthma, as it causes the airways to swell and produce excess mucus, further obstructing airflow. Therefore, all these factors can contribute to the development of an asthma attack.

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8. Symptoms of asthma include wheezing, coughing and breathing difficulty.

Explanation

This statement is true because wheezing, coughing, and breathing difficulty are common symptoms experienced by individuals with asthma. These symptoms occur due to the narrowing and inflammation of the airways in the lungs, which restricts airflow and makes breathing challenging. Therefore, the statement accurately reflects the symptoms associated with asthma.

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9. A good inhalation technique can ensure that the medication is delivered to the airways of the lungs.

Explanation

A good inhalation technique is important because it ensures that the medication is effectively delivered to the airways of the lungs. When the medication is inhaled properly, it can reach the intended target area in the lungs and provide the desired therapeutic effect. This is especially crucial for respiratory conditions where the medication needs to reach the airways to alleviate symptoms and improve breathing. Therefore, it is true that a good inhalation technique can ensure the medication is delivered to the airways of the lungs.

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10. Asthma can be life-threatening.

Explanation

Asthma can be life-threatening because it is a chronic respiratory condition that causes inflammation and narrowing of the airways. During an asthma attack, the airways become even more constricted, making it difficult to breathe. In severe cases, this can lead to a lack of oxygen in the body, which can be life-threatening. It is important for individuals with asthma to manage their condition properly and have access to emergency medical treatment in case of an asthma attack.

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11. Asthma is....

Explanation

The correct answer is a chronic inflammatory disorder of the airways associated with episodes of wheezing, breathlessness, chest tightness, and coughing. This explanation accurately describes asthma, which is characterized by inflammation and narrowing of the airways, leading to symptoms such as wheezing, shortness of breath, chest tightness, and coughing. Asthma is a chronic condition that can be managed with appropriate treatment and lifestyle modifications.

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12. Asthma is triggered by allergens such as pollen and animal furs.

Explanation

Asthma is a respiratory condition that can be triggered by allergens such as pollen and animal furs. When individuals with asthma come into contact with these allergens, it can cause inflammation and narrowing of the airways, leading to symptoms such as wheezing, coughing, and difficulty breathing. Therefore, it is true that asthma can be triggered by allergens like pollen and animal furs.

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13. How can seasonal asthma come about?

Explanation

Seasonal asthma can occur when individuals inhale or are exposed to pollen released by trees, grasses, or flowers in the air. This exposure can trigger an allergic reaction in the respiratory system, leading to symptoms such as coughing, wheezing, and difficulty breathing. Pollen is a common allergen, and during certain times of the year when plants are in bloom, the concentration of pollen in the air increases, causing seasonal asthma symptoms in susceptible individuals.

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14. A 19-year-old patient comes to the ED with acute asthma. His respiratory rate is 44 breaths/minute, and he appears to be in acute respiratory distress. Which of the following actions should you take first? 

Explanation

The patient having an acute asthma attack needs more oxygen delivered to his lungs and body. Nebulized bronchodilators open airways and increase the amount of oxygen delivered. The patient may not need cardiac monitoring because he’s only 19 years old, unless he has a medical history of cardiac problems.

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15. Asthma causes the airways to:

Explanation

Asthma is a respiratory condition that causes the airways to constrict, become inflamed, and produce excessive mucus. Constriction of the airways makes it difficult for air to pass through, leading to symptoms such as wheezing and shortness of breath. Inflammation further narrows the airways and causes swelling, making breathing even more difficult. Excessive production of mucus adds to the obstruction, clogging the airways and making it harder for air to flow. Therefore, all of the given options are correct and contribute to the symptoms experienced by individuals with asthma.

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16. Staff who smoke on their personal time cannot harm children with Asthma.

Explanation

Secondhand smoke can be present on your clothing therefore exposing children to it. Never smoke in clothing you wear to work.

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17. Asthma is caused by inflammation of the airways in the lungs.

Explanation

Asthma is a respiratory condition characterized by inflammation of the airways in the lungs, which can cause symptoms such as wheezing, coughing, and shortness of breath. This inflammation leads to the narrowing of the airways, making it difficult for air to pass through. Therefore, the statement "Asthma is caused by inflammation of the airways in the lungs" is true.

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18. Simple instrument to roughly determine lung function is a:

 

Explanation

A peak flow meter is a simple instrument used to measure lung function. It is a handheld device that measures how fast air can be blown out of the lungs. By monitoring peak flow readings over time, individuals with conditions such as asthma can track changes in their lung function and adjust their treatment accordingly. Unlike a barometer, manometer, or sphygmomanometer, which are used to measure pressure, a peak flow meter specifically measures lung function.

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19. Which statement is true about Asthma:

Explanation

All of the statements provided in the options are true. Asthma is indeed one of the most common chronic diseases, affecting over 7 million children. It is also the third-ranking cause of hospitalization among children under 15. Additionally, approximately one out of every 10 school-aged children has asthma, resulting in the loss of 10.5 million school days each year.

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20. Cockroaches can trigger Asthma attacks.

Explanation

Cockroaches can trigger asthma attacks because they produce allergens that can cause allergic reactions in some people. These allergens can be found in their saliva, feces, and body parts, and when they become airborne, they can be inhaled and irritate the airways, leading to asthma symptoms such as wheezing, coughing, and difficulty breathing. Therefore, it is important for individuals with asthma to take measures to prevent cockroach infestations in their homes and to minimize their exposure to cockroach allergens.

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21. Crying, laughing hard or yelling can trigger Asthma.

Explanation

Certain emotions and physical activities can trigger asthma symptoms in some individuals. Crying, laughing hard, or yelling can lead to rapid breathing and changes in airway function, potentially causing an asthma attack. This is because these actions can cause the airways to narrow and become inflamed, making it difficult for air to flow in and out of the lungs. Therefore, it is true that crying, laughing hard, or yelling can trigger asthma.

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22. In which age group of people is asthma the most common disease in?

Explanation

Asthma is most commonly found in children. This is because their immune systems are still developing, making them more susceptible to respiratory conditions. Additionally, children are often exposed to various triggers such as allergens and respiratory infections, which can further exacerbate their asthma symptoms. As children grow older, their immune systems become stronger and they may outgrow their asthma or experience milder symptoms.

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23. Which of the following is true?

Explanation

A reliever is used to relieve asthma attacks because it is a type of medication that provides immediate relief by relaxing the muscles around the airways, allowing easier breathing. Preventers, on the other hand, are long-term medications that are taken regularly to reduce inflammation and prevent asthma symptoms from occurring in the first place. So, while preventers help to prevent asthma attacks, relievers are specifically designed to provide quick relief during an attack.

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24. I cannot participate in physical activities if I have asthma.

Explanation

This statement is false because having asthma does not necessarily mean that a person cannot participate in physical activities. While exercise-induced asthma is a common condition, there are ways to manage it and still engage in physical activities. With proper medication, warm-up exercises, and avoiding triggers, individuals with asthma can safely participate in various physical activities and maintain a healthy lifestyle.

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25. True/False:  Gastroesophageal reflux should be considered in a patient who has poorly controlled asthma, with a significant nocturnal component.

Explanation

A significant correlation between nocturnal asthma and gastroesophageal reflux has been observed. The patient may not complain of epigastric burning or have reflux symptoms. Cough may be the only symptom.

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26. Kennedy with acute asthma showing inspiratory and expiratory wheezes and a decreased forced expiratory volume should be treated with which of the following classes of medication right away?    

Explanation

Bronchodilators are the first line of treatment for asthma because broncho-constriction is the cause of reduced airflow. Beta adrenergic blockers aren’t used to treat asthma and can cause bronchoconstriction. Inhaled oral steroids may be given to reduce the inflammation but aren’t used for emergency relief.

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27. What of these is not a characteristic of Allergic asthma?

Explanation

Allergic asthma is characterized by its onset in childhood or adolescence, being triggered by specific allergens such as dust mites and pollen, and presenting with bronchoconstriction and inflammation of the airways. However, it is not a consequence of viral infection. Viral infections can exacerbate asthma symptoms, but they are not the underlying cause of allergic asthma.

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28. The nurse is caring for Kenneth experiencing an acute asthma attack. The client stops wheezing and breath sounds aren't audible. The reason for this change is that:  

Explanation

During an acute attack, wheezing may stop and breath sounds become inaudible because the airways are so swollen that air can’t get through. If the attack is over and swelling has decreased, there would be no more wheezing and less emergent concern. Crackles do not replace wheezes during an acute asthma attack.

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29. The key role of a physiotherapist in treatment of asthma is to ...

Explanation

A physiotherapist plays a key role in the treatment of asthma by providing education to the patient about the disease and treatment options. This helps the patient understand their condition better and make informed decisions about their treatment. They also administer and educate the patient about airway clearance techniques, which can help improve breathing and reduce symptoms. Additionally, they provide education about exercise and the option of pulmonary rehabilitation classes, which can improve lung function and overall respiratory health. Therefore, the correct answer is "All of the above."

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30. When does nocturnal asthma usually occur?

Explanation

Nocturnal asthma usually occurs between 2am-4am in the middle of the night. This is because during this time, the body's natural circadian rhythm causes a decrease in lung function and an increase in airway inflammation, leading to asthma symptoms. Additionally, during sleep, the body is in a more relaxed state, making it easier for the airways to become constricted and trigger an asthma attack. Therefore, individuals with asthma are more likely to experience symptoms during this time period.

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31. A client with asthma has low pitched wheezes present on the final half of exhalation. One hour later the client has high pitched wheezes extending throughout exhalation. This change in assessment indicates to the nurse that the client 

 

Explanation

The higher pitched a sound is, the more narrow the airway. Therefore, the obstruction has increased or worsened. With no evidence of secretions no support exists to indicate the need for suctioning.

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32. What are the two categories of pharmalogical agents used in the treatment of asthma

Explanation

Bronchodilators and anti-inflammatory agents are the two categories of pharmacological agents used in the treatment of asthma. Bronchodilators help to relax and widen the airways, making it easier for the person to breathe. They work by relaxing the muscles around the airways and can be inhaled or taken orally. On the other hand, anti-inflammatory agents help to reduce inflammation and swelling in the airways, which is a common characteristic of asthma. They work by suppressing the immune response and reducing the production of inflammatory substances. Both categories of medications are essential in managing and controlling asthma symptoms.

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33. A black male client with asthma seeks emergency care for acute respiratory distress. Because of this client's dark skin, the nurse should assess for cyanosis by inspecting the:

 

Explanation

Skin color doesn’t affect the mucous membranes. The lips, nail beds, and earlobes are less reliable indicators of cyanosis because they’re affected by skin color.

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34. The following bronchodilator is most commonly used when doing a reversibility test:

 

Explanation

Salbutamol is the most commonly used bronchodilator for performing a reversibility test. This test is conducted to assess the response of the airways to a bronchodilator medication. Salbutamol is a short-acting beta-agonist that works by relaxing the smooth muscles in the airways, thus opening up the air passages and improving airflow. It is commonly used in conditions such as asthma and chronic obstructive pulmonary disease (COPD). By administering Salbutamol during a reversibility test, healthcare professionals can evaluate the degree of reversibility of airflow obstruction and determine the effectiveness of the medication in improving lung function.

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35. Mark, a 7-year-old client is brought to the emergency department. He's tachypneic and afebrile and has a respiratory rate of 36 breaths/minute and has a nonproductive cough. He recently had a cold. Form this history; the client may have which of the following conditions?    

Explanation

Based on the client’s history and symptoms, acute asthma is the most likely diagnosis. He’s unlikely to have bronchial pneumonia without a productive cough and fever and he’s too young to have developed (COPD) and emphysema.

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36. Use your air conditioner to help filter the air coming into the center.

Explanation

Using an air conditioner can indeed help filter the air coming into the center. Air conditioners typically have filters that can capture dust, pollen, and other airborne particles, improving the air quality indoors. This can be especially beneficial for individuals with allergies or respiratory conditions. Additionally, air conditioners can help reduce humidity levels, preventing the growth of mold and mildew, which can also contribute to poor air quality. Therefore, the statement is true.

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37. The parameter to detect reversibility in airflow obstruction on a spirometry test is:

 

Explanation

FEV1 stands for Forced Expiratory Volume in 1 second. It is a parameter used to detect reversibility in airflow obstruction on a spirometry test. This parameter measures the maximum amount of air a person can forcefully exhale in one second. In cases of airflow obstruction, the FEV1 value is reduced. If the FEV1 value significantly improves after the administration of a bronchodilator, it indicates reversibility in the airflow obstruction. Therefore, FEV1 is the correct parameter to detect reversibility in airflow obstruction on a spirometry test.

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38. Which of the following is NOT a risk factor for the development of asthma?

Explanation

Recurrent otitis media is not a risk factor for the development of asthma. Asthma is a chronic respiratory condition characterized by inflammation and narrowing of the airways. The other options listed, such as parental history of asthma, physician diagnosed atopic dermatitis, peripheral eosinophilia and allergic rhinitis, and wheezing apart from colds and allergic rhinitis, are all known risk factors for the development of asthma. Recurrent otitis media, which refers to frequent ear infections, is not directly associated with the development of asthma.

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39. If a person suffers from asthma, what are the likely symptoms he/she may have?

Explanation

A person suffering from asthma is likely to experience symptoms such as sore, swollen, and sensitive airway linings. This is because asthma is a chronic respiratory condition that causes inflammation and narrowing of the airways, making it difficult to breathe. These symptoms can lead to wheezing, coughing, shortness of breath, and chest tightness. Weak breathing, fast and unsteady pulse, and cancer in the airway are not typical symptoms of asthma.

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40. A child has been brought to the emergency room with an asthma attack. What signs and symptoms would the nurse expect to see?

Explanation

Bronchi normally expand and lengthen during inspiration and shorten during expiration. Asthma causes spasm of the smooth muscles in the bronchi and bronchioles, resulting in an even tighter airway on exhalation and prolonged exhalation. Inspirations increase in rate in an effort to relieve hypoxia. At the beginning of the attack, the cough is nonproductive and results from bronchial edema. Then the mucus becomes profuse and rattly, with a cough producing frothy, clear sputum. Gas trapping is the central feature of asthma. It is caused by allowing more air to enter alveoli than can escape from them through the narrowed airways. Gas trapping also causes an increased depth and rate of respirations. The wheeze starts during the expiratory phase because of the extreme narrowing of the bronchus on exhalation. As obstruction increases, wheezes become more high pitched and continuous.

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41. There is no single cause for Asthma and currently, there is no cure for Asthma.

Explanation

The statement is true because asthma does not have a single cause. It is a complex condition that can be triggered by a combination of genetic and environmental factors. Additionally, while there are treatments available to manage asthma symptoms, there is currently no known cure for the condition.

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42. The following are helpful in determining the severity of an acute attack except:

 

Explanation

Pedal edema is not helpful in determining the severity of an acute attack. Pedal edema refers to swelling in the feet and ankles, which is typically caused by fluid retention. While it can be a symptom of certain medical conditions, it is not directly related to the severity of an acute attack. The other options, such as the use of accessory muscles of respiration, ability to complete sentences, and peak expiratory flow rate, are all indicators that can help determine the severity of an acute attack.

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43.  Asthma is basically:

 

Explanation

Asthma is classified as an atopic disease because it is characterized by an allergic reaction in the airways. It is not caused by an infection or an autoimmune response. Atopic diseases, such as asthma, are triggered by allergens and result in inflammation and constriction of the airways, leading to symptoms like wheezing, coughing, and difficulty breathing.

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44. Which of the following is not considered a COPD related disease?  

 

Explanation

Bronchial hypotension is not considered a COPD related disease. COPD stands for chronic obstructive pulmonary disease, which is a group of lung diseases that cause airflow obstruction and breathing difficulties. Bronchiectasis, bronchial asthma, and bronchitis are all considered COPD related diseases because they involve inflammation and damage to the airways, leading to breathing problems. However, bronchial hypotension refers to low blood pressure in the bronchial arteries, which is not directly related to COPD.

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45. A white female client is admitted to an acute care facility with a diagnosis of cerebrovascular accident (CVA). Her history reveals bronchial asthma, exogenous obesity, and iron deficiency anemia. Which history finding is a risk factor for CVA?

 

Explanation

Obesity is a risk factor for CVA. Other risk factors include a history of ischemic episodes, cardiovascular disease, diabetes mellitus, atherosclerosis of the cranial vessels, hypertension, polycythemia, smoking, hypercholesterolemia, oral contraceptive use, emotional stress, family history of CVA, and advancing age. The client’s race, sex, and bronchial asthma aren’t risk factors for CVA.

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46. Which of the following statements by the family of a child with asthma indicates a need for additional teaching?

 

Explanation

Asthmatic children don’t have to avoid exercise. They can participate on physical activities as tolerated. Using a bronchodilator before administering steroids is correct because steroids are just anti-inflammatory and they don’t have effects on the dilation of the bronchioles. OF course letters A and B are obviously correct.

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47. Carol Smith is using bronchodilators for asthma. The side effects of these drugs that you need to monitor this patient for include: 

   

Explanation

Bronchodilators can produce the side effects listed in answer choice for a short time after the patient begins using them.

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48. Lisa is newly diagnosed with asthma and is being discharged from the hospital after an episode of status asthmaticus. Discharge teaching should include which of the following: 
 

Explanation

COPD clients have low oxygen and high carbon dioxide levels. Therefore, hypoxia is the main stimulus for ventilation is persons with chronic hypercapnea. Increasing the level of oxygen would decrease the stimulus to breathe.

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49. Inhaled steroids(preventer/controller) will cause major side effects at recommended dosages.

Explanation

Inhaled steroids, when used at recommended dosages, do not cause major side effects. These medications are commonly used as preventers or controllers in the treatment of respiratory conditions such as asthma. Inhaled steroids work by reducing inflammation in the airways, helping to prevent asthma attacks. While they may have some potential side effects, such as throat irritation or oral thrush, these are generally minor and can be minimized with proper use of the medication. It is important to follow the recommended dosage and guidelines provided by a healthcare professional to ensure the safe and effective use of inhaled steroids.

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50. In an acute severe attack of asthma, it is important to get a chest x-ray done to rule out: 

Explanation

In an acute severe attack of asthma, it is important to get a chest x-ray done to rule out a pneumothorax. A pneumothorax occurs when air leaks into the space between the lung and the chest wall, causing the lung to collapse partially or completely. This can be a life-threatening condition and may require immediate medical intervention. By getting a chest x-ray, healthcare professionals can assess the condition of the lungs and determine if a pneumothorax is present, allowing them to provide appropriate treatment.

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51. Which of the following tests cannot detect airway inflammation? 

 

Explanation

Spirometry is a test that measures lung function by assessing the amount of air a person can inhale and exhale and the speed at which they can do so. While spirometry can detect abnormalities in lung function, it cannot directly detect airway inflammation. Bronchial mucosal biopsy, sputum eosinophil counts, and bronchoalveolar lavage are tests that can directly detect airway inflammation by examining the cells and fluid in the airways.

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52. Which answer is a true symptom of Asthma?

Explanation

The true symptoms of asthma include clogging of the airways due to mucus blockage, which restricts the flow of air, and swelling of the airways. These symptoms are characteristic of asthma and can lead to difficulty in breathing and other respiratory problems. Emotional problems, although they can be associated with asthma, are not considered direct symptoms of the condition. Therefore, the correct answer is B & C, as they accurately represent true symptoms of asthma.

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53. The nurse understands that a good snack for a 2 year old with a diagnosis of acute asthma would be:

 

Explanation

Grapes is inappropriate because of its “skin” that can cause choking. A glass of milk is not a good snack because it’s the most common cause of Iron-deficiency anemia in children (milk contains few iron), A glass of cola is also not appropriate cause it contains complex sugar.

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54. The characteristic feature of persistent asthma is:

 

Explanation

Persistent asthma is characterized by ongoing airway inflammation. This means that the airways in the lungs are constantly inflamed and irritated, leading to symptoms such as coughing, wheezing, and shortness of breath. This inflammation can be triggered by various factors, such as allergens, irritants, or respiratory infections. It is important to manage and treat this inflammation to control asthma symptoms and prevent flare-ups. Family history, need for oral steroids, and nocturnal wheezing can also be associated with asthma, but the characteristic feature is the presence of airway inflammation.

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55.  The following drug cannot cause asthma:

 

Explanation

Atropine is the correct answer because it is an anticholinergic drug that works by blocking the action of acetylcholine in the body. It is commonly used to treat certain heart conditions, dilate the pupils, and reduce saliva production. Unlike beta-blockers, histamine, and ibuprofen, atropine does not have any known association with causing or exacerbating asthma symptoms.

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56. Asthma has the greatest prevalence in which two populations:

Explanation

not-available-via-ai

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57. Which is not a potential side effect of bronchodilator drugs ?

Explanation

Oral thrush is not a potential side effect of bronchodilator drugs. Bronchodilator drugs are commonly used to treat conditions like asthma and chronic obstructive pulmonary disease (COPD). They work by relaxing the muscles in the airways, allowing easier breathing. Common side effects of bronchodilator drugs include tremor, tachycardia (rapid heart rate), anxiety, and headache. However, oral thrush, which is a fungal infection in the mouth, is not typically associated with the use of bronchodilator drugs.

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58. An 8-year-old boy with asthma is brought to the clinic for check up. The mother asks the nurse if the treatment given to her son is effective. What would be the appropriate response of the nurse? 

 

Explanation

Reviewing the number of prescription refills the child has required over the last 6 months would be the best indicator of how well controlled and thus how effective the child’s asthma treatment is. Breakthrough wheezing, shortness of breath, and upper respiratory infections would require that the child take additional medication. This would be reflected in the number of prescription refills.

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59. Which finding would alert a nurse that a hospitalized 6-year-old child is at risk for a severe asthma exacerbation?   

Explanation

A history of steroid-dependent asthma, a contributing factor to this client’s high-risk status, requires the nurse to treat the situation as a severe exacerbation regardless of the severity of the current episode. An oxygen saturation of 95%, mild work of breathing, and absence of intercostals or substernal retractions are all normal findings.

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60.  Bronchoprovocation tests usually use histamine to challenge the airways. Besides histamine, ____________ can also be used: 

 

Explanation

Metracholine can also be used in bronchoprovocation tests to challenge the airways, in addition to histamine.

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61. True/False:  If a patient has had coughing or wheezing for over one year, the possiblity of a foreign body is essentially ruled out.

Explanation

The acute cough and/or wheeze caused by a foreign body in the lower respiratory tract may diminish over time only to recur later and present as chronic cough and/or persistent wheezing.

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62. A 5 year old AA male comes in with a history of asthma, but currently is not on any medication.  In the history, you find out he uses his Albuterol MDI  with spacer once every two weeks during the day.  He does wake up 2-3 times per week coughing at night.  How would you classify his asthma?

Explanation

moderate persistent, great than one night per week of symptoms bumps him to Moderate persistent

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63. The primary physiological alteration in the development of asthma is: 

 

Explanation

Asthma is the presence of bronchiolar spasms. This spasm can be brought on by allergies or anxiety. Answer A is incorrect because the primary physiological alteration is not inflammation. Answer B is incorrect because there is the production of abnormally viscous mucus, not a primary alteration. Answer C is incorrect because infection is not primary to asthma.

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64. All classroom pets should be banned to prevent Asthma triggers.

Explanation

Proteins in animal's skin flakes, urine, feces, saliva and hair can trigger asthma. Dogs, cats, rodents (including hamsters and guinea pigs) and other warm-blooded mammals can trigger Asthma in individuals with an allergy to animal dander. SO, load your class with the Asthma friendliest pets of all-FISH!

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65. Which of the following respiratory condition is always considered a medical emergency?

Explanation

acute and sever inflammation of the epiglottis can cause life threatening airway obstruction, that is why its always treated as a medical emergency. NSG intervention : Prepare tracheostomy set at bed side.
LTB, can also cause airway obstruction but its not an emergency. Asthma is also not an emergency (ung status asthmaticus ang kaylangan ng prompt treatment). CF is a chronic disease, so its not a medical emergency.

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66. Which contraindication should the nurse assess for prior to giving a child immunization? 

   

Explanation

Children who have a depressed immune system related to HIV or chemotherapy should not be given routine immunizations.

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67. Evidence suggests there are 3 crucial factors in the primary prevention of asthma. These include ..

Explanation

Exposure to environmental tobacco smoke, breast feeding during infancy, and allergen avoidance are identified as crucial factors in the primary prevention of asthma. Environmental tobacco smoke can trigger asthma symptoms and increase the risk of developing asthma. Breastfeeding during infancy has been shown to have a protective effect against asthma development. Allergen avoidance is important as exposure to allergens can trigger asthma attacks in individuals who are already sensitized. By avoiding these three factors, the risk of developing asthma can be reduced.

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68. A slightly obese female client with a history of allergy-induced asthma, hypertension, and mitral valve prolapse is admitted to an acute care facility for elective surgery. The nurse obtains a complete history and performs a thorough physical examination, paying special attention to the cardiovascular and respiratory systems. When percussing the client's chest wall, the nurse expects to elicit:  

Explanation

When percussing the chest wall, the nurse expects to elicit resonant sounds — low-pitched, hollow sounds heard over normal lung tissue. Hyperresonant sounds indicate increased air in the lungs or pleural space; they’re louder and lower pitched than resonant sounds. Although hyperresonant sounds occur in such disorders as emphysema and pneumothorax, they may be normal in children and very thin adults. Dull sounds, normally heard only over the liver and heart, may occur over dense lung tissue, such as from consolidation or a tumor. Dull sounds are thudlike and of medium pitch. Flat sounds, soft and high-pitched, are heard over airless tissue and can be replicated by percussing the thigh or a bony structure.

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69. In those with asthma, which of the following does not contribute to inspiratory muscle weakness ?

Explanation

Dyspnoea, or shortness of breath, is a symptom of asthma rather than a contributor to inspiratory muscle weakness. Increased use of steroid-based medication, reduced exercise tolerance, and inflammatory processes can all contribute to inspiratory muscle weakness in individuals with asthma.

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70. Which is not a hallmark feature of asthma?

Explanation

Dynamic airway collapse is not a hallmark feature of asthma. Asthma is characterized by bronchospasm, which is the sudden constriction of the muscles surrounding the airways, leading to difficulty in breathing. It is also associated with epithelial damage, which refers to the inflammation and damage to the lining of the airways. Oedema, which is the swelling of the airway walls, can also occur in asthma. However, dynamic airway collapse, which is the narrowing or collapse of the airways during expiration, is not typically seen in asthma.

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What is asthma?
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What should you do when you have an asthma?
Common signs and symptoms include:Excessive coughingWheezingChest...
Which answer best describes common outdoor Asthma triggers?
Dust and dust mites can trigger Asthma too.  What are ways to...
What can lead to an asthma attack?
Symptoms of asthma include wheezing, coughing and breathing...
A good inhalation technique can ensure that the medication is...
Asthma can be life-threatening.
Asthma is....
Asthma is triggered by allergens such as pollen and animal furs.
How can seasonal asthma come about?
A 19-year-old patient comes to the ED with acute asthma. His...
Asthma causes the airways to:
Staff who smoke on their personal time cannot harm children with...
Asthma is caused by inflammation of the airways in the lungs.
Simple instrument to roughly determine lung function is a:  
Which statement is true about Asthma:
Cockroaches can trigger Asthma attacks.
Crying, laughing hard or yelling can trigger Asthma.
In which age group of people is asthma the most common disease in?
Which of the following is true?
I cannot participate in physical activities if I have asthma.
True/False:  Gastroesophageal reflux should be considered in a...
Kennedy with acute asthma showing inspiratory and expiratory wheezes...
What of these is not a characteristic of Allergic asthma?
The nurse is caring for Kenneth experiencing an acute asthma attack....
The key role of a physiotherapist in treatment of asthma is to ...
When does nocturnal asthma usually occur?
A client with asthma has low pitched wheezes present on the final half...
What are the two categories of pharmalogical agents used in the...
A black male client with asthma seeks emergency care for acute...
The following bronchodilator is most commonly used when doing a...
Mark, a 7-year-old client is brought to the emergency department....
Use your air conditioner to help filter the air coming into the...
The parameter to detect reversibility in airflow obstruction on a...
Which of the following is NOT a risk factor for the development of...
If a person suffers from asthma, what are the likely symptoms he/she...
A child has been brought to the emergency room with an asthma attack....
There is no single cause for Asthma and currently, there is no cure...
The following are helpful in determining the severity of an acute...
 Asthma is basically:  
Which of the following is not considered a COPD related...
A white female client is admitted to an acute care facility with a...
Which of the following statements by the family of a child with asthma...
Carol Smith is using bronchodilators for asthma. The side effects of...
Lisa is newly diagnosed with asthma and is being discharged from the...
Inhaled steroids(preventer/controller) will cause major side effects...
In an acute severe attack of asthma, it is important to get a chest...
Which of the following tests cannot detect airway inflammation? ...
Which answer is a true symptom of Asthma?
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The characteristic feature of persistent asthma is:  
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Which is not a potential side effect of bronchodilator drugs ?
An 8-year-old boy with asthma is brought to the clinic for check up....
Which finding would alert a nurse that a hospitalized 6-year-old child...
 Bronchoprovocation tests usually use histamine to challenge the...
True/False:  If a patient has had coughing or wheezing for over...
A 5 year old AA male comes in with a history of asthma, but currently...
The primary physiological alteration in the development of asthma...
All classroom pets should be banned to prevent Asthma triggers.
Which of the following respiratory condition is always considered a...
Which contraindication should the nurse assess for prior to giving a...
Evidence suggests there are 3 crucial factors in the primary...
A slightly obese female client with a history of allergy-induced...
In those with asthma, which of the following does not contribute to...
Which is not a hallmark feature of asthma?
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