Asthma By Rnpedia.Com

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  • 1/70 Questions

    What is asthma?

    • Heart failure
    • A mild ailment
    • An intestinal illness
    • A chronic respiratory disease
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About This 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 prescribe accurate medication to a patient that coincides with their diagnosis. Take the quiz below to test out what you know about asthma.

Asthma By Rnpedia.Com - Quiz

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  • 2. 

    Perfumes and cleaning products can be an Asthma trigger.

    • True

    • False

    Correct Answer
    A. True
    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?

    • Overuse asthma medication

    • Smoke

    • To use the medicines as prescribed

    • Not control diet

    Correct Answer
    A. To use the medicines as prescribed
    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. 

    Which answer best describes common outdoor Asthma triggers?

    • Changes in weather and temperature.

    • Pollen

    • Air pollution

    • All of the above

    Correct Answer
    A. All of the above
    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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  • 5. 

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

    • Keep classrooms are clean and clutter free as possible.

    • Dust furniture regularly with a damp cloth and allow sufficient time to dry.

    • Wash pillows, blankets and stuffed toys often.

    • All of the above.

    Correct Answer
    A. All of the above.
    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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  • 6. 

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

    • True

    • False

    Correct Answer
    A. True
    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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  • 7. 

    What can lead to an asthma attack?

    • Airway Obstruction

    • Airway Irritability

    • Inflammation

    • All of the above

    Correct Answer
    A. All of the above
    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.

    • True

    • False

    Correct Answer
    A. True
    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.

    • True

    • False

    Correct Answer
    A. True
    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.

    • True

    • False

    Correct Answer
    A. True
    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 triggered by allergens such as pollen and animal furs.

    • True

    • False

    Correct Answer
    A. True
    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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  • 12. 

    Asthma is....

    • Localized, irreversible dilation of part of the bronchial tree due to destruction of the muscle and elastic tissue

    • A persistent cough that produces sputum and mucus for at least 3 months of the year, two years in succession

    • A chronic inflammatory disorder of the airways associated with episodes of wheezing, breathlessness, chest tightness and coughing

    • Collapse and closure of alveoli resulting in reduced or absent gas exchange affecting all of part of the lung

    Correct Answer
    A. A chronic inflammatory disorder of the airways associated with episodes of wheezing, breathlessness, chest tightness and coughing
    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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  • 13. 

    How can seasonal asthma come about?

    • Inhlation or exposure to trees, grasses or flowers releasing pollen into the air.

    • Inhalation of tobacco smoke

    • Exposure to paint thinners or dust

    Correct Answer
    A. Inhlation or exposure to trees, grasses or flowers releasing pollen into the air.
    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? 

    • Take a full medical history.

    • Give a bronchodilator by nebulizer.

    • Apply a cardiac monitor to the patient.

    • Provide emotional support for the patient

    Correct Answer
    A. Give a bronchodilator by nebulizer.
    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:

    • Constrict

    • Become imflammed

    • Become lined with a large amount of mucus

    • All of the above

    Correct Answer
    A. All of the above
    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.

    • True

    • False

    Correct Answer
    A. False
    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.

    • True

    • False

    Correct Answer
    A. True
    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:  

    • Barometer

    • Manometer

    • Peak flow meter

    • Sphygmomanometer

    Correct Answer
    A. Peak flow meter
    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:

    • Asthma is one of the most common chronic diseases nationwide, impacting the lives and families of over 7 million children.

    • Asthma is the third-ranking cause of hospitalization among children under 15.

    • An average of one our of every 10 school-aged children has asthma and 10.5 million school days are missed each year due to Asthmas

    • All of the above is true

    Correct Answer
    A. All of the above is true
    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.

    • True

    • False

    Correct Answer
    A. True
    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.

    • True

    • False

    Correct Answer
    A. True
    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?

    • Children

    • Teens

    • Adults

    • Elderly

    Correct Answer
    A. Children
    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?

    • A preventer is used to relieve asthma attacks.

    • A reliever is used to relieve asthma attacks.

    Correct Answer
    A. A reliever is used to relieve asthma attacks.
    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.

    • True

    • False

    Correct Answer
    A. False
    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.

    • True

    • False

    Correct Answer
    A. True
    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?    

    • Beta-adrenergic blockers

    • Bronchodilators

    • Inhaled steroids

    • Oral steroids

    Correct Answer
    A. Bronchodilators
    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?

    • Starts in childhood or adolescence

    • Triggered by specific allergens (ie: dust mites and pollen)

    • Presents with bronchoconstriction and inflammation of the airways

    • Is a consequence of viral infection

    Correct Answer
    A. Is a consequence of viral infection
    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:  

    • The attack is over.

    • The airways are so swollen that no air cannot get through.

    • The swelling has decreased.

    • Crackles have replaced wheezes.

    Correct Answer
    A. The airways are so swollen that no air cannot get through.
    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 ...

    • Provide education to the patient about the disease and treatment options

    • Administering and educating the patient about airway clearance techniques

    • Provide education about exercise and the option of pulmonary rehabilitation classes

    • All of the above

    • None of the above

    Correct Answer
    A. All of the above
    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?

    • Early night

    • Near Dawn

    • 2am-4am in the middle of the night

    • It does not exist

    Correct Answer
    A. 2am-4am in the middle of the night
    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   

    • Has increased airway obstruction

    • Has improved airway obstruction

    • Needs to be suctioned

    • Exhibits hyperventilation

    Correct Answer
    A. Has increased airway obstruction
    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

    • B2 adrenoreceptor antagonists and bronchodilators

    • Anti-inflammatory and glucocorticoids

    • Inhaled medications and oral medications

    • Bronchodilators and anti-inflammatory

    Correct Answer
    A. Bronchodilators and anti-inflammatory
    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. 

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

    • Salbutamol

    • Adrenaline

    • Theophylline anhydrous

    • Atropine

    Correct Answer
    A. Salbutamol
    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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  • 34. 

    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:  

    • Lips.

    • Mucous membranes.

    • Nail beds.

    • Earlobes.

    Correct Answer
    A. Mucous membranes.
    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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  • 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?    

    • Acute asthma

    • Bronchial pneumonia

    • Chronic obstructive pulmonary disease (COPD)

    • Emphysema

    Correct Answer
    A. Acute asthma
    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.

    • True

    • False

    Correct Answer
    A. True
    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:  

    • FEV1

    • FVC

    • MVV

    • RV

    Correct Answer
    A. FEV1
    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. 

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

    • A prolonged inspiratory time and a short expiratory time.

    • Frequent productive coughing of clear, frothy, thin mucus progressing to thick, tenacious mucus heard only on auscultation.

    • Hypoinflation of the alveoli with resulting poor gas exchange from increasingly shallow inspirations.

    • Swelling of the bronchial mucosa, with wheezes starting on expiration and spreading to continuous.

    Correct Answer
    A. Swelling of the bronchial mucosa, with wheezes starting on expiration and spreading to continuous.
    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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  • 39. 

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

    • Parental history of asthma

    • Physician diagnosed atopic dermatitis

    • Peripheral eosinophilia and allergic rhinitis

    • Wheezing apart from colds and allergic rhinitis

    • Recurrent otitis media

    Correct Answer
    A. Recurrent otitis media
    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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  • 40. 

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

    • Sore, swollen and sensitive airway linings.

    • Weak breathing

    • Fast and unsteady pulse

    • Cancer in the airway

    Correct Answer
    A. Sore, swollen and sensitive airway linings.
    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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  • 41. 

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

    • True

    • False

    Correct Answer
    A. True
    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:  

    • Use of accersoy muscles of respiration

    • Ability to complete sentences

    • Peak expiratory flow rate

    • Pedal edema

    Correct Answer
    A. Pedal edema
    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:  

    • An infectious disease

    • An autoimmune disease

    • An atopic disease

    • A malignant disease

    Correct Answer
    A. An atopic disease
    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?    

    • Bronchiectasis

    • Bronchial asthma

    • Bronchitis

    • Bronchial hypotension

    Correct Answer
    A. Bronchial hypotension
    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?  

    • Caucasian race

    • Female sex

    • Obesity

    • Bronchial asthma

    Correct Answer
    A. Obesity
    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?  

    • “We need to identify what things triggers his attacks”

    • “He is to use bronchodilator inhaler before steroid inhaler”

    • “We’ll make sure he avoids exercise to prevent asthma attacks”

    • “he should increase his fluid intake regularly to thin secretions”

    Correct Answer
    A. “We’ll make sure he avoids exercise to prevent asthma attacks”
    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:     

    • Tachycardia, nausea, vomiting, heart palpitations, inability to sleep, restlessness, and seizures.

    • Tachycardia, headache, dyspnea, temp . 101 F, and wheezing.

    • Blurred vision, tachycardia, hypertension, headache, insomnia, and oliguria.

    • Restlessness, insomnia, blurred vision, hypertension, chest pain, and muscle weakness.

    Correct Answer
    A. Tachycardia, nausea, vomiting, heart palpitations, inability to sleep, restlessness, and seizures.
    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:   

    • Limitations in sports that will be imposed by the illness

    • Specific instructions on staying cal during an attack

    • The relationship of symptoms and a specific trigger such as physical exercise

    • Incidence of status asthmaticus in children and teens

    Correct Answer
    A. The relationship of symptoms and a specific trigger such as physical exercise
    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.

    • True

    • False

    Correct Answer
    A. False
    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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  • Mar 22, 2023
    Quiz Edited by
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  • Jan 27, 2013
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