Signs And Symptoms Of Asthma: How Much Do You Know? Trivia Quiz

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Signs And Symptoms Of Asthma: How Much Do You Know? Trivia Quiz - Quiz

How Much Do You Know about the Signs and Symptoms Of Asthma. One of the major sighs that people associate with, asthma is the difficulty in breathing and one of the things that patients are given to control this is an inhaler. As a medical practitioner, do take up this quiz and see if you can identify someone who should be tested for asthma.


Questions and Answers
  • 1. 

    The nurse is evaluating the oxygenation status of a patient during an asthma attack. Which diagnostic tool would be the most useful for gathering this information?

    • A.

      Pulse oximeter

    • B.

      Cardiac monitor

    • C.

      Chest x-ray    

    • D.

      Peak flowmeter

    Correct Answer
    A. Pulse oximeter
    Explanation
    A pulse oximeter would be the most useful diagnostic tool for gathering information about the oxygenation status of a patient during an asthma attack. A pulse oximeter measures the oxygen saturation level in the blood by using a sensor that is typically placed on the patient's finger. This tool provides a quick and non-invasive way to monitor the patient's oxygen levels, which is crucial in managing and treating asthma attacks. The other options, such as a cardiac monitor, chest x-ray, and peak flowmeter, may provide valuable information in different clinical scenarios, but they are not specifically designed to assess oxygenation status.

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  • 2. 

    The nurse is teaching a patient who is newly diagnosed with asthma about possible asthma triggers. Which triggers should the nurse instruct the patient to avoid?

    • A.

      Mattress and furniture covers

    • B.

      Tile and wood flooring

    • C.

      Influenza and pneumonia vaccinations

    • D.

      Pets, smoke, stuffed animals

    Correct Answer
    D. Pets, smoke, stuffed animals
    Explanation
    The nurse should instruct the patient to avoid pets, smoke, and stuffed animals as they can act as triggers for asthma symptoms. Pets can shed dander, which can be an allergen for some individuals with asthma. Smoke, whether from cigarettes or other sources, can irritate the airways and worsen asthma symptoms. Stuffed animals can collect dust mites, another common allergen. Therefore, avoiding these triggers can help the patient manage their asthma and reduce the risk of asthma attacks.

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  • 3. 

    The nurse is caring for a patient experiencing an asthma attack. Which nursing intervention is most appropriate to address the patient’s shortness of breath?

    • A.

      Assessing the patient's level of anxiety

    • B.

      Placing the patient in a high Fowler position

    • C.

      Reducing external stimuli

    • D.

      Using relaxation techniques

    Correct Answer
    B. Placing the patient in a high Fowler position
    Explanation
    Placing the patient in a high Fowler position is the most appropriate nursing intervention to address the patient's shortness of breath during an asthma attack. This position allows for maximum expansion of the chest and lungs, helping to improve breathing and oxygenation. By elevating the head of the bed to a 90-degree angle, the patient's airway is also kept open, making it easier for them to breathe. This intervention can help alleviate the symptoms of shortness of breath and improve the patient's overall respiratory status.

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  • 4. 

    The nurse is teaching the mother of a child who has recently been diagnosed with asthma. The nurse should explain that which type of asthma attack is triggered by the loss of heat or moisture from the bronchial surface?

    • A.

      Agents in the workplace

    • B.

      Environmental pollutants

    • C.

      Exercise-induced

    • D.

      Emotional stress

    Correct Answer
    C. Exercise-induced
    Explanation
    The loss of heat or moisture from the bronchial surface is a characteristic of exercise-induced asthma, which is triggered by exercising in cold, dry air. The loss of heat or moisture from the bronchial surface is not a characteristic of asthma triggers in the workplace, nor is it due to emotional stress or environmental pollutants.

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  • 5. 

    The nurse is performing an assessment for a patient with a history of asthma. Which finding indicates that asthma is worsening and requires the nurse to take immediate action?

    • A.

      Respiratory rate of 24 breaths/min

    • B.

      Use of accessory muscles in breathing

    • C.

      Peak flowmeter rate of 240 L/min

    • D.

      Pulse oximetry reading of 92%

    Correct Answer
    B. Use of accessory muscles in breathing
    Explanation
    The use of accessory muscles in breathing indicates that the patient is experiencing respiratory distress and rapid intervention is needed. The assessment findings of the respiratory rate of 24 breaths/min, peak flowmeter rate of 240 L/min, and a pulse oximetry reading of 92% indicate the need for ongoing monitoring and assessment but do not suggest that immediate treatment is required.

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  • 6. 

    A patient with asthma reports, "I have symptoms daily that sometimes persist into the night." Which classification of asthma is this patient experiencing?

    • A.

      Moderate persistent

    • B.

      Mild intermittent

    • C.

      Mild persistent

    • D.

      Severe persistent

    Correct Answer
    A. Moderate persistent
    Explanation
    Symptoms occurring daily and persisting into the night more than once per week with exacerbations that can last for days are symptoms of moderate persistent asthma. Being asymptomatic between attacks is characteristic of mild intermittent asthma. Attacks that occur more than twice a week but less than daily are symptoms of mild persistent asthma. Severe persistent asthma occurs when symptoms are constant and physical activity is limited.

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  • 7. 

    The nurse is teaching an 8-year-old patient with asthma how to use an inhaler with a spacer. Which information should the nurse include?

    • A.

      Place the mouthpiece of the spacer in your mouth and form a tight seal with the lips.

    • B.

      Insert the inhaler sideways into the spacer.

    • C.

      Breathe in and hold your breath until the count of 5

    • D.

      Hold the spacer vertically while pressing on the inhaler.

    Correct Answer
    A. Place the mouthpiece of the spacer in your mouth and form a tight seal with the lips.
    Explanation
    The nurse should include the information to place the mouthpiece of the spacer in the patient's mouth and form a tight seal with the lips. This is important because it ensures that the medication is delivered directly to the lungs and not wasted. A tight seal prevents the medication from escaping and allows the patient to inhale the medication effectively.

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  • 8. 

    A patient has a chronic cough but does not show symptoms of wheezing or dyspnea. The nurse suspects that the patient has asthma. Which other symptom displayed by the patient contributed to the nurse's suspicion of asthma?

    • A.

      Sneezing

    • B.

      Chest tightness

    • C.

      Weight loss

    • D.

      Nausea

    Correct Answer
    B. Chest tightness
    Explanation
    The nurse's suspicion of asthma is likely due to the patient displaying chest tightness. Chest tightness is a common symptom of asthma, as the airways become inflamed and constricted, making it difficult to breathe. Although sneezing can be a symptom of allergies or a respiratory infection, it is not specific to asthma. Weight loss and nausea are not typically associated with asthma and would not contribute to the nurse's suspicion.

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  • 9. 

     ____________ agent is an inhaler that blocks parasympathetic input to bronchial smooth muscle.

    Correct Answer
    anticholinergic
    Explanation
    An anticholinergic agent is an inhaler that blocks parasympathetic input to bronchial smooth muscle. This means that it inhibits the action of acetylcholine, a neurotransmitter that promotes bronchoconstriction. By blocking the parasympathetic input, the anticholinergic agent helps to relax and open up the airways, making it easier to breathe.

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  • 10. 

    A hospitalized patient is recovering from an acute asthma attack. Which nursing intervention is most appropriate during the recovery period?

    • A.

      Restricting oral fluids

    • B.

      Administering opioid analgesics for pain

    • C.

      Limiting the number of visitors

    • D.

      Positioning the patient supine

    Correct Answer
    C. Limiting the number of visitors
    Explanation
    When implementing care for the patient, the nurse will decrease, not increase, external stimuli by limiting visitors. The patient should be placed in a high-Fowler position to encourage lung expansion. The nurse will encourage oral fluids to thin secretions and provide hydration, not restrict fluids. Opioids should not be used for pain control because they depress the respiratory rate.

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  • 11. 

    An 8-year-old child is admitted to the hospital for asthma. Which diagnostic test should the nurse expect to be ordered for this patient?

    • A.

      Chest x-ray

    • B.

      Spirometry

    • C.

      Allergy skin testing

    • D.

      Echocardiogram

    Correct Answer
    C. Allergy skin testing
    Explanation
    Allergy skin testing is the most appropriate diagnostic test for an 8-year-old child admitted to the hospital for asthma. Asthma is often triggered by allergies, so identifying the specific allergens that the child is sensitive to can help in developing an effective treatment plan. Allergy skin testing involves applying small amounts of common allergens to the skin and observing for an allergic reaction. This test can help determine which allergens are causing the child's asthma symptoms, allowing for targeted avoidance measures and potential immunotherapy. Chest x-ray, spirometry, and echocardiogram may be ordered for other respiratory or cardiac conditions, but they are not specific to asthma and would not be the first-line diagnostic test in this case.

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  • 12. 

    A 5-year-old patient who was diagnosed with asthma is being discharged after a brief hospitalization. The nurse is completing the discharge teaching with the parents. Which parent statement requires further teaching?

    • A.

      I will always step outside of the house to smoke.

    • B.

      I will buy detergents and soaps that are free of perfumes and dyes.

    • C.

      I will pursue allergy testing for my child with an allergy specialist.

    • D.

      I will keep my child inside during sudden changes in temperature.

    Correct Answer
    A. I will always step outside of the house to smoke.
    Explanation
    The correct answer is "I will always step outside of the house to smoke." This statement requires further teaching because secondhand smoke can trigger asthma symptoms in children. It is important for parents to completely eliminate smoking inside the house and ensure a smoke-free environment for the child. Stepping outside to smoke may still expose the child to harmful smoke particles that can worsen their asthma symptoms.

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  • 13. 

    Which advice should the nurse include when teaching parents of a child with asthma about triggers?

    • A.

      Having the child wear a mask at all times

    • B.

      Not allowing participation in school recess

    • C.

      Avoiding secondhand smoke

    • D.

      Purchasing new stuffed toys

    Correct Answer
    C. Avoiding secondhand smoke
    Explanation
    The nurse should include the advice of avoiding secondhand smoke when teaching parents of a child with asthma about triggers. Secondhand smoke can worsen asthma symptoms and trigger asthma attacks. It is important for parents to create a smoke-free environment for their child to reduce the risk of exposure to harmful smoke particles. This can be achieved by not allowing smoking in the house or car, avoiding places where smoking is allowed, and educating family members and friends about the importance of not smoking around the child.

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  • 14. 

    A patient with asthma is prescribed an anticholinergic agent. Which rationale describes using this type of medication?

    • A.

      It reduces the inflammatory response in asthma.

    • B.

      It relaxes bronchial smooth muscles.

    • C.

      It blocks parasympathetic input to bronchial smooth muscles.

    • D.

      It prevents the development of respiratory infections.

    Correct Answer
    C. It blocks parasympathetic input to bronchial smooth muscles.
    Explanation
    The correct answer is "It blocks parasympathetic input to bronchial smooth muscles." This rationale explains the mechanism of action of anticholinergic agents in asthma treatment. These medications block the parasympathetic input to bronchial smooth muscles, leading to bronchodilation and improved airflow. By inhibiting the parasympathetic response, anticholinergic agents help to relax the muscles in the airways, reducing bronchoconstriction and improving breathing in patients with asthma.

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  • 15. 

    Which is the purpose of pulmonary function tests when diagnosing asthma?

    • A.

      To identify specific allergens if an allergic trigger is suspected

    • B.

      To evaluate the degree of airway obstruction

    • C.

      To confirm an asthma diagnosis

    • D.

      To evaluate oxygenation, carbon dioxide elimination, and acid–base status

    Correct Answer
    B. To evaluate the degree of airway obstruction
    Explanation
    The purpose of pulmonary function tests when diagnosing asthma is evaluating the degree of airway obstruction. Challenge or bronchial provocation tests are used to confirm an asthma diagnosis. Tests of arterial blood gases are used to evaluate oxygenation, carbon dioxide elimination, and acid-base status. Skin testing is used to identify specific allergens if an allergic trigger is suspected.

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  • 16. 

    The nurse is providing discharge teaching to an asthmatic patient. Which lifestyle alterations should the nurse suggest to improve asthma management?

    • A.

      Avoiding influenza vaccinations

    • B.

      Drinking red wine with dinner

    • C.

      Increasing consumption of dried fruits and vegetables

    • D.

      Maintaining a healthy weight

    Correct Answer
    D. Maintaining a healthy weight
    Explanation
    Maintaining a healthy weight is important for asthma management because excess weight can contribute to increased inflammation and decreased lung function. Being overweight or obese can also make it more difficult to control asthma symptoms and respond to medication. By suggesting maintaining a healthy weight, the nurse is promoting overall respiratory health and improving the patient's ability to manage their asthma effectively.

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  • 17. 

    A patient presents with manifestations of wheezing and difficulty breathing after picking wildflowers in the yard. Which is the most likely cause of the asthmatic symptoms?

    • A.

      Too much exercise from walking in the yard

    • B.

      The patient having a history of heart failure

    • C.

      The patient having developed pneumonia

    • D.

      Allergic hypersensitivity reaction to the flowers

    Correct Answer
    D. Allergic hypersensitivity reaction to the flowers
    Explanation
    The most likely cause of the asthmatic symptoms in this scenario is an allergic hypersensitivity reaction to the flowers. Wheezing and difficulty breathing are common symptoms of asthma, and in this case, they are triggered after the patient picked wildflowers in the yard. This suggests that the patient is having an allergic reaction to the flowers, which is causing the asthmatic symptoms.

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  • 18. 

    A patient's healthcare provider has directed the patient to obtain peak flowmeter readings throughout the day over the next several weeks to establish baseline flow readings. The patient asks why it is necessary to take readings so often. How should the nurse respond?

    • A.

      The readings will be used to determine the cause of your asthma.

    • B.

      The readings will be used to evaluate which medication to use to treat your asthma.

    • C.

      The readings will be used to evaluate the severity of future airway obstruction.

    • D.

      The readings will be used to determine whether your asthma can be cured.

    Correct Answer
    C. The readings will be used to evaluate the severity of future airway obstruction.
    Explanation
    The healthcare provider needs to obtain peak flowmeter readings throughout the day over several weeks to establish baseline flow readings. These readings will then be used to evaluate the severity of future airway obstruction. This information will help the healthcare provider determine the appropriate treatment plan for the patient's asthma.

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  • 19. 

    A new staff nurse is developing a plan of care for a patient with asthma. Which nursing intervention in the plan of care indicates the need for the preceptor nurse to intervene?

    • A.

      Increasing external stimuli

    • B.

      Administering nebulizer treatment as prescribed

    • C.

      Encouraging oral fluids as tolerated

    • D.

      Using postural drainage

    Correct Answer
    A. Increasing external stimuli
    Explanation
    Increasing external stimuli may exacerbate asthma symptoms and can potentially trigger an asthma attack. Therefore, it is important for the preceptor nurse to intervene and educate the new staff nurse about the need to minimize external stimuli to prevent any adverse effects on the patient's condition.

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  • 20. 

    A patient with asthma is having difficulty breathing while lying supine. The patient can talk in phrases without experiencing shortness of breath and has a moderately elevated respiratory rate. Which level of an asthma attack did the patient have based on these assessment findings?

    • A.

      Mild

    • B.

      Moderate

    • C.

      Minimal

    • D.

      Severe

    Correct Answer
    A. Mild
    Explanation
    Based on the assessment findings, the patient is able to talk in phrases without experiencing shortness of breath. This indicates that the patient's difficulty breathing while lying supine is not severe. Therefore, the patient is experiencing a mild level of an asthma attack.

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  • 21. 

    The nurse is assessing the breath sounds of a child currently presenting with asthma and auscultates significant wheezing throughout the lungs. Five minutes later, the nurse notes quiet breath sounds upon auscultation. Which of the following actions should the nurse take at this time?

    • A.

       Encourage the client to cough and deep breathe

    • B.

      Document the findings and continue to monitor.

    • C.

      Contact the doctor right away.

    • D.

      Have the child rest for 5 minutes and repeat auscultation

    Correct Answer
    C. Contact the doctor right away.
    Explanation
    Quiet breathing during an asthma attack is a bad sign.

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  • 22. 

    When providing discharge teaching to a patient who is newly diagnosed with asthma, which of these points should the healthcare provider emphasize?

    • A.

      Eliminate or reduce exposure to known asthma triggers.

    • B.

      “Measure and record your peak flow meter readings every month.”

    • C.

      “When you feel an attack is imminent, use your inhaled corticosteroid.”

    • D.

      Take a nonsteroidal anti-inflammatory agent daily as part of your treatment.”

    Correct Answer
    A. Eliminate or reduce exposure to known asthma triggers.
    Explanation
    The healthcare provider should emphasize the importance of eliminating or reducing exposure to known asthma triggers. This is because avoiding triggers can help prevent asthma attacks and manage symptoms. By identifying and avoiding triggers such as allergens, irritants, and certain medications, the patient can better control their asthma and improve their quality of life. Monitoring peak flow meter readings and using inhaled corticosteroids are also important aspects of asthma management, but reducing exposure to triggers is the most crucial point to emphasize.

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  • 23. 

    The healthcare provider is teaching a patient who has asthma how to use a spacer attached to the handheld inhaler. Which of these provides the rationale for using a spacer?

    • A.

      Using a spacer ensures more medication is delivered to the lungs.

    • B.

      The spacer focuses the medication to the back of the throat.

    • C.

      Sterility of the mouthpiece is maintained by the spacer.

    • D.

      A spacer will generate a greater force for medication delivery.

    Correct Answer
    A. Using a spacer ensures more medication is delivered to the lungs.
    Explanation
    Using a spacer ensures more medication is delivered to the lungs because it helps to slow down the speed at which the medication is released from the handheld inhaler. This allows the patient to inhale the medication more effectively and ensures that a larger amount of the medication reaches the lungs, improving the effectiveness of the treatment for asthma.

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  • 24. 

    A patient experiencing an acute asthma exacerbation arrives at the urgent care clinic. Which of these assessment findings require immediate action by the healthcare provider?

    • A.

      Inaudible breath sounds and an ineffective cough

    • B.

      Tachycardia and intercostal retractions

    • C.

      Anxiety and increasing fatigue

    • D.

      Tachypnea and prolonged expirations

    Correct Answer
    A. Inaudible breath sounds and an ineffective cough
    Explanation
    Inaudible breath sounds and an ineffective cough are concerning assessment findings in a patient experiencing an acute asthma exacerbation. Inaudible breath sounds suggest severe airway obstruction, which can be life-threatening. An ineffective cough indicates that the patient is unable to clear their airway, further exacerbating the obstruction. Immediate action is required by the healthcare provider to address the airway obstruction and prevent respiratory distress or failure.

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  • 25. 

    A patient with severe, persistent asthma is admitted to the medical unit for observation. When planning care, the healthcare provider should plan interventions to control the negative effects of asthma on which phase respiratory function?

    • A.

      Ventilation

    • B.

      Perfusion

    • C.

      Oxygen transport

    • D.

      Diffusion

    Correct Answer
    A. Ventilation
    Explanation
    The healthcare provider should plan interventions to control the negative effects of asthma on ventilation. Asthma is a condition that causes inflammation and narrowing of the airways, making it difficult for air to flow in and out of the lungs. By focusing on interventions to improve ventilation, such as administering bronchodilators or providing respiratory support, the healthcare provider can help alleviate the symptoms of asthma and improve the patient's respiratory function.

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  • 26. 

    The healthcare provider is reviewing the arterial blood gas report for a child with severe, persistent asthma. The blood gas is: pH = 7.287.28, \text{PaCO}_2PaCO2​ = 5050 mmHg, \text{HCO}_3HCO3​ = 2525. Which of these assessments are consistent with this child’s arterial blood gas?

    • A.

      Disorientation, headache, and flushed face

    • B.

      Rapid, deep respirations and paresthesia

    • C.

      Slow respirations, nausea, and vomiting

    • D.

      Kussmaul respirations and muscle twitching

    Correct Answer
    A. Disorientation, headache, and flushed face
    Explanation
    The arterial blood gas report shows a pH below the normal range, indicating acidosis. The PaCO2 level is elevated, indicating respiratory acidosis. The HCO3 level is normal, suggesting that compensation has not occurred. Disorientation, headache, and flushed face are consistent with acidosis and can be symptoms of respiratory acidosis. Rapid, deep respirations and paresthesia are more indicative of respiratory alkalosis. Slow respirations, nausea, and vomiting are not consistent with the blood gas report findings. Kussmaul respirations and muscle twitching are more indicative of metabolic acidosis.

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  • 27. 

    The healthcare provider prepares to administer a corticosteroid to a patient with a diagnosis of asthma. What is the rationale for administering this drug to this patient?

    • A.

      Promote expectoration of mucus

    • B.

      Promote bronchodilation

    • C.

      Decrease airway swelling

    • D.

      Prevent respiratory infections

    Correct Answer
    C. Decrease airway swelling
    Explanation
    The rationale for administering a corticosteroid to a patient with asthma is to decrease airway swelling. Corticosteroids have anti-inflammatory properties and can help reduce the inflammation in the airways, which is a common symptom of asthma. By decreasing airway swelling, the corticosteroid can help improve breathing and reduce the frequency and severity of asthma attacks.

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  • 28. 

    A patient who has been newly diagnosed with asthma is learning about self-management of the disease. Which statement made by the patient indicates the need for additional teaching by the healthcare provider?

    • A.

      “I will make sure I shake the metered dose inhaler well before I use it.”

    • B.

      “I should wait about 11 to 22 minutes between the first and second puff of the medication.”

    • C.

      “I will avoid holding my breath after I have inhaled the medication.”

    • D.

      “After I use my corticosteroid inhaler I will make sure I rinse my mouth out well.”

    Correct Answer
    C. “I will avoid holding my breath after I have inhaled the medication.”
    Explanation
    The statement "I will avoid holding my breath after I have inhaled the medication" indicates the need for additional teaching by the healthcare provider because holding the breath after inhaling the medication allows for better distribution of the medication in the lungs. This technique helps to ensure that the medication reaches the intended areas and is absorbed effectively. Therefore, the patient should be taught the importance of holding their breath for a few seconds after using the inhaler.

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  • 29. 

    The healthcare provider is caring for a patient with a diagnosis of intermittent asthma. About which of these medications will the healthcare provider teach the patient?

    • A.

      Omalizumab subcutaneous injection

    • B.

      Fluticasone oral inhalation

    • C.

      Oral montelukast

    • D.

      Albuterol oral inhalation

    Correct Answer
    D. Albuterol oral inhalation
    Explanation
    The correct answer is Albuterol oral inhalation. Albuterol is a short-acting bronchodilator that is commonly used for the treatment of asthma symptoms. It works by relaxing the muscles in the airways, allowing for easier breathing. It is typically used as a rescue medication to provide quick relief during asthma attacks or episodes of wheezing and shortness of breath. Teaching the patient how to properly use the albuterol inhaler and when to use it is important for managing their intermittent asthma and preventing exacerbations.

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  • 30. 

     A 10 year old child with asthma is treated for acute exacerbation in the emergency department. The nurse caring for the child should monitor for which sign, knowing that it indicates a worsening of the condition?

    • A.

      Warm, dry skin

    • B.

      Decreased wheezing

    • C.

      Pulse rate of 90 beats/minute

    • D.

      Respirations of 18 breaths/minute

    Correct Answer
    B. Decreased wheezing
    Explanation
    Decreased wheezing indicates a worsening of asthma symptoms because it means there is less air movement in the airways. Wheezing is a common symptom of asthma and occurs when the airways become narrowed and inflamed, causing a whistling sound during breathing. If the wheezing decreases or stops, it could mean that the airways are becoming even more constricted, leading to a potentially dangerous situation. Therefore, monitoring for decreased wheezing is important in assessing the severity of an asthma exacerbation.

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  • 31. 

    Which are the characteristics of asthma?  

    • A.

       narrowed airway lumen due to inflammation

    • B.

      Increased eosinophils

    • C.

      Decreased breathing cycle

    • D.

      Intermittent bronchospasm

    • E.

      Loss of elastic recoil

    • F.

      Stimulation of disease process by allergies

    Correct Answer(s)
    A.  narrowed airway lumen due to inflammation
    B. Increased eosinophils
    D. Intermittent bronchospasm
    F. Stimulation of disease process by allergies
    Explanation
    Will have INCREASED breathing cycle loss of elastic recoil is emphysema not asthma

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  • 32. 

    An older adult patient experiences an asthma attack that is severe enough to warrant the use of a rescue drug. Which medication is best to use for the acute symptoms?

    • A.

      Omalizumab (Xolair)

    • B.

      Fluticasone (Flovent)

    • C.

      Salmeterol (Serevent)

    • D.

      Albuterol (Proventil)

    Correct Answer
    D. Albuterol (Proventil)
    Explanation
    Albuterol (Proventil) The other three meds are for asthma prevention not an acute attack

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  • 33. 

    Which are the main purposes of asthma treatment?

    • A.

      Avoid secondhand smoke

    • B.

      B. improve airflow

    • C.

      C. relieve symptoms

    • D.

      D. improve exercise tolerance

    • E.

      E. prevent asthma episodes

    Correct Answer(s)
    B. B. improve airflow
    C. C. relieve symptoms
    E. E. prevent asthma episodes
    Explanation
    The main purposes of asthma treatment are to improve airflow, relieve symptoms, and prevent asthma episodes. Improving airflow helps to ensure that the airways are open and clear, allowing for easier breathing. Relieving symptoms helps to reduce the discomfort and difficulty associated with asthma, such as coughing, wheezing, and shortness of breath. Preventing asthma episodes aims to minimize the frequency and severity of asthma attacks, which can be triggered by various factors. By addressing these main purposes, asthma treatment aims to improve the overall quality of life for individuals with asthma.

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  • 34. 

    A patient who is allergic to dogs experiences a sudden asthma attack. Which assessment findings does the nurse expect for this pt?

    • A.

      Slow, deep, pursed-lip breathing

    • B.

      Breathlessness and difficulty completing sentences

    • C.

      Clubbing of the fingers and cyanosis of the nailbeds

    • D.

      Bradycardia and irregular pulse

    Correct Answer
    B. Breathlessness and difficulty completing sentences
    Explanation
    slow, deep, pursed-lip breathing is the method that the nurse should teach the pt to use to help improve the issue Clubbing is more COPD Will have TACHYcardia not bradycardia

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  • 35. 

    An asthma pt has been prescribed a fluticasone (Flovent) inhaler. The nurse knows the purpose of this drug for the patient is

    • A.

       relaxes the smooth muscles of the airway

    • B.

      Acts as a bronchodilator in severe episodes

    • C.

      Reduces obstruction of airways by decreasing inflammation

    • D.

      Reduces the histamine effect of the triggering agent

    Correct Answer
    C. Reduces obstruction of airways by decreasing inflammation
    Explanation
    Fluticasone (Flovent) is a corticosteroid inhaler commonly prescribed for asthma patients. It works by reducing inflammation in the airways, which helps to decrease obstruction and improve airflow. By reducing inflammation, fluticasone helps to prevent and control asthma symptoms such as wheezing, coughing, and shortness of breath. It does not directly relax the smooth muscles of the airway or act as a bronchodilator in severe episodes. It also does not specifically reduce the histamine effect of the triggering agent.

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  • 36. 

    A client is admitted with asthma. How is this disease differentiated from other chronic lung disorders

    • A.

      It affects only young people. 

    • B.

      The client has dyspnea. 

    • C.

      The client is coughing. 

    • D.

      The client is symptom-free between exacerbations

    Correct Answer
    D. The client is symptom-free between exacerbations
    Explanation
    The client may be completely symptom-free between exacerbations. Asthma affects people of all ages. Dyspnea is a common symptom of many chronic lung diseases. Coughing occurs in many acute and chronic lung diseases

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  • 37. 

    An asthma pt has been prescribed a fluticasone (Flovent) inhaler. The nurse knows the purpose of this drug for the patient is

    • A.

      Relaxes the smooth muscles of the airway

    • B.

      Acts as a bronchodilator in severe episodes

    • C.

      Reduces obstruction of airways by decreasing inflammation

    • D.

      Reduces the histamine effect of the triggering agent

    Correct Answer
    C. Reduces obstruction of airways by decreasing inflammation
    Explanation
    Fluticasone (Flovent) is a corticosteroid medication that is commonly used to treat asthma. It works by reducing inflammation in the airways, which helps to decrease obstruction and improve airflow. By reducing inflammation, fluticasone can help to prevent and control asthma symptoms, such as wheezing, shortness of breath, and coughing. It does not directly relax the smooth muscles of the airway or act as a bronchodilator, but instead targets the underlying inflammation that contributes to airway obstruction. It also does not specifically reduce the histamine effect of triggering agents, but its anti-inflammatory properties can help to reduce the overall allergic response in the airways.

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  • 38. 

    Select the asthma symptoms:

    • A.

      Shortness of breath

    • B.

      Difficulty breathing

    • C.

      Coughing (especially at day time)

    • D.

      Wheezing

    Correct Answer(s)
    A. Shortness of breath
    B. Difficulty breathing
    D. Wheezing
    Explanation
    Shortness of breath Difficulty breathing Chest tightness or pressure Coughing (especially at night) Wheezing

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  • 39. 

    In __________, airway is in persistent state of inflammation

    Correct Answer(s)
    asthma
    Explanation
    In asthma, the airway is in a persistent state of inflammation. This inflammation causes the airway to become swollen and narrow, making it difficult for air to flow in and out of the lungs. This can lead to symptoms such as wheezing, coughing, shortness of breath, and chest tightness. The inflammation in asthma is typically triggered by exposure to certain allergens or irritants, causing the airway to become hypersensitive. Treatment for asthma often includes medications to reduce inflammation and open up the airway, as well as avoiding triggers and managing symptoms.

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  • 40. 

    Asthma triggers initiate __________ inflammatory response

    Correct Answer(s)
    acute
    Explanation
    When asthma triggers are activated, they cause an acute inflammatory response. This means that the body's immune system quickly reacts to the triggers, leading to inflammation in the airways. This acute inflammation can cause symptoms such as wheezing, coughing, and shortness of breath, which are characteristic of an asthma attack. Therefore, the correct answer is "acute."

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  • 41. 

    What are some symptoms related to asthma?

    • A.

      Bronchodilation 

    • B.

      Airway edema

    • C.

       impaired clearance of secretions

    • D.

      Narrowed airway

    • E.

      Decreased work of breathing

    Correct Answer(s)
    B. Airway edema
    C.  impaired clearance of secretions
    D. Narrowed airway
    Explanation
    Bronchoconstriction, airway edema, impaired clearance of secretions Narrowed airway impedes airflow, increases work of breathing Trapped air mixes with inhaled air, impairs gas exchange

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  • 42. 

    _________ also known as a trigger to asthma.

    Correct Answer(s)
    stimulus
    Explanation
    The term "stimulus" refers to something that triggers or activates a response. In the context of the question, it is stated that "stimulus" is also known as a trigger to asthma. This suggests that asthma can be triggered by certain stimuli, such as allergens, pollutants, or physical exertion. Therefore, the correct answer is "stimulus" because it aligns with the given information about asthma triggers.

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  • 43. 

    Inflammatory cell reaction to asthma causes     

    • A.

      Bronchospasm  

    • B.

      Epithelial damage 

    • C.

      Edema

    • D.

      Increased mucus production

    Correct Answer(s)
    B. Epithelial damage 
    C. Edema
    D. Increased mucus production
    Explanation
    bronchospasms are caused by chemical mediator release

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  • 44. 

    Asthma affects more than _____ percent of children.

    Correct Answer(s)
    9, nine
    Explanation
    Asthma affects more than 9 percent of children.

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  • 45. 

    What is the most common serious chronic childhood illness?

    • A.

      COPD

    • B.

      Asthma

    • C.

      Cystic fibrosis

    • D.

      Bronchitis

    Correct Answer
    B. Asthma
    Explanation
    Asthma is the most common serious chronic childhood illness. It is a respiratory condition characterized by inflammation and narrowing of the airways, causing symptoms such as wheezing, coughing, and shortness of breath. Asthma affects millions of children worldwide and can have a significant impact on their daily lives. It is a chronic condition that requires long-term management and can be triggered by various factors such as allergies, respiratory infections, and exercise. Early diagnosis and appropriate treatment are crucial in controlling asthma symptoms and preventing exacerbations.

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  • 46. 

    ________________ ______________Respiratory distress continues despite vigorous therapeutic measures.

    Correct Answer
    Status Asthmaticus
    Explanation
    Status Asthmaticus is a severe and life-threatening form of asthma that occurs when asthma symptoms continue to worsen despite aggressive treatment. It is characterized by persistent respiratory distress, such as difficulty breathing, wheezing, and coughing, that does not respond to standard therapies. In this case, the statement indicates that despite vigorous therapeutic measures, the respiratory distress persists, suggesting that the patient may be experiencing Status Asthmaticus.

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  • 47. 

    Allergic asthma testing 

    • A.

      Scratch or patch testing

    • B.

      Pulmonary function studies

    • C.

      Chest x-ray

    • D.

      Arterial blood gas (ABG)

    Correct Answer
    A. Scratch or patch testing
    Explanation
    Scratch or patch testing is used to diagnose allergic asthma. This testing method involves exposing the skin to small amounts of potential allergens and observing for any allergic reactions. It helps identify specific allergens that trigger asthma symptoms in individuals, allowing for targeted treatment and avoidance measures. Pulmonary function studies assess lung function, chest x-rays evaluate the condition of the lungs, and arterial blood gas tests measure oxygen and carbon dioxide levels in the blood. However, these tests are not specifically used for diagnosing allergic asthma.

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  • 48. 

    All patients: inhaled short-acting beta-agonist (SABA) for quick relief of acute symptoms

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    example albuterol

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  • 49. 

    Long-term control strategies may need modification if SABA needed > ________ x/week.

    Correct Answer
    2, two
    Explanation
    Long-term control strategies may need modification if a short-acting beta-agonist (SABA) is needed more than two times per week. This suggests that the patient's asthma is not well-controlled and requires additional intervention. It may indicate the need for a different medication regimen or the adjustment of current medications to achieve better asthma control. Regular use of a SABA more than twice a week can be a sign of worsening asthma symptoms and should be addressed by healthcare professionals to prevent exacerbations and improve the patient's quality of life.

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  • 50. 

    What are the main implementations of asthma?

    • A.

      Promote effective gas exchange

    • B.

      Help relieve anxiety

    • C.

      Promote adherence to therapeutic regimen

    • D.

      Provide education regarding activity intolerance

    Correct Answer(s)
    A. Promote effective gas exchange
    B. Help relieve anxiety
    C. Promote adherence to therapeutic regimen
    D. Provide education regarding activity intolerance
    Explanation
    The main implementations of asthma include promoting effective gas exchange, helping relieve anxiety, promoting adherence to the therapeutic regimen, and providing education regarding activity intolerance. These interventions aim to improve the respiratory function of individuals with asthma, reduce stress and anxiety related to the condition, ensure that patients follow their prescribed treatment plan, and educate them about managing their activities to prevent exacerbations.

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Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Mar 21, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Feb 23, 2019
    Quiz Created by
    Sunita Roberts
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