A client with asthma is describing their symptoms to a nurse. Which statement by the client suggests nighttime worsening of asthma?
"My asthma symptoms usually improve when I lie down to sleep."
"I wake up in the middle of the night with a cough and difficulty breathing."
"I rarely experience any asthma symptoms during the night."
"I have more energy and better lung function at night."
The Correct Answer is B
A) Incorrect. Improvement of asthma symptoms when lying down is not typical, and nighttime symptoms often worsen in asthma.
B) Correct. Waking up in the middle of the night with a cough and difficulty breathing is a common symptom of nighttime worsening in asthma.
C) Incorrect. While some individuals with asthma may not experience nighttime symptoms, this is not typical.
D) Incorrect. Improved lung function and increased energy at night are not characteristic of asthma; in fact, asthma symptoms often worsen at night.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) Incorrect. Eosinophils do not release hormones that relax airway muscles.
B) Incorrect. Eosinophils are not primarily involved in antibody production in asthma.
C) Incorrect. Eosinophils are not responsible for clearing excess mucus from the airways.
D) Correct. Eosinophils are white blood cells that contribute to inflammation and airway damage in asthma by releasing inflammatory substances.
Correct Answer is C
Explanation
A) Incorrect. A decrease in peak flow measurements typically indicates worsening asthma, not improved control.
B) Incorrect. While an increase in rescue inhaler use may be necessary during an exacerbation, it does not address the underlying issue of worsening asthma.
C) Correct. A decrease in peak flow measurements is a sign of declining lung function, suggesting that asthma may be worsening. Following the asthma action plan is essential in this situation.
D) Incorrect. Peak flow measurements are a valuable tool in asthma management and are related to monitoring and controlling asthma symptoms.
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