A nurse admits a patient who has a diagnosis of acute asthma.
Which statement indicates that the patient may need teaching regarding medication use?
I became short of breath an hour before coming to the hospital.
I have been taking acetaminophen every 6 hours for chest wall pain.
I have been using my albuterol inhaler frequently over the last 4 days.
I have not had any acute asthma attacks during the past year.
The Correct Answer is C
Choice A rationale
This statement describes the onset of the patient's current symptoms, which is important information for assessment but does not indicate a knowledge deficit about medication use. It simply provides context for the acute asthma exacerbation they are experiencing, assisting in understanding the disease progression.
Choice B rationale
Taking acetaminophen for chest wall pain is a symptomatic treatment and does not necessarily indicate a lack of understanding about asthma medications. Chest wall pain can be a secondary symptom of asthma exacerbation due to increased respiratory effort, and acetaminophen is a common analgesic for such discomfort.
Choice C rationale
Frequent use of a rescue inhaler, such as albuterol, over several days indicates inadequate control of asthma and a potential over-reliance on a short-acting bronchodilator. This suggests a need for teaching about proper medication use, including the role of maintenance medications and when to seek medical attention for worsening symptoms.
Choice D rationale
This statement indicates good asthma control over the past year, which is a positive outcome. It does not suggest a need for medication teaching; rather, it implies adherence to a successful management plan or a period of disease remission. This patient's statement is reassuring, not concerning.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Active tuberculosis is primarily transmitted via airborne particles containing Mycobacterium tuberculosis. Therefore, isolating the client in a private room equipped with negative pressure ventilation is crucial. This system ensures that air from the room is exhausted directly outside or through a high-efficiency particulate air (HEPA) filter, preventing the dissemination of airborne pathogens to other areas and protecting healthcare workers and other clients from exposure.
Choice B rationale
Assigning a client with active tuberculosis to a room with clients requiring droplet precautions is inappropriate. Droplet precautions are for larger respiratory droplets that typically travel short distances, whereas tuberculosis involves smaller airborne nuclei that can remain suspended in the air and travel greater distances. This placement would significantly increase the risk of cross-contamination and disease transmission to other susceptible individuals within the healthcare environment.
Choice C rationale
While masks are essential for airborne precautions, routine use of gowns and gloves for staff and visitors is generally not required for tuberculosis unless direct contact with respiratory secretions or contaminated items is anticipated. The primary mode of transmission is airborne, making respiratory protection the paramount intervention. Over-gowning and gloving unnecessarily consume resources and do not significantly enhance protection against airborne transmission.
Choice D rationale
Modifying the protocol for donning and removing personal protective equipment (PPE) before entering or leaving the client's room is unsafe and increases the risk of contamination. Strict adherence to established PPE protocols, including proper hand hygiene and the correct sequence for donning and doffing, is critical to prevent self-contamination and the spread of pathogens. Any deviation from these protocols compromises safety and infection control efficacy.
Correct Answer is B
Explanation
Choice A rationale
Sinus rhythm is characterized by a regular heart rate between 60 and 100 beats per minute, a P wave preceding every QRS complex, and a consistent PR interval. The rhythm strip shown does not meet the criteria for a normal sinus rhythm due to a prolonged PR interval, indicating a conduction delay.
Choice B rationale
Sinus rhythm with first-degree AV block is identified by a regular sinus rhythm with a prolonged PR interval (greater than 0.20 seconds). This indicates a delay in electrical impulse conduction from the atria to the ventricles through the AV node, but all atrial impulses are still conducted.
Choice C rationale
STEMI (ST-segment elevation myocardial infarction) is characterized by significant ST-segment elevation on the electrocardiogram, indicating acute myocardial injury. This specific rhythm strip does not display the characteristic ST-segment elevation associated with a STEMI.
Choice D rationale
NSTEMI (non-ST-segment elevation myocardial infarction) is typically characterized by ST-segment depression, T-wave inversion, or non-specific ST-T wave changes, without persistent ST-segment elevation. The provided rhythm strip does not exhibit these specific ischemic changes.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.