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 B
Explanation
Choice A rationale
Pruritus, or itching, is not a typical manifestation of Parkinson's disease. Parkinson's primarily affects the motor system due to degeneration of dopaminergic neurons in the substantia nigra, leading to movement disorders rather than dermatological symptoms.
Choice B rationale
Bradykinesia, characterized by slowness of movement, is a cardinal manifestation of Parkinson's disease. It results from reduced dopamine levels, impairing the basal ganglia's ability to facilitate smooth and rapid motor control, making daily activities challenging.
Choice C rationale
Hypertension, or high blood pressure, is not a direct or consistent manifestation of Parkinson's disease. While some autonomic dysregulation can occur, it typically leads to orthostatic hypotension rather than sustained hypertension, especially in later stages. Normal blood pressure is typically below 120/80 mmHg.
Choice D rationale
Xerostomia, or dry mouth, is not a primary manifestation of Parkinson's disease. It can be a side effect of some medications used to treat Parkinson's, such as anticholinergics, but it is not a direct symptom of the disease itself.
Correct Answer is ["0.4"]
Explanation
Step 1 is to convert grams to milligrams. 3 g × 1000 mg/g = 3000 mg.
Step 2 is to calculate the volume to administer. (250 mg ÷ 3000 mg) × 5 mL = 0.4166. mL.
Step 3 is to round to the nearest tenth. 0.4 mL. The nurse should administer 0.4 mL per dose.
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