A nurse in a provider's office is caring for a client who has asthma and reports that the manifestations get worse while exercising. Which of the following statements should the nurse make?
"Refrain from doing any exercises until your symptoms show improvement."
"Use your long-acting beta agonist inhaler after exercise-induced symptoms appear."
"Use your short-acting beta agonist inhaler before exercising."
"It is safe to exercise if your peak flow meter measures in the red zone."
The Correct Answer is C
Rationale:
A. "Refrain from doing any exercises until your symptoms show improvement.": Completely avoiding exercise is not necessary for most people with asthma and can negatively impact cardiovascular health. The goal is to control symptoms so that safe activity is possible.
B. "Use your long-acting beta agonist inhaler after exercise-induced symptoms appear.": Long-acting beta agonists are used for maintenance therapy, not for quick relief. They are not appropriate for immediate symptom control before or after exercise.
C. "Use your short-acting beta agonist inhaler before exercising.": Short-acting beta agonists, such as albuterol, can be taken 5–20 minutes before exercise to prevent exercise-induced bronchospasm. This is the recommended approach for clients with exercise-triggered asthma.
D. "It is safe to exercise if your peak flow meter measures in the red zone.": The red zone indicates severe airway narrowing and poor asthma control, requiring immediate medical attention. Exercise in this state could worsen symptoms and lead to respiratory distress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. "I will hang a pastel-colored mobile 24 inches above my baby's crib.": Newborns can only see objects clearly 8–12 inches away and are more attracted to bold patterns and contrasting colors. A mobile 24 inches away would be too far for visual stimulation.
B. "I will place a ticking clock nearby to soothe my baby throughout the day.": Rhythmic sounds, such as a ticking clock, can mimic the intrauterine environment and help calm newborns. This is an appropriate soothing technique for a 1-week-old.
C. "I will avoid picking up my baby too often to keep from spoiling him.": Holding and responding promptly to a newborn’s needs promotes bonding, emotional security, and healthy development. At this age, infants cannot be spoiled.
D. "I can use a firm pillow to prop up the bottle when feeding my baby.": Propping bottles increases the risk of choking, aspiration, and otitis media. Infants should always be held during feedings for safety and bonding.
Correct Answer is ["A","B","D","E"]
Explanation
A. Expected outcome of the procedure: The provider must explain the anticipated results of the colon resection so the client can make an informed decision about proceeding with the surgery.
B. Potential complications: The client should be informed of the risks and possible adverse events associated with the procedure, which is essential for informed consent.
C. Cost of the procedure: Financial information is not required for informed consent. While helpful for planning, it is not part of the medical disclosure required by the provider.
D. Explanation of the procedure: A clear description of the surgical steps allows the client to understand what the procedure entails, which is a fundamental component of informed consent.
E. Possible alternative treatments: The client must be aware of other treatment options, including the choice of no treatment, to make an informed decision regarding surgery.
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