A patient with asthma presents with daily peak flow rates consistently at 45% of their personal best. What is the most appropriate action the nurse should take?
Instruct the patient to increase fluid intake.
Schedule a routine follow-up appointment in two weeks.
Advise the patient to avoid all physical activity.
Initiate an asthma action plan and provide oral corticosteroids.
The Correct Answer is D
A. Increasing fluid intake may help with hydration, but it is not the most appropriate intervention for a patient whose peak flow rates are significantly low. The priority is to address the asthma exacerbation.
B. Scheduling a follow-up appointment in two weeks is not appropriate in this situation. The patient is experiencing significant symptoms, and immediate action is required to manage the exacerbation.
C. Advising the patient to avoid all physical activity may not be necessary. Physical activity can be adjusted based on the patient's condition, but the priority is to treat the asthma exacerbation and improve the patient's respiratory status.
D. Initiating an asthma action plan and providing oral corticosteroids is the correct approach. A peak flow rate consistently at 45% of the personal best indicates poor asthma control, and the patient likely requires additional treatment, such as oral corticosteroids, to manage the exacerbation. The asthma action plan should guide further management based on the patient's peak flow rate and symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Hypertension is not a common adverse effect of Beclomethasone, an inhaled corticosteroid. Systemic effects like hypertension are rare with inhaled forms due to minimal systemic absorption.
B. Hypoglycemia is not associated with Beclomethasone use. Corticosteroids are more likely to cause hyperglycemia, but this is uncommon with inhaled formulations.
C. Polyuria is not an expected side effect of Beclomethasone. It is more commonly associated with conditions like diabetes or diuretics.
D. Oral candidiasis (thrush) is a common adverse effect of inhaled corticosteroids like Beclomethasone. The medication can suppress local immunity in the oral mucosa, leading to fungal overgrowth. Clients should be advised to rinse their mouth after each use to reduce this risk.
Correct Answer is D
Explanation
A. Tidal fluctuation in the water seal chamber is an expected finding in a chest tube drainage system. It indicates that the pleural space is still connected to the atmosphere, and the lungs are expanding and contracting normally.
B. Continuous bubbling in the suction control chamber is normal when the chest tube is connected to suction. This shows that the suction system is functioning properly.
C. Chest tube eyelets not being visible is expected when the chest tube is properly positioned inside the pleural space. This finding does not require immediate notification.
D. Development of subcutaneous emphysema (air trapped under the skin) may indicate an air leak or improper chest tube placement. This finding requires immediate notification of the provider to address the underlying cause and prevent complications.
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