A patient with asthma reports using their short-acting beta-agonist (albuterol) inhaler five times per day for the past week. What is the nurse's priority action?
Reinforce the importance of using the inhaler before exercise.
Instruct the patient to increase fluid intake
Document the finding in the chart.
Notify the healthcare provider for possible adjustment of maintenance therapy.
The Correct Answer is D
A. Reinforce the importance of using the inhaler before exercise: While using a short-acting beta-agonist (SABA) before exercise can prevent exercise-induced bronchospasm, the patient’s frequent daily use indicates poorly controlled asthma, which requires more than preventive measures.
B. Instruct the patient to increase fluid intake: Hydration is generally beneficial but does not address the underlying issue of frequent SABA use or uncontrolled asthma. Increasing fluids alone will not improve asthma control.
C. Document the finding in the chart: Documentation is important, but it is not sufficient as a standalone action when a patient exhibits frequent rescue inhaler use. Immediate clinical intervention is warranted.
D. Notify the healthcare provider for possible adjustment of maintenance therapy: Using a SABA five times per day signals inadequate asthma control and potential need for stepping up controller therapy, such as inhaled corticosteroids. Notifying the provider ensures timely evaluation and adjustment to prevent exacerbations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["26"]
Explanation
Calculation:
- Identify the prescribed dose and IV concentration
Prescribed Dose: 1,300 units/hr
IV Concentration: 25,000 units in 500 mL
- Calculate the concentration in units per mL
Concentration = 25,000 ÷ 500 = 50 units/mL
- Calculate the infusion rate in mL/hr
Infusion Rate (mL/hr) = Prescribed Dose ÷ Concentration
Infusion Rate = 1,300 ÷ 50
Infusion Rate = 26 mL/hr
Correct Answer is C
Explanation
A. Blurred vision: Visual changes are not a common early symptom of SLE. While lupus can occasionally affect the eyes through complications like retinal vasculitis, blurred vision is not a hallmark feature.
B. Excessive thirst: Polyuria and polydipsia are more characteristic of diabetes mellitus, not SLE. They are not typical indicators of lupus activity or flares.
C. Joint pain and swelling: Arthritis and arthralgia are among the most common manifestations of SLE. Symmetrical or migratory joint pain, swelling, and stiffness often occur during flares, making this a key symptom for patient education recognition.
D. Persistent cough: Respiratory symptoms such as cough may arise if lupus involves the lungs (e.g., pleuritis or pneumonitis), but they are less common and not a primary symptom. Joint involvement is more consistent and recognizable.
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