An adult client has been admitted to the hospital with asthma exacerbation. Which trigger should the nurse identify as being the most significant cause of this client's asthma complications?
The client gained 5 pounds (2.27 kg) over the last six months.
A family member recently contracted viral influenza.
There is a known family history of lung disease.
The client cleaned house with cleaning supplies.
The Correct Answer is D
Choice A reason: Gaining weight over six months can affect overall health and potentially exacerbate asthma symptoms by increasing the workload on the respiratory system. However, it is not an immediate trigger for asthma exacerbation.
Choice B reason: A family member contracting viral influenza poses a risk of the client catching the virus, which can exacerbate asthma. However, it is not a direct trigger of the asthma exacerbation unless the client actually contracts the virus.
Choice C reason: A family history of lung disease can indicate a genetic predisposition to respiratory issues, but it is not an immediate trigger for an asthma exacerbation.
Choice D reason: Cleaning with household supplies is a significant trigger for asthma exacerbation. Many cleaning products contain strong chemicals that can irritate the airways and provoke an asthma attack. This is the most immediate and direct cause of the client's asthma complications among the given options.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Describing the use of an elimination diet to find trigger foods is appropriate for clients with Crohn's disease. This approach helps identify specific foods that may cause or exacerbate symptoms, allowing the client to avoid them and manage their condition more effectively.
Choice B reason: Instructing the client to avoid foods with gluten is not necessary unless they have a confirmed gluten intolerance or celiac disease. Gluten avoidance is not a standard dietary restriction for Crohn's disease.
Choice C reason: Advising the client to limit foods that are high in calcium and iron is not appropriate, as these nutrients are important for overall health. Crohn's disease patients may need to adjust their diet based on individual needs and deficiencies, but blanket limitations on calcium and iron are not recommended.
Choice D reason: Explaining that the need to restrict fluids is the primary limitation is incorrect. In fact, staying well-hydrated is crucial for managing Crohn's disease. Fluid restriction may be necessary in specific cases, but it is not a general guideline.
Correct Answer is C
Explanation
Choice A reason: Lung sounds are important to assess for signs of fluid in the lungs, such as crackles, which can occur with fluid volume overload. However, they do not directly measure fluid balance.
Choice B reason: Turgor assesses skin elasticity and hydration status, but it is not the most accurate indicator of overall fluid balance in the context of fluid volume overload.
Choice C reason: Weight is the most accurate and direct measure of fluid balance. Daily weight monitoring can track changes in fluid status, as weight fluctuations can reflect gains or losses in body fluid.
Choice D reason: Blood pressure is important to monitor, especially in clients with fluid volume issues, but it is not the most direct measure of fluid balance. Weight changes provide more precise information about fluid status.
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