Patient Data

Click to specify whether the client statements following asthma management education indicate understanding or no understanding. Each row must have one option selected.

“The inhaled fluticasone that I was prescribed carries just as much risk as an oral steroid."

"If this treatment plan does not work, there are other drugs and combinations of drugs that I can get from my doctor to manage my asthma."

"Even with asthma, I can maintain normal activity levels."

"I should keep track of my peak expiratory flow to see how well I am managing my asthma."

"I can decrease my risk of asthma attacks if I reduce my exposure to allergens in my home."

"I should discontinue using albuterol after I fill my prescription for fluticasone

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"}}

Understanding:

"If this treatment plan does not work, there are other drugs and combinations of drugs that I can get from my doctor to manage my asthma."
"Even with asthma, I can maintain normal activity levels."
"I should keep track of my peak expiratory flow to see how well I am managing my asthma."
"I can decrease my risk of asthma attacks if I reduce my exposure to allergens in my home."

No Understanding:

"The inhaled fluticasone that I was prescribed carries just as much risk as an oral steroid."
"I should discontinue using albuterol after I fill my prescription for fluticasone."

Rationale:

"The inhaled fluticasone that I was prescribed carries just as much risk as an oral steroid." This shows no understanding because inhaled corticosteroids like fluticasone have much lower systemic absorption compared to oral steroids, minimizing systemic side effects while still controlling airway inflammation locally.
"If this treatment plan does not work, there are other drugs and combinations of drugs that I can get from my doctor to manage my asthma." This shows understanding because asthma management follows a stepwise approach. Treatment is escalated if control is not achieved, using combinations like LABAs, leukotriene modifiers, or biologics.
"Even with asthma, I can maintain normal activity levels." This shows understanding because the goal of asthma management is to control symptoms so that clients can perform normal daily activities without limitation, including exercise and work.
"I should keep track of my peak expiratory flow to see how well I am managing my asthma." This shows understanding because peak flow monitoring helps detect early decreases in lung function, guiding self-management decisions and the need for treatment adjustments.
"I can decrease my risk of asthma attacks if I reduce my exposure to allergens in my home." This shows understanding because environmental control measures, such as reducing dust mites, pet dander, and mold, are key strategies to lower asthma exacerbation risk and improve long-term control.
"I should discontinue using albuterol after I fill my prescription for fluticasone." This shows no understanding because albuterol, a rescue inhaler, should still be kept available for acute symptom relief even when a daily controller medication like fluticasone is added.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Give with prescribed antihistamine: Administering an antihistamine may help manage mild allergic reactions but does not prevent the risk of a serious, potentially life-threatening anaphylactic reaction. It is unsafe to rely solely on antihistamines when the client has a known severe penicillin allergy and is prescribed a related antibiotic like cephalexin.

B. Administer the medication as prescribed: Cephalexin is a cephalosporin, and there is a known cross-sensitivity with penicillins, especially in clients with a history of anaphylaxis. Administering the drug without verifying safety first exposes the client to unnecessary and serious risk.

C. Monitor the client for a rash or hives: While monitoring is important after administering any new medication, simply observing for early signs of an allergic reaction is not a proactive or safe strategy when anaphylaxis is a possibility. Prevention of exposure is the priority.

D. Contact the healthcare provider (HCP): Clients with a history of anaphylaxis to penicillin are at increased risk for cross-reactivity with cephalosporins. The safest action is to notify the HCP immediately to discuss an alternative antibiotic, avoiding the possibility of a dangerous allergic response.

A. Use a stool softener as needed. B. Discontinue when spasms cease. C. Avoid the ingestion of alcohol. D. Take medication with meals.

Correct Answer is B

Explanation

A. Use a stool softener as needed: Baclofen can cause constipation as a side effect due to its muscle-relaxant properties. Using a stool softener as needed is an appropriate and safe strategy to manage this potential issue without needing additional instruction.

B. Discontinue when spasms cease: Baclofen should not be abruptly discontinued because sudden withdrawal can lead to serious complications such as seizures, hallucinations, or rebound spasticity. Clients must be taught to taper the medication gradually under healthcare provider supervision.

C. Avoid the ingestion of alcohol: Alcohol can potentiate the central nervous system depressant effects of baclofen, increasing the risk of sedation, dizziness, and respiratory depression. Clients should be advised to avoid alcohol while on this medication.

D. Take medication with meals: Taking baclofen with meals helps reduce gastrointestinal upset, such as nausea, which can occur with muscle relaxants. This practice is appropriate and does not require additional instruction.

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Patient Data Click to specify whether the client statements following asthma management education indicate understanding or no understanding. Each row must have one option selected.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a history of anaphylactic reaction to penicillin receives a prescription for cephalexin 500 mg PO twice daily. Which action should the nurse take?

Correct Answer is D

Explanation

A client with muscle spasticity receives a prescription for baclofen. Which information provided by the client requires additional instruction by the nurse?

Correct Answer is B

Explanation

The nurse is planning to administer sucralfate to a client with peptic ulcer disease. Which action should the nurse include in this client's plan of care?

Which action should the nurse take to assess for analgesic tolerance in a client who is unable to communicate?

The nurse mixes diphenhydramine 25 mg in a 100 mL bag of 0.9% sodium chloride, which is to be administered IV over 30 minutes. The IV pump should be set to administer how many mL/hour? (Enter numeric value only.)

The nurse assesses a client with intermittent claudication who is receiving pentoxifylline. Which assessment should the nurse perform to determine the effectiveness of the medication?

A client has a prescription for clopidogrel bisulfate 75 mg by mouth daily at 0900. In which situation should the nurse hold this medication?

A client who experiences migraine headaches reports having fewer headaches since using the herbal remedy feverfew. Which information is most important for the nurse to include in a teaching plan for this client?

Patient Data Review H and P, nurse's notes, flow sheet, and prescriptions. Click to mark whether the assessment finding represents a therapeutic result of the bisacodyl administered, a non-therapeutic side effect, or an unrelated finding. Each row must have one option selected.

The nurse plans to administer naloxone 1 mg. The label of the 10 mL vial indicates that the drug concentration is "Naloxone 0.4 mg/mL." How many mL should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.)

Patient Data

Click to specify whether the client statements following asthma management education indicate understanding or no understanding. Each row must have one option selected.