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 A

Explanation

A. Take the medication during pregnancy: Methotrexate is highly teratogenic and absolutely contraindicated during pregnancy because it can cause severe fetal malformations or death. Clients must be instructed to avoid pregnancy while on methotrexate and for some time after discontinuing the drug, making this a critical point requiring immediate correction.

B. Use folic acid to protect the liver: Methotrexate interferes with folate metabolism, and folic acid supplementation is recommended to reduce some side effects such as liver toxicity, mucositis, and bone marrow suppression. This statement reflects appropriate understanding of supportive care during methotrexate therapy.

C. Store the medication at room temperature: Methotrexate should be stored at room temperature away from light and moisture, consistent with safe medication handling practices. This information is accurate and does not require additional instruction.

D. Obtain a platelet count weekly: Methotrexate can cause bone marrow suppression, increasing the risk of thrombocytopenia. Regular monitoring of blood counts, including platelets, is standard practice to detect toxicity early, so this action is appropriate and understood correctly.

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 receives a prescription for methotrexate. Which information provided by the client requires additional instruction by the nurse?

Correct Answer is A

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

A client with amyotrophic lateral sclerosis (ALS) has been taking riluzole for two weeks. The nurse notes that the client remains weak with observable muscle atrophy. Which action should the nurse take?

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 receives a prescription for IV famotidine. Which finding indicates to the nurse the medication is effective?

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.)

Patient Data Which actions should the nurse take to assure safety during morphine administration? Select all that apply.

A female client with mild depression reports to the nurse recently starting St. John's wort. Which information provided by the client requires further instruction?

The nurse is teaching a client with type 1 diabetes mellitus about the onset, peak, and duration of a new prescription for glargine insulin. If the insulin is self administered at 0800, when is the client most likely to experience hypoglycemia?

While assessing a client who takes acetaminophen for chronic pain, the nurse observes that the client's skin looks yellow in color. Which action should the nurse take in response to this finding?

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.