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.

Nursing Test Bank

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Observe the client for the presence of pain behaviors before the next analgesic dose is due: In a nonverbal client, observing for pain behaviors such as grimacing, restlessness, moaning, or changes in vital signs is crucial. If these behaviors increase before the next scheduled dose, it may suggest that the current analgesic regimen is becoming less effective, indicating tolerance.

B. Review the client's laboratory values for a change in the peak and trough levels of the analgesic: Peak and trough levels are useful for monitoring therapeutic ranges for certain medications but are not reliable indicators of analgesic tolerance. Tolerance is a clinical observation based on pain behavior, not solely on drug concentration measurements.

C. Prolong the interval between analgesic medication doses and monitor the client's vital signs: Extending the interval between doses risks undertreating the client’s pain and causing unnecessary suffering. Tolerance assessment should focus on evaluating pain control, not withholding medication to observe physiological responses.

D. Ask family members to report behaviors suggesting that the client's pain has returned: While family members can provide valuable insight, their observations should supplement, not replace, the nurse's direct clinical assessment. Family members may miss subtle signs of pain or misinterpret behaviors unrelated to pain.

A. Palpate eyelids for decreased swelling. B. Check amount of drainage from each eye. C. Review eye pressure measurements. D. Use Snellen chart to assess visual acuity.

Correct Answer is C

Explanation

A. Palpate eyelids for decreased swelling: Pilocarpine is used to lower intraocular pressure in glaucoma by promoting aqueous humor drainage; it does not primarily target eyelid swelling. Palpating the eyelids would not provide relevant information about the drug’s effectiveness.

B. Check amount of drainage from each eye: Drainage from the eyes may suggest infection or irritation but is not a measure of how well pilocarpine is controlling intraocular pressure. Monitoring drainage does not directly assess the therapeutic effect of a miotic agent.

C. Review eye pressure measurements: The primary goal of pilocarpine therapy in open-angle glaucoma is to lower intraocular pressure (IOP) to prevent optic nerve damage and preserve vision. Evaluating IOP measurements directly assesses the effectiveness of the medication in achieving its intended outcome.

D. Use Snellen chart to assess visual acuity: While maintaining vision is a long-term goal in glaucoma management, changes in visual acuity do not immediately reflect the effectiveness of pilocarpine. Vision loss occurs over time if IOP is not controlled, making pressure monitoring a more immediate and sensitive indicator.

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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

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

Correct Answer is A

Explanation

A client with open-angle glaucoma is using pilocarpine opthalmic solution, a miotic agent. Which action should the nurse at the eye clinic include in evaluating the effectiveness of the medication?

Correct Answer is C

Explanation

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.

A client with myasthenia gravis receives a new prescription for pyridostigmine. Which information should the nurse obtain to prior to administering the medication?

A client receives a new prescription for somatropin. Which information provided by the client indicates a need for further education by the nurse?

Patient Data For each statement, click to indicate whether the statements by the student nurse indicate understanding or no understanding of naloxone. Each row must have one option selected.

A male client with a newly diagnosed seizure disorder starts a prescription for clonazepam. One week later, the nurse observes that his speech is slurred and he has an ataxic gait. Which action should the nurse implement?

A client with irritable bowel syndrome starts a new prescription for dicyclomine, an anticholinergic medication. The client reports the onset of sensitivity to bright sunlight and a dry mouth. How should the nurse respond?

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.