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Exhibits here

The client reports having a cold earlier in the week, but she was feeling better before the hike. The nurse begins client education and asks the client what potential asthma triggers may have  been involved in her recent exacerbation. For each statement click to specify if the client has an  understanding or no understanding of asthma triggers. 

Client Statements below.

A.

I should have taken some allergy medications before going on the hike.

B.

I should have eaten a snack halfway through the hike.

C.

My friend smoked cigarettes during the hike.

D.

I have been very stressed out lately and should work on stress management.

E.

I should have taken an extra dose of Fluticasone- Salmeterol.

Answer and Explanation

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

A. Understanding: The client recognizes that taking allergy medications before the hike might  have helped prevent an exacerbation. 

B. No understanding: The client doesn't realize that eating a snack could impact asthma  symptoms. Proper education is needed here. 

C. Understanding: The client acknowledges that exposure to cigarette smoke during the hike  could have contributed to the exacerbation. 

D. Understanding: The client identifies that stress management could be important in preventing  asthma exacerbations. 

E. No understanding: The client is not aware that taking an extra dose of Fluticasone-Salmeterol  could have been beneficial. Further education is necessary. 


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Related Questions

Correct Answer is C

Explanation

Choice A rationale: Initiating the urine collection without reporting the low serum creatinine is inappropriate. A value of 0.3 mg/dL is below the reference range and may indicate significant muscle wasting or severe malnutrition.

Choice B rationale: Evaluating the BUN level provides information about hydration and renal perfusion, but it does not address the immediate clinical significance of an abnormally low creatinine level in an older adult client.

Choice C rationale: The nurse must notify the provider because a creatinine level of 0.3 mg/dL is abnormally low. In older adults, this often reflects low muscle mass, which significantly impacts how drug dosages are calculated.

Choice D rationale: Assessing for hypokalemia is not directly indicated by a low creatinine level. While electrolyte monitoring is important in drug toxicity, it is not the priority action linked to this specific lab finding.

Correct Answer is ["A","D"]

Explanation

Choice A rationale: Hypoxic-ischemic injury from submersion can lead to delayed cerebral edema. Monitoring is critical as the brain's inflammatory response to the initial insult often peaks several hours after the event.

Choice B rationale: Asphyxia is the initial event that occurred in the pool. By the time the child is admitted to the pediatric floor, the asphyxiation event has passed; the nurse now monitors for its aftereffects.

Choice C rationale: Near-drowning victims are more likely to experience hypotension due to myocardial depression or shifting fluid balances. Hypertension is not a typical expected complication in the immediate post-submersion recovery period.

Choice D rationale: Aspiration of water interferes with surfactant production and damages alveolar membranes, leading to pulmonary edema or ARDS. Respiratory status can deteriorate rapidly 6 to 8 hours after the initial insult.

Choice E rationale: The child was in cool water with an outdoor temperature of 64°F, making hypothermia the primary concern. Hyperthermia is not expected unless a secondary infection or a thermregulation failure occurs much later.

Choice F rationale: The head CT scan was negative for bleeding. Without a significant traumatic impact or pre-existing condition, a subdural hemorrhage is not a standard complication resulting from a submersion injury.

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