The nurse is caring for a child who was recently diagnosed with moderate persistent asthma. Which common asthma triggers should the nurse teach the client to avoid?

Cigarettes or tobacco smoke

Air pollution

Any physical activity

Certain cough products

Answer and Explanation

Correct Answer : A,B,D

Choice A reason: Cigarette or tobacco smoke is a major trigger for asthma attacks. Inhaling smoke irritates the airways, leading to inflammation and bronchoconstriction, making it harder for asthmatic individuals to breathe.

Choice B reason: Air pollution, including smog, industrial emissions, and vehicle exhaust, can exacerbate asthma symptoms. Pollutants in the air can trigger airway inflammation and constriction, leading to asthma attacks.

Choice C reason: Physical activity is not a common trigger for moderate persistent asthma if managed properly. Regular exercise is generally encouraged for overall health and can help improve lung function. However, clients should use their prescribed inhaler and follow their asthma action plan to manage exercise-induced asthma symptoms.

Choice D reason: Certain cough products, especially those containing ingredients like menthol or chemicals, can irritate the airways and trigger asthma symptoms. It's important for clients with asthma to avoid using over-the-counter cough products without consulting their healthcare provider.

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Correct Answer is C

Explanation

Choice A reason: Limiting fluid intake in the evening may reduce the need to urinate at night but does not address the client's fear of falling. It is more important to provide a safer alternative for nighttime voiding.

Choice B reason: Putting the side rails up and instructing the client to call the nurse before voiding may help, but it does not provide the most immediate and practical solution. A bedside commode offers a safer and more accessible option.

Choice C reason: Obtaining a bedside commode for the client's use directly addresses the client's concern about falling. It allows the client to void safely without having to walk to the bathroom at night, reducing the risk of falls.

Choice D reason: Leaving a nightlight on in the room can help improve visibility but does not completely eliminate the risk of falling. A bedside commode is a more effective solution.

A. "Because of the dysrhythmia, blood backs up in the legs and puts you at risk for blood clots." B. "Because the atria are quivering, blood flows sluggishly through them, and clots can form along the heart wall, which then could loosen and travel to the lungs or brain." C. "The medications that you are taking cause blood clots as a side effect so you need this medication to prevent them."

Correct Answer is B

Explanation

Choice A reason: The statement "Because of the dysrhythmia, blood backs up in the legs and puts you at risk for blood clots" is incorrect. Atrial fibrillation primarily causes blood to pool in the atria, not the legs.

Choice B reason: The statement "Because the atria are quivering, blood flows sluggishly through them, and clots can form along the heart wall, which then could loosen and travel to the lungs or brain" accurately explains the risk of clot formation in atrial fibrillation and the importance of anticoagulant therapy to prevent strokes and other complications.

Choice C reason: The statement "The medications that you are taking cause blood clots as a side effect so you need this medication to prevent them" is incorrect. Anticoagulant therapy in atrial fibrillation is used to prevent clot formation due to the arrhythmia itself, not as a counteraction to the side effects of other medications.

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The nurse is caring for a child who was recently diagnosed with moderate persistent asthma. Which common asthma triggers should the nurse teach the client to avoid?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an older adult client who states, "I am afraid that I may fall while walking to the bathroom during the night." Which of the following actions should the nurse take?

Correct Answer is C

Explanation

The nurse is teaching a client with atrial fibrillation about the need to begin long-term anticoagulant therapy. Which explanation should the nurse use to best describe the reasoning for this therapy?

Correct Answer is B

Explanation

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