The nurse is evaluating the patients understanding of education on environmental control for asthma management. Which statement by the patient indicates effective teaching?
"We will replace the carpet in our bedroom with tile.
"We'll keep the plants in our home dusted."
"We're glad the dog can continue to sleep in our bedroom.
"We'll be sure to use the fireplace often to keep the house warm in the winter."
The Correct Answer is A
A. This statement indicates a good understanding of environmental control for asthma management. Carpets can trap dust, allergens, and mold, which can trigger asthma attacks. Replacing the carpet with tile can help to reduce exposure to these allergens.
B. While dusting plants can help to reduce exposure to allergens, it is not as effective as removing potential allergens from the environment altogether. Plants themselves can also be sources of allergens, so it might be best to remove them from the home, especially the bedroom.
C. Pets, especially dogs and cats, can be a significant source of allergens for people with asthma. Keeping a pet in the bedroom can increase exposure to allergens and trigger asthma attacks.
D. Burning wood in a fireplace can produce smoke and other pollutants that can irritate the airways and trigger asthma attacks. It is best to avoid using fireplaces, especially during the winter months.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Rhonchi are abnormal lung sounds that result from obstruction or secretions in larger airways. They are more commonly associated with conditions like chronic bronchitis or COPD rather than tuberculosis. While TB can lead to various lung sounds, rhonchi are not a hallmark of the disease.
B. Weight gain is generally not associated with tuberculosis. In fact, TB often leads to weight loss due to factors like loss of appetite, increased metabolic demand, and systemic effects of the infection. Patients with active TB frequently present with cachexia (wasting) or weight loss, not weight gain.
C. Hemoptysis, or coughing up blood, is a significant and classic symptom associated with tuberculosis, especially in cases involving pulmonary TB. It occurs due to the erosion of blood vessels in the lungs as the disease progresses. This makes it a strong correlating finding with a diagnosis of tuberculosis.
D. Frothy sputum is more characteristic of pulmonary edema or conditions such as congestive heart failure. In tuberculosis, sputum may be mucoid or purulent and sometimes contains blood, but it is not typically described as frothy.
Correct Answer is ["A","D","E"]
Explanation
A. It is important to place a surgical mask on the patient when transporting them to minimize the risk of spreading TB droplets in the environment. This practice helps reduce transmission during transport.
B. TB is primarily transmitted via airborne particles, not droplets. Therefore, patients with active TB should be placed on airborne precautions, not droplet precautions. Airborne precautions include the use of specialized masks and a negative airflow room to prevent the spread of infectious aerosols.
C. While a surgical mask is not adequate for protecting healthcare workers from TB, they should wear a fitted N95 respirator or a powered air-purifying respirator (PAPR) when providing care to a patient with active TB. A surgical mask does not filter out the small particles that can carry TB bacteria.
D. Patients with active TB should be placed in a private room that has negative pressure ventilation. This design helps prevent airborne TB particles from escaping into other areas of the healthcare facility, protecting other patients and staff.
E. Eye protection is recommended when collecting sputum samples from a patient with active TB, as it helps protect against potential splashes of respiratory secretions that may contain infectious droplets. This is particularly important during procedures that may aerosolize the bacteria.
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