The nurse is teaching a client with newly diagnosed asthma. Which instructions should the nurse include to reduce the likelihood of an asthma attack? (Select all that apply)
Avoid smoking.
Call 911 if your peak flow meter reading is in the red zone.
Wash bedclothes in hot water.
Keep house fresh with air fresheners.
Ensure to use your inhaler at least 30 minutes before exercising.
Correct Answer : A,B,C
Choice A reason: Smoking is a significant trigger for asthma attacks. Tobacco smoke contains numerous irritants and chemicals that can inflame the airways and make asthma symptoms worse. Avoiding smoking, as well as second-hand smoke, is crucial for managing asthma and reducing the likelihood of attacks.
Choice B reason: The peak flow meter is a crucial tool for asthma management. It measures how well air moves out of the lungs. If a reading is in the red zone, it means that the airway is significantly obstructed, and immediate medical intervention is required. Calling 911 ensures that the patient gets timely help, which can be life-saving in severe asthma attacks.
Choice C reason: Washing bed clothes regularly is important because dust mites, which are common asthma triggers, thrive in bedding. Regular washing at a high temperature can kill these mites and reduce their presence, thereby minimizing one of the common indoor asthma triggers.
Choice D reason: Keeping the house fresh with air fresheners is actually not recommended for asthma patients. Many air fresheners contain volatile organic compounds (VOCs) and other chemicals that can irritate the airways and trigger asthma symptoms. Instead, maintaining good ventilation and using non-chemical methods to keep the air fresh is preferred.
Choice E reason: Using an inhaler two hours before exercising is not a standard recommendation for asthma management. Typically, a quick-relief inhaler (bronchodilator) is used 15-30 minutes before exercise to prevent exercise-induced bronchoconstriction. The two-hour mark is not effective in ensuring the medication's peak action during the exercise period.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: The nurse waiting 5 minutes between administering prescribed eye drops is a standard practice to allow each drop to be properly absorbed and avoid dilution of the medication. This intervention does not require any action from the charge nurse.
Choice B reason: Leaving the eye shield in place while the client sleeps helps protect the eye from potential injury or infection after surgery. This is a recommended practice and does not need intervention from the charge nurse.
Choice C reason: Instructing the client not to drive at night is a reasonable precautionary measure given the client's recent eye surgery and potential vision changes. This instruction does not warrant intervention from the charge nurse.
Choice D reason: Encouraging the client to exercise with 20 lb weights one day post-operatively is inappropriate and requires the charge nurse to intervene. Strenuous activity can increase intraocular pressure and compromise the healing process after cataract surgery. The client should avoid heavy lifting and follow the post-operative care instructions provided by the healthcare team.
Correct Answer is C
Explanation
Choice A reason: Clear-colored outflow is normal and indicates that the dialysis process is functioning correctly.
Choice B reason: Outflow amount exceeding inflow amount may be noted and reported, but it is not an immediate cause for concern unless accompanied by other symptoms.
Choice C reason: Cloudy opaque colored outflow indicates possible peritonitis, an infection of the peritoneum. This is a serious complication that requires immediate medical attention to prevent further complications.
Choice D reason: Non-purulent outflow is not an immediate cause for concern and indicates that there is no infection present.
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