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.

Answer and Explanation

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.

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

Explanation

Choice A reason: Beta blockers are medications that can slow the heart rate, leading to sinus bradycardia. They are often prescribed for managing hypertension, arrhythmias, and other cardiovascular conditions. They work by blocking the effects of adrenaline on the heart, which reduces heart rate and blood pressure.

Choice B reason: Fever typically causes an increase in heart rate (tachycardia) rather than a decrease. The body's metabolic rate increases to fight infection, resulting in a higher heart rate.

Choice C reason: Athletism can result in sinus bradycardia because athletes often have a lower resting heart rate due to the increased efficiency of their cardiovascular system. Their hearts pump more effectively, requiring fewer beats per minute to circulate blood throughout the body.

Choice D reason: Sleeping naturally leads to a slower heart rate due to the relaxation of the body and reduced metabolic demands during rest. Sinus bradycardia during sleep is generally considered normal and not a cause for concern.

A. Administer an extra dose of albuterol before bedtime B. Use a dehumidifier while at home C. Increase the amount of fluids consumed each day D. Increase their daily exercise

Correct Answer is C

Explanation

Choice A reason: Administering an extra dose of albuterol before bedtime is not appropriate. The correct approach is to manage bronchial secretions through other means, such as hydration.

Choice B reason: Using a dehumidifier is not recommended for clients with respiratory issues. A humidifier, not a dehumidifier, helps keep the air moist and can help with secretions.

Choice C reason: Increasing the amount of fluids consumed helps to thin bronchial secretions, making them easier to cough up. Hydration is an effective method to manage secretions and improve respiratory function.

Choice D reason: Increasing daily exercise can be beneficial for overall health but is not the primary method to clear bronchial secretions. Hydration is more directly effective in this situation.

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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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

There are several factors that may cause a patient to present with sinus bradycardia. What are some causes of sinus bradycardia? (Select all that apply)

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

Explanation

A client prescribed albuterol sulfate by inhalation is unable to cough up secretions. What actions should the nurse teach the client to help clear bronchial secretions effectively?

Correct Answer is C

Explanation

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