Which of the following is a common characteristic of nonallergic asthma that a nurse might find when assessing an adult client?
improvement of symptoms with antihistamines
Symptoms triggered by pollen exposure
Wheezing and shortness of breath during exercise
Development of symptoms only during spring and fall
The Correct Answer is C
Rationale:
A. Improvement with antihistamines is characteristic of allergic asthma, not nonallergic asthma.
B. Symptoms triggered by pollen exposure indicate allergic asthma.
C. Wheezing and shortness of breath during exercise is a hallmark of nonallergic (exercise-induced) asthma, which is triggered by physical activity rather than allergens.
D. Symptoms occurring only during spring and fall are linked to seasonal allergic asthma, not nonallergic asthma.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Avoiding all physical activity is not recommended. Moderate activity, with rest periods, can improve endurance and lung function in COPD patients. Complete inactivity worsens deconditioning.
B. A high-carbohydrate diet is not appropriate because it increases CO₂ production during metabolism, which can worsen respiratory acidosis. A diet higher in fat and protein is generally preferred.
C. Pursed-lip breathing exercises are essential for COPD patients. They help prevent airway collapse, improve ventilation, promote CO₂ elimination, and reduce dyspnea.
D. Restricting fluids is not typically indicated for COPD patients unless another condition (e.g., heart failure) requires it. Adequate hydration is necessary to thin secretions and aid airway clearance.
Correct Answer is ["D","E"]
Explanation
Rationale:
A. Weight gain is not expected. Clients with pulmonary TB typically experience weight loss due to chronic infection and decreased appetite.
B. High-grade fever is not typical. TB usually causes a low-grade fever, especially in the afternoon.
C. Flushed cheeks are not a characteristic manifestation of TB. The client may appear pale and fatigued instead.
D. Night sweats are a classic symptom of TB due to the body’s response to chronic infection.
E. Blood in the sputum (hemoptysis) is a hallmark sign of pulmonary TB due to lung tissue damage and cavitation.
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