Which of the following is an essential component of asthma self-management education for patients?
Taking medication only when symptoms are severe
Avoiding all physical activities to prevent asthma attacks
Understanding how to use a peak flow meter
Ingesting a high-caffeine diet to improve breathing
The Correct Answer is C
Rationale:
A. Medications should be taken as prescribed, not only when symptoms are severe, to prevent exacerbations.
B. Physical activity should not be completely avoided; with proper management, patients with asthma can usually remain active.
C. Understanding how to use a peak flow meter is essential in asthma self-management because it helps patients monitor lung function, detect early signs of exacerbations, and take timely action.
D. A high-caffeine diet is not recommended as a management strategy for asthma.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. The ABGs show respiratory alkalosis (pH 7.50, PaCO₂ 29) with hypoxemia (PaO₂ 60, SaO₂ 86%). The priority is to administer oxygen via face mask to correct hypoxemia.
B. Mechanical ventilation may be needed if oxygen therapy is ineffective, but it is not the first action.
C. A sedative is not appropriate because the hyperventilation is compensatory for impaired oxygenation.
D. Assessing for pulmonary embolism is important (risk factors: oral contraceptives, smoking, sudden dyspnea), but ensuring oxygenation takes priority in the immediate situation.
Correct Answer is D
Explanation
Rationale:
A. Short-acting inhalers (rescue inhalers, e.g., albuterol) can be used before exercise to prevent exercise-induced bronchospasm, but they are not meant for long-term control.
B. Long-acting inhalers (e.g., salmeterol, formoterol) do not replace short-acting inhalers; patients still need rescue inhalers for acute symptoms.
C. Short-acting inhalers are not taken daily; they are used only as needed for quick relief of acute symptoms.
D. Long-acting inhalers are taken regularly as maintenance therapy to provide ongoing control of asthma symptoms and prevent exacerbations.
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