Which of the following items should the nurse include in teaching Sara about asthma? (Select all that apply)

Determine Trigger

Health Promotion

Stress Management

Keep a Journal

Start a running program

Answer and Explanation

Correct Answer : A,B,C,D

Choice A reason: Identifying triggers (e.g., allergens, exercise) prevents asthma exacerbations by avoiding bronchoconstriction causes. It empowers Sara to control exposure, a cornerstone of asthma education supported by evidence for long-term management success.

Choice B reason: Health promotion, like vaccinations and smoking cessation, reduces asthma triggers and infections. It strengthens overall respiratory health, a key teaching point to minimize exacerbations and improve Sara’s quality of life.

Choice C reason: Stress management reduces anxiety, a known asthma trigger via hyperventilation or vagal response. Techniques like deep breathing help Sara maintain control, making it a vital component of comprehensive asthma education.

Choice D reason: Keeping a journal tracks symptoms, triggers, and medication use, aiding asthma control. It provides data for healthcare adjustments, empowering Sara with self-monitoring, a proven strategy in personalized asthma management plans.

Choice E reason: Starting a running program risks exacerbating asthma via exercise-induced bronchospasm, especially without control. It’s not suitable teaching; gradual activity with medical clearance is safer, not an initial recommendation.

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Correct Answer is B

Explanation

Choice A reason: Acetaminophen reduces fever, but 101.2°F isn’t critical in sepsis, where hypotension (90/56 mmHg) signals shock. Addressing fever alone ignores systemic instability, delaying urgent intervention for a deteriorating patient needing comprehensive management.

Choice B reason: Hypotension (90/56 mmHg) and tachypnea (34 breaths/min) indicate septic shock, requiring immediate escalation. Notifying the provider ensures rapid fluid resuscitation and vasopressors, critical in gram-negative sepsis to reverse hypoperfusion and prevent organ failure.

Choice C reason: Pulse oximetry assesses oxygenation, useful in sepsis with tachypnea. However, hypotension is more immediately life-threatening, prioritizing provider notification for systemic treatment over a single parameter check that delays broader stabilization efforts.

Choice D reason: IV antibiotics target sepsis’s cause, but a scheduled dose doesn’t address acute hypotension urgency. Provider notification supersedes routine administration, as shock requires fluids and pressors now, not just infection control, to save the patient.

A. Encourage the patient to engage in regular low-impact exercise. B. Advise the patient to limit fluid intake to prevent edema. C. Instruct the patient to wear tight-fitting shoes to improve circulation. D. Recommend strict bed rest to minimize pain.

Correct Answer is A

Explanation

Choice A reason: Low-impact exercise, like walking, enhances collateral circulation in PAD, increasing blood flow to ischemic muscles. It reduces claudication by stimulating angiogenesis and improving endothelial function, a cornerstone of evidence-based management to alleviate symptoms effectively.

Choice B reason: Limiting fluid intake addresses edema, not a primary PAD issue, which involves arterial insufficiency, not venous stasis. This strategy lacks scientific support for claudication relief, as hydration status doesn’t directly influence arterial perfusion.

Choice C reason: Tight shoes restrict circulation, worsening PAD by compressing arteries and exacerbating ischemia. Proper footwear is essential, but constriction contradicts vascular physiology, potentially increasing pain and tissue damage rather than improving blood flow.

Choice D reason: Bed rest reduces activity, promoting stasis and deconditioning in PAD, worsening claudication. Immobility decreases muscle pump action and collateral flow, conflicting with evidence that exercise improves symptoms, making this detrimental to recovery.

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Which of the following items should the nurse include in teaching Sara about asthma? (Select all that apply)

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Naxlex Comprehensive Predictor Exams

The nurse assesses vital signs for a patient admitted 2 days ago with gram-negative sepsis: temperature of 101.2°F, blood pressure of 90/56 mm Hg, pulse of 92 beats/min, and respirations of 34 breaths/min. Which action would the nurse take next?

Correct Answer is B

Explanation

A 65-year-old patient with a history of Peripheral Artery Disease (PAD) presents to the clinic with complaints of intermittent claudication in the right leg. Which of the following management strategies should the nurse prioritize to improve the patient’s condition?

Correct Answer is A

Explanation

Sara is receiving a nebulized albuterol treatment for her asthma exacerbation. Which of the following should be the nurse’s first priority after administering the treatment?

Based on the patient’s respiratory assessment and history, which assessment finding would indicate a worsening of Maria’s respiratory status?

Sara has been admitted to the unit for asthma exacerbation. Which assessment findings are commonly associated with asthma exacerbation? (Select all that apply)

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The nurse is admitting a patient with possible respiratory failure and a high PaCO2. Which assessment information would the nurse immediately report to the health care provider?

Nursing management of patients with tracheostomies includes collaboration with other healthcare team members. Match the Health care team member with the correct collaborative task.

A patient with chronic obstructive pulmonary disease (COPD) arrives in the emergency department reporting shortness of breath on minimal exertion. Which assessment finding by the nurse would be most important to report to the health care provider?

Complete the following sentence: Given the patient’s symptoms of dyspnea and fatigue, the nurse anticipates the primary care provider may increase the dose of (medication class) to help reduce fluid overload.