Which of the following statements is true regarding the use of long-acting and short-acting inhalers for asthma management?

Short-acting inhalers should be used before exercise to prevent long-term asthma symptoms.

Long-acting inhalers can replace the need for short-acting inhalers entirely.

Short-acting inhalers should be taken daily to prevent asthma attacks.

Long-acting inhalers should be used regularly to maintain control of asthma symptoms.

Answer and Explanation

The Correct Answer is D

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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Correct Answer is C

Explanation

Rationale:
A. Applying a cold compress to the chest does not relieve dyspnea or help mobilize secretions.
B. Lying flat worsens breathing by reducing lung expansion; COPD patients should be positioned upright to ease ventilation.
C. Administering bronchodilators as prescribed is the most appropriate intervention because bronchodilators relax airway smooth muscle, reduce bronchospasm, and improve airflow, helping the patient clear secretions more effectively.
D. Fluid intake should be increased to 2,000–2,500 mL/day (unless contraindicated) to thin secretions; reducing to 500 mL daily would worsen secretion clearance.

A. Respiratory alkalosis B. Respiratory acidosis C. Metabolic alkalosis D. Metabolic acidosis

Correct Answer is B

Explanation

Rationale:
A. Respiratory alkalosis occurs with hyperventilation (e.g., anxiety, early asthma attack), not with COPD.
B. Respiratory acidosis is common in COPD due to hypoventilation, carbon dioxide retention, and impaired gas exchange.
C. Metabolic alkalosis usually results from vomiting, gastric suction, or excessive antacid use, not COPD.
D. Metabolic acidosis occurs in conditions like diabetic ketoacidosis or renal failure, not primarily with COPD.

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Which of the following statements is true regarding the use of long-acting and short-acting inhalers for asthma management?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following interventions is most appropriate for a patient with Chronic Obstructive Pulmonary Disease (COPD) experiencing difficulty breathing due to increased secretions?

Correct Answer is C

Explanation

A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD) and is short of breath. When reviewing the client's arterial blood gases (ABGS), which of the following conditions should the nurse anticipate the client to be experiencing?

Correct Answer is B

Explanation

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