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NU373 WEEK 3 EAQ EVOLVE ELSEVIER: OXYGENATION (ASTHMA, COPD, RSV) EXAM QUESTIONS WITH COMPLETE SOLUTIONS VERIFIED $10.49
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NU373 WEEK 3 EAQ EVOLVE ELSEVIER: OXYGENATION (ASTHMA, COPD, RSV) EXAM QUESTIONS WITH COMPLETE SOLUTIONS VERIFIED
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NU373 WEEK 3 EAQ EVOLVE ELSEVIER: OXYGENATION (ASTHMA, COPD, RSV) EXAM QUESTIONS WITH COMPLETE SOLUTIONS VERIFIED Which trigger would the nurse instruct a client to avoid to decrease the incidence of asthma attacks? Select all that apply. o Mold o Cold air o Pet dander o Air pollution o Cig...

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  • November 11, 2024
  • 32
  • 2024/2025
  • Exam (elaborations)
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  • nu373 week 3 eaq evolve elsevier oxygenation ast

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NU373 WEEK 3 EAQ EVOLVE ELSEVIER: OXYGENATION

(ASTHMA, COPD, RSV) EXAM QUESTIONS WITH COMPLETE

SOLUTIONS VERIFIED


Which trigger would the nurse instruct a client to avoid to decrease the incidence

of asthma attacks? Select all that apply.

o Mold

o Cold air

o Pet dander

o Air pollution

o Cigarette smoke

o Mold

o Cold air

o Pet dander

o Air pollution

o Cigarette smoke

· Clients with asthma should be instructed to avoid asthma attack triggers such as mold,

cold air, pet dander, air pollution, and cigarette smoke.

The nurse reviews the laboratory reports of four clients. Which client would the

nurse suspect as having type I–mediated asthma?

o Client A

o Client B

,o Client C

o Client D

o Client A

· Asthma is a type I or IgE-mediated hypersensitivity reaction. Client A, with IgE

antibodies in the blood, has type 1–mediated asthma. Client B, with no antibodies, may

not have humoral allergy or may have a humoral deficiency. Client C and client D may

have either type II or type III hypersensitivity reactions.

Which type of hypersensitivity may have occurred in the client with elevated

histamine and prostaglandin levels, allergic rhinitis, and asthma?

o Type I

o Type II

o Type III

o Type IV

o Type I

· Type I hypersensitivity reactions (immediate hypersensitivity reactions) involve the

immunoglobulin E (IgE)-mediated release of histamines and other mediators from mast

cells and basophils. Allergic rhinitis and asthma may occur when mediators such as

histamine and prostaglandins are involved as mediators of injury. Type II

hypersensitivity reaction is cytotoxic mediated; it occurs in transfusion reactions. Type

III reactions are immune complex–mediated hypersensitivity reactions such as

rheumatoid arthritis. Type IV hypersensitivity reactions are delayed hypersensitivity

reactions; an example is contact dermatitis.

,A client with asthma is pregnant. Which nursing intervention is advisable to

ensure the safe delivery of the baby?

o Have the client stop taking her medication.

o Advise the client to abort the pregnancy.

o Have the client continue the asthma treatment.

o Have the client reduce the dose of the medication.

o Have the client continue the asthma treatment.

· Untreated maternal asthma poses a high risk to the fetus. The client should continue

the medication. The medication should not be stopped because this action may have

harmful effects on both the fetus and the mother. The pregnancy does not need to be

aborted. A reduction in the dose may not give the desired therapeutic action.

The nurse in the health clinic is counseling a college student who recently was

diagnosed with asthma. Which aspect of counseling would the nurse focus on?

o Teaching how to make a room allergy-free

o Referring to a support group for individuals with asthma

o Arranging with the college to ensure a speedy return to classes

o Evaluating whether the necessary lifestyle changes are understood

o Evaluating whether the necessary lifestyle changes are understood

· Understanding the disorder and the details of care are essential for the client to be

self-sufficient. Although teaching is important, a perceived understanding of the need

for specific interventions must be expressed before there is a readiness for learning.

Referring to a support group is premature; this may be done eventually. Although

, ensuring a speedy return to classes is important, involving the college should be the

client’s decision.

Which intervention would the nurse implement for a client admitted for an

exacerbation of asthma?

o Determine the client’s emotional state.

o Give prescribed medications to promote bronchiolar dilation.

o Provide education about the effect of a family history.

o Encourage the client to use an incentive spirometer routinely.

o Give prescribed medications to promote bronchiolar dilation.

· Asthma involves spasms of the bronchi and bronchioles as well as increased

production of mucus; this decreases the size of the lumina, interfering with inhalation

and exhalation. Bronchiolar dilation will reduce airway resistance and improve the

client’s breathing. Although identifying and addressing a client’s emotional state is

important, maintaining airway and breathing are the priority. In addition, emotional

stress is only one of many precipitating factors, such as allergens, temperature

changes, odors, and chemicals. Although recent studies indicate a genetic correlation

along with other factors that may predispose a person to the development of asthma,

exploring this issue is not the priority. The use of an incentive spirometer is not helpful

because of mucosal edema, bronchoconstriction, and secretions, all of which cause

airway obstruction.

The nurse is preparing to discharge a client who presented to the emergency

room for an acute asthma attack. The nurse notes that upon discharge the health

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