Capstone-Exam One-Case Study Questions; CORRECTLY ANSWERED

Place the steps of using the MDI with spacer in the correct order. correct answers Shake inhaler, attach to spacer, tilt head back exhale, then place mouth over inhaler forming air-tight seal, depress top of the inhaler and inhale medication over 3-5 seconds and then when it is gone hold it in for 5-10 seconds, remove and exhale through the nose, wait 1-2 minutes before next puff. Is it normal to feel anxious and jittery after taking albuterol? How about tachycardia? correct answers Yes. What should the nurse monitor for after giving albuterol? correct answers -listen to lung sounds before and after (as well as BP and HR) -Document consistency of sputum (if any) -monitor for paradoxical bronchospasm (Instead of relieving bronchoconstriction, it increases it, which results in increased wheezing and difficulty breathing.) Should you take flovent before albuterol in an emergency asthmatic situation? correct answers No. The fast acting bronchodialator (albuterol) should be taken before the steroid. This is because the albuterol will open up the airways and then the steroid will just help to relieve inflammation. How long should you wait between taking the flovent after the albuterol? correct answers Five minutes. Which are controllers and which are relievers? Prelone, flovent, singulair, and albuterol. correct answers prelone, flovent, singulair are controllers, albuterol are relievers. What is the most important step to take after taking a corticosteroid? correct answers Rinse mouth afterwards--causes thrush. What is a peak flow meter? correct answers Can be used at home during attack to assess lung function. How well are you moving air? Green zone-everything is fine keep on your meds Red zone-need to take other medication like rescue meds and call doctor or go to ER. Is exercise recommended for asthmatic patients? correct answers Yes, we like swimming because you can hold your breath. After an exacerbation it is okay to play he needs to make sure it is well controlled. What are some discharge teachings after a patient leaves after an asthma exacerbation? correct answers -get vaccinated