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Exam (elaborations)

NU 300 EXAM 4 Questions and Answers 100% Solved | Graded A+

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  • NU 300
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  • NU 300

NU 300 EXAM 4 Questions and Answers 100% Solved | Graded A+ What is asthma? - reversible air flow disease What induces bronchospasms in asthma? - vPollutants vRespiratory viruses vAspirin and other NSAIDs vGERD - esp with S&S at night What are some considerations for older adults with asthma...

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  • November 1, 2024
  • 63
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NU 300
  • NU 300
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NinjaNerd
©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
NU 300 EXAM 4 Questions and Answers

100% Solved | Graded A+


What is asthma? - ✔✔reversible air flow disease

What induces bronchospasms in asthma? - ✔✔vPollutants

vRespiratory viruses

vAspirin and other NSAIDs

vGERD - esp with S&S at night

What are some considerations for older adults with asthma? - ✔✔Beta

adrenergic receptors which are responsible for smooth muscle relaxation

and bronchodilation become less sensitive so airways are not as capable of

relaxing as in younger individuals. Therefore preventing flare ups is crucial.

What do you assess in a patient with asthma? - ✔✔vDetermine patterns

with the symptoms

vDyspnea or SOB

vChest tightness

vCoughing

vWheezing-loudest on exhalation initially

,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
v↑ mucus production

v?associated with rash, itching, or rhinitis

vAccessory muscle use

vBarrel chest

vAspirin/NSAIDS

vGERD

vCold within 1-2 months

vABGs may =↓CO2 initially then ↑CO2

vHallmark diagnostic is pulmonary function tests

What is the nursing dx in regards to asthma? - ✔✔vIneffective airway

clearance

vImpaired gas exchange

vAnxiety

What is the goal for a patient with asthma? - ✔✔vWith the goal of

preventing and controlling episodes, improving airflow and relieving

symptoms, asthma is best managed when the client is an active participant

in planning care which most often includes lifestyle changes and drug

therapy. Lots of patient education.*

What actions and interventions do you take for a patient with asthma? -

✔✔vTeach how to manage control and relief meds*

,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
vTeach patient to measure symptom severity twice a day using a peak flow

meter and to adjust meds based on the individual action plan*

vTeach patient to keep a diary of S&S and treatments*

vTeach value of aerobic exercise, the need for meds before exercising,

need to modify the environment*

vMaintain O2 therapy during an attack - Heliox may be needed.

How do you use a peak flowmeter? - ✔✔• Set the peak flowmeter at zero.

• Use a standing position, without leaning or supporting yourself on

anything, if possible.

• Take as deep a breath as you can.

• Place the mouthpiece of the meter in your mouth, taking care to wrap your

lips tightly around it.

• Blow your breath out through the mouthpiece as hard and as fast as you

are able. (If you cough, sneeze, or have any type of interruption while you

exhale, reset the meter and perform the test again.)

• Reset and perform the test two additional times.

• Use the highest reading of the three to determine your current peak flow

rate.

• Keep a record or graph of your peak flow rates and examine these for

trends.

, ©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
What do you teach a patient and their family about managing asthma? -

✔✔• Avoid potential environmental asthma triggers, such as smoke,

fireplaces, dust, mold, and weather changes (especially warm to cold or

sudden barometric changes).

• Avoid medications that are triggers for your asthma (e.g., aspirin, NSAIDs,

beta blockers).

• Avoid food that has been prepared with monosodium glutamate (MSG) or

metabisulfite.

• If you experience symptoms of exercise-induced asthma, use your

bronchodilator inhaler 30 minutes before exercise to prevent or reduce

bronchospasm.

• Be sure you know the proper technique and correct sequence when you

use metered dose inhalers.

• Get adequate rest and sleep.

• Reduce stress and anxiety; learn relaxation techniques; adopt coping

mechanisms that have worked for you in the past.

• Wash all bedding with hot water to destroy dust mites.

• Monitor your peak expiratory flow rates with a flowmeter at least twice

daily.

• Seek immediate emergency care if you experience any of these:

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