A group of students are reviewing the various methods for assessing pain.
The students demonstrate understanding of the material when they
identify what as the most reliable method?
a) Percussing the area where pain is identified
b) Checking the patient's vital signs
c) Using a pain rating scale
d) Asking a patient if he is having pain - ANS ✓Using a pain rating scale
A patient is prescribed an inhalational corticosteroid therapy along with
bronchodilator therapy. Which of the following points should the nurse
include in the patient teaching plan?
a) Take the corticosteroid several minutes after the bronchodilator dose.
b) Before each dose of corticosteroid, rinse the mouth thoroughly with
water.
c) The corticosteroid drug provides rapid relief during an asthma attack.
d) Stop corticosteroid therapy immediately if you notice any adverse
effects. - ANS ✓Take the corticosteroid several minutes after the bronchodilator
dose.
A patient is given theophylline to treat acute asthma symptoms. Which of
the following foods should the patient avoid?
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a) Chocolate
b) Orange juice
c) Cranberry juice
d) Bananas - ANS ✓Chocolate
A patient is experiencing an acute asthma attack. What is the first-line
therapy for relief of an acute asthma attack?
a) Inhaled steroid
b) Beta2-adrenergic agonist
c) Leukotriene modifier
d) Xanthine - ANS ✓Beta2-adrenergic agonist
Which of the following should a patient be advised to do to lessen the
likelihood of developing oral thrush with the use of an inhaled
corticosteroid or mast cell aerosol? Select all that apply:
a) Use strict oral hygiene.
b) Cleanse inhaler per package instructions.
c) Use proper technique when administering dose.
d) Only administer a dose every other day.
e) Avoid eating after administration. - ANS ✓• Use strict oral hygiene.
• Cleanse inhaler per package instructions.
• Use proper technique when administering dose.
Why are inhaled steroids used to treat asthma and COPD?
a) They act locally to increase histamine release
b) They act locally to improve mobilization of edema
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c) They act locally to decrease release of inflammatory mediators
d) They act locally to decrease histamine release - ANS ✓They act locally to
decrease release of inflammatory mediators
A 70-year-old male is being treated for COPD with theophylline (Theo-Dur).
What will be a priority assessment by the nurse?
a) Use of nicotine
b) Activity level
c) Weight
d) Ingestion of fatty foods - ANS ✓Use of nicotine
A female patient, age 36, is prescribed inhaled corticosteroid (ICS) for daily
use. Which of the following adverse effects should the nurse closely
monitor for in this patient?
a) Delayed growth
b) Oropharyngeal Candida albicans infection
c) Hypotension
d) Suppression of the hypothalamic-pituitary-adrenal axis - ANS
✓Oropharyngeal Candida albicans infection
Leukotriene receptor antagonists are administered orally.
a) False
b) True - ANS ✓True
The asthmatic client is being treated with two inhalers, albuterol and
flunisolide. The nurse teaches the client that the two medications should be
administered in what order?
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