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EAQ- LEWIS MED SURG CH.29, NURSING MANAGEMENT: OBSTRUCTIVE PULMONARY DISEASES: ASTHMA MANAGEMENT EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS $10.49   Add to cart

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EAQ- LEWIS MED SURG CH.29, NURSING MANAGEMENT: OBSTRUCTIVE PULMONARY DISEASES: ASTHMA MANAGEMENT EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS

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EAQ- LEWIS MED SURG CH.29, NURSING MANAGEMENT: OBSTRUCTIVE PULMONARY DISEASES: ASTHMA MANAGEMENT EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS On examining a patient with asthma the nurse finds that the patient experiences asthmatic symptoms throughout the day, besides experiencing night-ti...

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  • November 11, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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EAQ- LEWIS MED SURG CH.29, NURSING MANAGEMENT:

OBSTRUCTIVE PULMONARY DISEASES: ASTHMA MANAGEMENT EXAM

QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS


On examining a patient with asthma the nurse finds that the patient experiences

asthmatic symptoms throughout the day, besides experiencing night-time

awakenings more than four times a week. The patient's forced expiratory volume

in the first second of expiration (FEV1) is less than 60%, and normal activity is

very limited. Which treatment option should the nurse consider appropriate?



1. Advise maintaining control of asthma symptoms.

2. Follow up after a month.

3. Reevaluate in two to six weeks.

4. Consider oral corticosteroids.

4. Consider oral corticosteroids.



Experiencing symptoms of asthma throughout the day and also experiencing nighttime

awakenings more than four times a week is suggestive of poorly controlled asthma. This

patient also has an FEV1 less than 60%; normal activity being very limited correlates

with that. Treatment with oral corticosteroids should be considered. Advice for

maintaining control of asthma symptoms and following up after a month can be given in

case of well controlled asthma. Reevaluation in two to six weeks is suggested if the

, asthma is not well controlled or if the patient experiences symptoms more than two

times a month.

The nurse is teaching a patient how to use a hand-held nebulizer. Which guideline

is correct?



1. Sit in an upright position during the treatment.

2. Take short, shallow breaths while inhaling the medication.

3. Rinse the nebulizer equipment under running water once a week.

4. During the treatment, breathe in and hold the breath for five seconds.

1. Sit in an upright position during the treatment.



The patient is placed in an upright position that allows for most efficient breathing to

ensure adequate penetration and deposition of the aerosolized medication. The patient

must breathe slowly and deeply through the mouth and hold inspirations for two or three

seconds. Deep diaphragmatic breathing helps ensure deposition of the medication.

Instruct the patient to breathe normally in between these large forced breaths to prevent

alveolar hypoventilation and dizziness. After the treatment instruct the patient to cough

effectively. An effective home-cleaning method is to wash the nebulizer equipment daily

in soap and water, rinse it with water, and soak it for 20 to 30 minutes in a 1:1 white

vinegar-water solution, followed by a water rinse and air drying.

A 45-year-old patient is experiencing an asthma exacerbation. To facilitate

airflow, the nurse should place the patient in which position?

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