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concept of nursing 1
Asthma
Question | Answer |
---|---|
List the pathophysiologic mechanisms that occur in asthma in order. | -Exposure to trigger -Blood vessels dilate -Bronchioles constrict -Lung dysfunction |
A patient with a history of asthma presents with wheezing and dyspnea and reports tightness of the chest. On assessment, the patient appears agitated and is fidgeting. The patient’s vital signs are: blood pressure 160/90 mm Hg, temperature 99.0° F, | -- |
heart rate 95 beats/min, and respiratory rate 19 breaths/min. Which complication of asthma is this patient likely experiencing? | Hypoxemia |
A patient is experiencing an acute asthma attack. The nurse understands that which common triggers may be the cause of this attack? | -Allergic reaction to cats -Intake of dairy products -Exposure to air pollution |
During a routine wellness visit, a patient reports asthma symptoms occurring approximately three times per week. The symptoms do not interfere with the patient’s sleep, and on assessment, forced expiratory volume in 1 second is within normal range. | -- |
Which intervention can the nurse anticipate for this patient? | Short-acting β2 agonist |
The nurse is caring for a patient with a history of asthma who reports severe dyspnea and the presence of chest tightness for 3 days that has escalated in the last few hours. The nurse notes, functional oxygen saturation of 87%, | -- |
, inspiratory and expiratory wheezes, and forced expiratory volume in 1 second (FEV1) of 23%. Which nursing actions are appropriate for this patient? | -Provide supplemental oxygen. -Administer intravenous (IV) corticosteroids. |
A patient is being seen in the emergency department for an acute asthma attack. Initial forced expiratory volume in 1 second (FEV1) is 70%. After the initial dose of albuterol, FEV1 is 75%. Which provider order would the nurse carry out first? | Repeat albuterol dose. |
A patient presents with nasal flaring, intercostal retractions, and chest tightness. The nurse notes diminished breath sounds over both lungs. After administering albuterol and intravenous magnesium sulfate, | -- |
which assessment finding indicates treatment has been effective? | Inspiratory and Expiratory wheezing |
The nurse is caring for a patient with chest tightness and difficulty breathing. The nurse notes accessory muscle use, wheezes, and a peak flow of 50%. After oral corticosteroids and a short-acting β2-agonist have been administered, | -- |
which assessment findings would indicate the need for further treatment? | Diminished breath sounds |
A patient with asthma presents with complaints of dyspnea on exertion. The nurse notes hyperresonance on percussion. Which action should the nurse take? | Teach the patient the pursed-lip breathing technique. |