EAQ Exam 3 Questions With Correct
Answers
Which time is best to obtain peak flow readings?
| | | | | | | |
Five minutes after meals
| | |
Between noon and 2:00 p.m. | | | |
Early in the morning on an empty stomach
| | | | | | |
Two hours after inhaling a short-acting β 2 agonist - CORRECT
| | | | | | | | | | |
ANSWER✔✔-Between noon and 2:00 p.m. | | | |
The peak flow readings should be taken between noon and 2:00 p.m.
| | | | | | | | | | | |
because the peak flow is highest during this period. The patient may feel
| | | | | | | | | | | |
nauseous if the peak flow readings are taken five minutes after meals.
| | | | | | | | | | | | |
The peak flow readings are not at a high level early in the morning.
| | | | | | | | | | | | | |
Since the peak effect of the short-acting β 2agonists occurs in about 20
| | | | | | | | | | | | |
minutes, peak flows would be measured about 20 minutes after
| | | | | | | | | |
administration of the medication. | | |
To prevent respiratory complications of chronic obstructive pulmonary
| | | | | | | |
disease, which vaccines will the nurse plan to administer? Select all that
| | | | | | | | | | | |
apply.
,Tetanus
Influenza
Herpes zoster |
Pneumococcal
Bacille Calmette-Guérin (BCG) - CORRECT ANSWER✔✔-Influenza
| | | | |
Pneumococcal
The pneumococcal and influenza vaccines are important for patients
| | | | | | | | |
with a history of heart or lung disease to prevent viral and bacterial
| | | | | | | | | | | | |
pneumonia. Tetanus vaccine may be needed if there is possible
| | | | | | | | | |
exposure to Clostridium tetani but will not protect against respiratory
| | | | | | | | | |
infection. Herpes zoster immunization will protect from shingles but will
| | | | | | | | |
|not prevent respiratory infections. BCG is used to protect against
| | | | | | | | | |
tuberculosis in some countries but not in the United States.
| | | | | | | | |
Which factors are possible triggers for asthma exacerbations? Select all
| | | | | | | | | |
that apply.
|
Select all that apply
| | |
Aspirin
Perfumes
Animal dander |
Humid weather |
,Gastroesophageal reflux disease (GERD) - CORRECT ANSWER✔✔- | | | | | |
Aspirin
Perfumes
Animal dander |
Gastroesophageal reflux disease (GERD) | | |
Aspirin and other nonsteroidal antiinflammatory drugs (NSAIDS),
| | | | | | |
perfumes, animal dander, and GERD are all possible triggers for acute
| | | | | | | | | | |
asthma exacerbations. Humidity is not an asthma trigger.
| | | | | | |
Which action by a patient indicates a good understanding of the best
| | | | | | | | | | | |
way to determine if the prescribed metered-dose inhaler (MDI) canister
| | | | | | | | | |
is empty?
|
Placing it in water to see if it floats
| | | | | | | |
Keeping track of the number of inhalations used
| | | | | | |
Shaking the canister while holding it next to the ear
| | | | | | | | |
Checking the indicator line on the side of the canister - CORRECT
| | | | | | | | | | | |
ANSWER✔✔-Keeping track of the number of inhalations used | | | | | | |
The best method to determine when to replace an MDI for a regularly
| | | | | | | | | | | | |
scheduled medication is by knowing the maximum puffs available per
| | | | | | | | | |
MDI and then replacing it when those inhalations have been used (100
| | | | | | | | | | | |
puffs/2 puffs each day = 50 days). For rescue MDI inhalers which are
| | | | | | | | | | | | |
, used only PRN, the patient will need to keep track of the doses used.
| | | | | | | | | | | | | |
Although floating the canister in water was previously recommended,
| | | | | | | | |
this method may lead to water leaking into the MDI and is not
| | | | | | | | | | | | |
recommended now. Shaking the canister is inaccurate, as the patient | | | | | | | | | |
may not hear anything even if the MDI is not empty. MDIs do not have
| | | | | | | | | | | | | | |
an indicator line on the canister and most do not have a counter.
| | | | | | | | | | | |
Which instruction will the nurse include when teaching a patient to use
| | | | | | | | | | | |
a hand-held nebulizer?
| |
Sit in an upright position during the treatment.
| | | | | | |
Take short, shallow breaths while inhaling the medication.
| | | | | | |
Rinse the nebulizer equipment under running water once a week.
| | | | | | | | |
During the treatment, breathe in and hold the breath for 10 seconds. -
| | | | | | | | | | | | |
CORRECT ANSWER✔✔-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. Deep and slow breaths help ensure deposition
| | | | | | | | |
of the medication throughout the lung. To reduce bacterial growth, the
| | | | | | | | | | |
patient is asked 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. The | | | | | | | | | | |
patient is taught to hold the breath for two to three seconds during
| | | | | | | | | | | | |
nebulizer treatments. |
Answers
Which time is best to obtain peak flow readings?
| | | | | | | |
Five minutes after meals
| | |
Between noon and 2:00 p.m. | | | |
Early in the morning on an empty stomach
| | | | | | |
Two hours after inhaling a short-acting β 2 agonist - CORRECT
| | | | | | | | | | |
ANSWER✔✔-Between noon and 2:00 p.m. | | | |
The peak flow readings should be taken between noon and 2:00 p.m.
| | | | | | | | | | | |
because the peak flow is highest during this period. The patient may feel
| | | | | | | | | | | |
nauseous if the peak flow readings are taken five minutes after meals.
| | | | | | | | | | | | |
The peak flow readings are not at a high level early in the morning.
| | | | | | | | | | | | | |
Since the peak effect of the short-acting β 2agonists occurs in about 20
| | | | | | | | | | | | |
minutes, peak flows would be measured about 20 minutes after
| | | | | | | | | |
administration of the medication. | | |
To prevent respiratory complications of chronic obstructive pulmonary
| | | | | | | |
disease, which vaccines will the nurse plan to administer? Select all that
| | | | | | | | | | | |
apply.
,Tetanus
Influenza
Herpes zoster |
Pneumococcal
Bacille Calmette-Guérin (BCG) - CORRECT ANSWER✔✔-Influenza
| | | | |
Pneumococcal
The pneumococcal and influenza vaccines are important for patients
| | | | | | | | |
with a history of heart or lung disease to prevent viral and bacterial
| | | | | | | | | | | | |
pneumonia. Tetanus vaccine may be needed if there is possible
| | | | | | | | | |
exposure to Clostridium tetani but will not protect against respiratory
| | | | | | | | | |
infection. Herpes zoster immunization will protect from shingles but will
| | | | | | | | |
|not prevent respiratory infections. BCG is used to protect against
| | | | | | | | | |
tuberculosis in some countries but not in the United States.
| | | | | | | | |
Which factors are possible triggers for asthma exacerbations? Select all
| | | | | | | | | |
that apply.
|
Select all that apply
| | |
Aspirin
Perfumes
Animal dander |
Humid weather |
,Gastroesophageal reflux disease (GERD) - CORRECT ANSWER✔✔- | | | | | |
Aspirin
Perfumes
Animal dander |
Gastroesophageal reflux disease (GERD) | | |
Aspirin and other nonsteroidal antiinflammatory drugs (NSAIDS),
| | | | | | |
perfumes, animal dander, and GERD are all possible triggers for acute
| | | | | | | | | | |
asthma exacerbations. Humidity is not an asthma trigger.
| | | | | | |
Which action by a patient indicates a good understanding of the best
| | | | | | | | | | | |
way to determine if the prescribed metered-dose inhaler (MDI) canister
| | | | | | | | | |
is empty?
|
Placing it in water to see if it floats
| | | | | | | |
Keeping track of the number of inhalations used
| | | | | | |
Shaking the canister while holding it next to the ear
| | | | | | | | |
Checking the indicator line on the side of the canister - CORRECT
| | | | | | | | | | | |
ANSWER✔✔-Keeping track of the number of inhalations used | | | | | | |
The best method to determine when to replace an MDI for a regularly
| | | | | | | | | | | | |
scheduled medication is by knowing the maximum puffs available per
| | | | | | | | | |
MDI and then replacing it when those inhalations have been used (100
| | | | | | | | | | | |
puffs/2 puffs each day = 50 days). For rescue MDI inhalers which are
| | | | | | | | | | | | |
, used only PRN, the patient will need to keep track of the doses used.
| | | | | | | | | | | | | |
Although floating the canister in water was previously recommended,
| | | | | | | | |
this method may lead to water leaking into the MDI and is not
| | | | | | | | | | | | |
recommended now. Shaking the canister is inaccurate, as the patient | | | | | | | | | |
may not hear anything even if the MDI is not empty. MDIs do not have
| | | | | | | | | | | | | | |
an indicator line on the canister and most do not have a counter.
| | | | | | | | | | | |
Which instruction will the nurse include when teaching a patient to use
| | | | | | | | | | | |
a hand-held nebulizer?
| |
Sit in an upright position during the treatment.
| | | | | | |
Take short, shallow breaths while inhaling the medication.
| | | | | | |
Rinse the nebulizer equipment under running water once a week.
| | | | | | | | |
During the treatment, breathe in and hold the breath for 10 seconds. -
| | | | | | | | | | | | |
CORRECT ANSWER✔✔-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. Deep and slow breaths help ensure deposition
| | | | | | | | |
of the medication throughout the lung. To reduce bacterial growth, the
| | | | | | | | | | |
patient is asked 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. The | | | | | | | | | | |
patient is taught to hold the breath for two to three seconds during
| | | | | | | | | | | | |
nebulizer treatments. |
