NUR 219 EXAM 2 - PRACTICE 3 WITH vv vv vv vv vv vv vv
ALL ANSWERS CORRECT
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The nurse teaches a patient with *chronic bronchitis* about a new prescription for *Advair Diskus
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(combined fluticasone and salmeterol)*. Which action by the patient would indicate to the nurse that
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teaching about medication administration has been successful?
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a. The patient shakes the device before use.
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b. The patient rapidly inhales the medication.
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c. The patient attaches a spacer to the Diskus.
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d. The patient performs huff coughing after inhalation. - CORRECT ANSWER✔✔b. The patient *rapidly
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inhales* the medication.
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The patient should inhale the medication rapidly. Otherwise the dry particles will stick to the tongue and
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oral mucosa and not get inhaled into the lungs. Advair Diskus is a dry powder inhaler; shaking is not
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recommended. Spacers are not used with dry powder inhalers.
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The nurse teaches a patient how to administer *formoterol (Perforomist)* through a *nebulizer*. Which
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action by the patient indicates good understanding of the teaching?
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a. The patient attaches a spacer before using the inhaler.
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b. The patient coughs vigorously after using the inhaler.
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c. The patient removes the facial mask when misting stops.
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d. The patient activates the inhaler at the onset of expiration. - CORRECT ANSWER✔✔c. The patient
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removes the facial mask when misting stops.
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,A *nebulizer* is used to administer aerosolized medication. A *mist* is seen when the medication is
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aerosolized, and when all of the medication has been used, the misting stops.
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A patient is scheduled for *spirometry*. Which action should the nurse take to prepare the patient for
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this procedure?
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a. Give the rescue medication immediately before testing.
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b. Administer oral corticosteroids 2 hours before the procedure.
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c. Withhold bronchodilators for 6 to 12 hours before the examination.
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d. Ensure that the patient has been NPO for several hours before the test. - CORRECT ANSWER✔✔c.
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Withhold bronchodilators for 6 to 12 hours before the examination.
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*Bronchodilators* are *held before spirometry* so that a baseline assessment of airway function can be vv vv vv vv vv vv vv vv vv vv vv vv vv vv
determined
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Which information will the nurse include in the asthma teaching plan for a patient being discharged?
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a. Use the inhaled corticosteroid when shortness of breath occurs.
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b. Inhale slowly and deeply when using the dry powder inhaler (DPI).
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c. Hold your breath for 5 seconds after using the bronchodilator inhaler.
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d. Tremors are an expected side effect of rapidly acting bronchodilators. - CORRECT ANSWER✔✔d.
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Tremors are an expected side effect of rapidly acting bronchodilators.
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*Tremors* are a common side effect of *short-acting 2-adrenergic (SABA)* medications and not a reason
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to avoid using the SABA inhaler.
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The emergency department nurse is evaluating the effectiveness of therapy for a patient who has
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received treatment during an asthma attack. Which assessment finding is the best indicator that the
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therapy has been effective?
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a. No wheezes are audible.
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b. O2 saturation is >90%.
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, c. Accessory muscle use has decreased.
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d. Respiratory rate is 16 breaths/minute. - CORRECT ANSWER✔✔b. O2 saturation is >90%.
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A patient seen in the asthma clinic has recorded daily peak flow rates that are 75% of the baseline. Which
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action will the nurse plan to take next?
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a. Increase the dose of the leukotriene inhibitor.
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b. Teach the patient about the use of oral corticosteroids.
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c. Administer a bronchodilator and recheck the peak flow.
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d. Instruct the patient to keep the scheduled follow-up appointment. - CORRECT ANSWER✔✔c.
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Administer a bronchodilator and recheck the peak flow.
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The patient's peak flow reading indicates that the condition is worsening (yellow zone). The patient
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should take the bronchodilator and recheck the peak flow.
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The nurse teaches a patient who has *asthma* about *peak flow meter use*. Which action by the
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patient indicates that teaching was successful?
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a. The patient inhales rapidly through the peak flow meter mouthpiece.
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b. The patient takes montelukast (Singulair) for peak flows in the red zone.
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c. The patient calls the health care provider when the peak flow is in the green zone.
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d. The patient uses an albuterol (Ventolin HFA) inhaler for peak flows in the yellow
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zone. - CORRECT ANSWER✔✔d. The patient uses an *albuterol (Ventolin HFA)* inhaler for *peak flows*
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in the yellow zone.
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Readings in the yellow zone indicate a decrease in peak flow. The patient should use short-acting B2-
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adrenergic (SABA) medications. vv vv
A young adult patient who denies any history of smoking is seen in the clinic with a new diagnosis of
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chronic obstructive pulmonary disease (COPD). The nurse should plan to teach the patient about
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ALL ANSWERS CORRECT
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The nurse teaches a patient with *chronic bronchitis* about a new prescription for *Advair Diskus
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(combined fluticasone and salmeterol)*. Which action by the patient would indicate to the nurse that
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
teaching about medication administration has been successful?
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a. The patient shakes the device before use.
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b. The patient rapidly inhales the medication.
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c. The patient attaches a spacer to the Diskus.
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d. The patient performs huff coughing after inhalation. - CORRECT ANSWER✔✔b. The patient *rapidly
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inhales* the medication.
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The patient should inhale the medication rapidly. Otherwise the dry particles will stick to the tongue and
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
oral mucosa and not get inhaled into the lungs. Advair Diskus is a dry powder inhaler; shaking is not
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recommended. Spacers are not used with dry powder inhalers.
vv vv vv vv vv vv vv vv vv
The nurse teaches a patient how to administer *formoterol (Perforomist)* through a *nebulizer*. Which
vv vv vv vv vv vv vv vv vv vv vv vv vv
action by the patient indicates good understanding of the teaching?
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a. The patient attaches a spacer before using the inhaler.
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b. The patient coughs vigorously after using the inhaler.
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c. The patient removes the facial mask when misting stops.
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d. The patient activates the inhaler at the onset of expiration. - CORRECT ANSWER✔✔c. The patient
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removes the facial mask when misting stops.
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,A *nebulizer* is used to administer aerosolized medication. A *mist* is seen when the medication is
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aerosolized, and when all of the medication has been used, the misting stops.
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A patient is scheduled for *spirometry*. Which action should the nurse take to prepare the patient for
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
this procedure?
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a. Give the rescue medication immediately before testing.
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b. Administer oral corticosteroids 2 hours before the procedure.
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c. Withhold bronchodilators for 6 to 12 hours before the examination.
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d. Ensure that the patient has been NPO for several hours before the test. - CORRECT ANSWER✔✔c.
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Withhold bronchodilators for 6 to 12 hours before the examination.
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*Bronchodilators* are *held before spirometry* so that a baseline assessment of airway function can be vv vv vv vv vv vv vv vv vv vv vv vv vv vv
determined
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Which information will the nurse include in the asthma teaching plan for a patient being discharged?
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a. Use the inhaled corticosteroid when shortness of breath occurs.
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b. Inhale slowly and deeply when using the dry powder inhaler (DPI).
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c. Hold your breath for 5 seconds after using the bronchodilator inhaler.
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d. Tremors are an expected side effect of rapidly acting bronchodilators. - CORRECT ANSWER✔✔d.
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Tremors are an expected side effect of rapidly acting bronchodilators.
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*Tremors* are a common side effect of *short-acting 2-adrenergic (SABA)* medications and not a reason
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to avoid using the SABA inhaler.
vv vv vv vv vv vv
The emergency department nurse is evaluating the effectiveness of therapy for a patient who has
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received treatment during an asthma attack. Which assessment finding is the best indicator that the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
therapy has been effective?
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a. No wheezes are audible.
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b. O2 saturation is >90%.
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, c. Accessory muscle use has decreased.
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d. Respiratory rate is 16 breaths/minute. - CORRECT ANSWER✔✔b. O2 saturation is >90%.
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A patient seen in the asthma clinic has recorded daily peak flow rates that are 75% of the baseline. Which
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action will the nurse plan to take next?
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a. Increase the dose of the leukotriene inhibitor.
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b. Teach the patient about the use of oral corticosteroids.
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c. Administer a bronchodilator and recheck the peak flow.
vv vv vv vv vv vv vv vv
d. Instruct the patient to keep the scheduled follow-up appointment. - CORRECT ANSWER✔✔c.
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Administer a bronchodilator and recheck the peak flow.
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The patient's peak flow reading indicates that the condition is worsening (yellow zone). The patient
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should take the bronchodilator and recheck the peak flow.
vv vv vv vv vv vv vv vv vv
The nurse teaches a patient who has *asthma* about *peak flow meter use*. Which action by the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
patient indicates that teaching was successful?
vv vv vv vv vv vv
a. The patient inhales rapidly through the peak flow meter mouthpiece.
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b. The patient takes montelukast (Singulair) for peak flows in the red zone.
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c. The patient calls the health care provider when the peak flow is in the green zone.
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d. The patient uses an albuterol (Ventolin HFA) inhaler for peak flows in the yellow
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zone. - CORRECT ANSWER✔✔d. The patient uses an *albuterol (Ventolin HFA)* inhaler for *peak flows*
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in the yellow zone.
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Readings in the yellow zone indicate a decrease in peak flow. The patient should use short-acting B2-
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
adrenergic (SABA) medications. vv vv
A young adult patient who denies any history of smoking is seen in the clinic with a new diagnosis of
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
chronic obstructive pulmonary disease (COPD). The nurse should plan to teach the patient about
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