NUR 355 Exam 3 (MedSurg 1) Questions with
Verified Correct Answers
What is the purpose of giving steroids (prednisone) to a patient with asthma or COPD?
To reduce inflammation and swelling
Albuterol, what does it do?
Bronchodilator (SABA) - rescue medication
-educate to use before doing sports
What is assessed to see if a Bronchodilator is effective?
O2 sats improve, RR slows, decreased wheezing
True or False: Rhonchi are described as 'snoring' sounds caused by secretions in the
upper airway?
True
Given patient a SABA (Albuterol), how will the nurse see if it worked?
Auscultate their lungs
-check for wheezing (squeaky musical instrument)
What would we want to reduce exposure of for a patient with asthma?
Triggers
ex. dust and other allergens
What are some triggers of asthma?
Smoking, pet dandruff, dust/pollutants
, A patient with acute asthma, showing signs of expiratory wheezing, should be treated
with a?
SABA - rescue dilator
-always monitor for diminished breath sounds
If a patient is having difficulty breathing and sounds are absent when auscultating,
what does this mean?
Vasoconstriction - medical emergency
What would you hear if an asthma patient's airway wasn't obstructed during an attack?
Expiratory Wheezing
-Other S&S: coughing and accessory muscle use
If a patient is using accessory muscles, what must the nurse do?
Report this immediately
CM of acute asthma attack?
Inspiratory/expiratory wheezes
-cough/wheezing, tenacious mucoi sputum, tachycardia, use of accessory muscles
Nurse walks into a patient room and they are using accessory muscles and a bit
cyanotic...
Number one priority patient for this question
Nurse walks into a patient room, they are SOB, increased work of breathing, and sitting
in tripod position, what is something you can do?
Provide oxygen ordered by provider
Verified Correct Answers
What is the purpose of giving steroids (prednisone) to a patient with asthma or COPD?
To reduce inflammation and swelling
Albuterol, what does it do?
Bronchodilator (SABA) - rescue medication
-educate to use before doing sports
What is assessed to see if a Bronchodilator is effective?
O2 sats improve, RR slows, decreased wheezing
True or False: Rhonchi are described as 'snoring' sounds caused by secretions in the
upper airway?
True
Given patient a SABA (Albuterol), how will the nurse see if it worked?
Auscultate their lungs
-check for wheezing (squeaky musical instrument)
What would we want to reduce exposure of for a patient with asthma?
Triggers
ex. dust and other allergens
What are some triggers of asthma?
Smoking, pet dandruff, dust/pollutants
, A patient with acute asthma, showing signs of expiratory wheezing, should be treated
with a?
SABA - rescue dilator
-always monitor for diminished breath sounds
If a patient is having difficulty breathing and sounds are absent when auscultating,
what does this mean?
Vasoconstriction - medical emergency
What would you hear if an asthma patient's airway wasn't obstructed during an attack?
Expiratory Wheezing
-Other S&S: coughing and accessory muscle use
If a patient is using accessory muscles, what must the nurse do?
Report this immediately
CM of acute asthma attack?
Inspiratory/expiratory wheezes
-cough/wheezing, tenacious mucoi sputum, tachycardia, use of accessory muscles
Nurse walks into a patient room and they are using accessory muscles and a bit
cyanotic...
Number one priority patient for this question
Nurse walks into a patient room, they are SOB, increased work of breathing, and sitting
in tripod position, what is something you can do?
Provide oxygen ordered by provider
