Unit 3 CMN 568 McPhee Ch. 9 Questions with
100% Verified Correct Answers
Exercise induced asthma begins during exercise or within ______minutes after it ends but peaks
within _____and then resolves by _______minutes. - Correct Answer 3
10-15 minutes
60 minutes
_________ __________ is wheezing precipitated by decompensated heart failure. - Correct Answer
cardiac wheezing
What are the s/s of asthma? - Correct Answer -Nasal mucosal swelling
-secretion increases
-polyps
- Eczema
-atopic dermatitis
-other allergic skin disorders
- Wheezing or a prolonged expiratory phase
What pulmonary function test is administered with a SABA? - Correct Answer Spirometry
Spirometry determines if asthma is reversible after a inhaling a SABA. What is the percent increase in
FEV1 and FVC? - Correct Answer Significant reversibility of airflow obstruction is defined by an
increase of ≥ 12% and 200 mL in FEV1 or ≥ 15% and 200 mL in FVC after inhaling a short-acting
bronchodilator.
What is the importance of PEFs? - Correct Answer recommended to help confirm the diagnosis of
asthma, to improve asthma control in patients with poor perception of airflow obstruction, and to
identify environmental and occupational causes of symptoms.
PEF values are best when compared with__________ - Correct Answer The patients own baseline
rather than predicted values.
,When is the best time to measure PEF? - Correct Answer in the morning upon awakening before the
bronchodilator and in the afternoon after taking a bronchodilator
A) A change of PEF values of _____% from morning to afternoon is indicative of inadequately
controlled asthma. B) PEF values of <______ indicate severe airflow obstruction. - Correct Answer A)
20%
B) 200 L/min
What are the four components of asthma management and diagnosis? - Correct Answer (1) assessing
and monitoring asthma severity and asthma control, (2) patient education designed to foster a
partnership for care, (3) control of environmental factors and comorbid conditions that affect
asthma, and (4) pharmacologic agents for asthma.
What is considered the cornerstone of treating persistent asthma? - Correct Answer daily anti-
inflammatory therapy with inhaled corticosteroids
What meds are considered long term control meds? - Correct Answer Anti-inflammatory agents,
long-acting bronchodilators, and leukotriene modifiers
Dry powder inhalers (DPIs) are not used with an inhalation chamber. T/F - Correct Answer T
Why is bone mineral density testing done after 3 or more months of systemic corticosteriod use? -
Correct Answer guides the use of bisphosphonates for treatment of steroid-induced osteoporosis.
In general, systemic corticosteroids are used for ___________or ______________. - Correct Answer
exacerbations or long-term asthma therapy in patients with severe symptoms.
When using oral corticosteriods, every effort must be made to reduce the dose to the minimum
needed to control symptoms. Name one way in which you can achieve this. - Correct Answer By
implementing alternate day treatments.
What 2 medicines should be given concurrently with oral corticosteriods? Why? - Correct Answer
Vitamin D and Calcium
Prevents induced bone mineral loss over the long term.
, What are the mediator inhibitors mainly used for? - Correct Answer inhibit both early and late
asthmatic responses to allergen challenge and exercise-induced bronchospasm.
What drug may reduce the dose requirements of the ICS? - Correct Answer Nedocromil (Mast Cell
Stabilizer)
LABAs provide bronchodilation up to ____hours after a single dose. - Correct Answer 12
LABAs are not to be used as ______________ - Correct Answer not be used as monotherapy
When should antibiotics be considered when treating a asthma patient for URI? - Correct Answer
Antibiotics should be considered when there is a high likelihood of acute bacterial respiratory tract
infection, such as for patients with fever or purulent sputum and evidence of pneumonia or bacterial
sinusitis.
Increased use of SABA (more than one canister a month) or lack of expected effect indicates
diminished asthma control and indicates need for additional long term control therapy. T/F - Correct
Answer T
What are the key elements in managing asthma excerbations at home? - Correct Answer — Patient
education, including a written asthma action plan or moderate or severe persistent asthma and any
patient who has a history of severe exacerbations
- A peak-flow-based plan may be particularly useful for patients who have difficulty perceiving airflow
obstruction and worsening asthma
— Recognition of early signs of worsening asthma and taking prompt action
— Appropriate intensification of therapy by increasing inhaled short-acting beta2-agonist (SABA)
and, in some cases, adding a short course of oral systemic corticosteroids
— Removal or withdrawal of the environmental factor contributing to the exacerbation.
— Prompt communication between patient and clinician about any serious deterioration in
symptoms or peak flow, decreased responsiveness to SABAs, or decreased duration of effect.
What are the initial assessments when determining the severity of asthma exacerbation? - Correct
Answer History
Lung auscultation
accessory muscle use
100% Verified Correct Answers
Exercise induced asthma begins during exercise or within ______minutes after it ends but peaks
within _____and then resolves by _______minutes. - Correct Answer 3
10-15 minutes
60 minutes
_________ __________ is wheezing precipitated by decompensated heart failure. - Correct Answer
cardiac wheezing
What are the s/s of asthma? - Correct Answer -Nasal mucosal swelling
-secretion increases
-polyps
- Eczema
-atopic dermatitis
-other allergic skin disorders
- Wheezing or a prolonged expiratory phase
What pulmonary function test is administered with a SABA? - Correct Answer Spirometry
Spirometry determines if asthma is reversible after a inhaling a SABA. What is the percent increase in
FEV1 and FVC? - Correct Answer Significant reversibility of airflow obstruction is defined by an
increase of ≥ 12% and 200 mL in FEV1 or ≥ 15% and 200 mL in FVC after inhaling a short-acting
bronchodilator.
What is the importance of PEFs? - Correct Answer recommended to help confirm the diagnosis of
asthma, to improve asthma control in patients with poor perception of airflow obstruction, and to
identify environmental and occupational causes of symptoms.
PEF values are best when compared with__________ - Correct Answer The patients own baseline
rather than predicted values.
,When is the best time to measure PEF? - Correct Answer in the morning upon awakening before the
bronchodilator and in the afternoon after taking a bronchodilator
A) A change of PEF values of _____% from morning to afternoon is indicative of inadequately
controlled asthma. B) PEF values of <______ indicate severe airflow obstruction. - Correct Answer A)
20%
B) 200 L/min
What are the four components of asthma management and diagnosis? - Correct Answer (1) assessing
and monitoring asthma severity and asthma control, (2) patient education designed to foster a
partnership for care, (3) control of environmental factors and comorbid conditions that affect
asthma, and (4) pharmacologic agents for asthma.
What is considered the cornerstone of treating persistent asthma? - Correct Answer daily anti-
inflammatory therapy with inhaled corticosteroids
What meds are considered long term control meds? - Correct Answer Anti-inflammatory agents,
long-acting bronchodilators, and leukotriene modifiers
Dry powder inhalers (DPIs) are not used with an inhalation chamber. T/F - Correct Answer T
Why is bone mineral density testing done after 3 or more months of systemic corticosteriod use? -
Correct Answer guides the use of bisphosphonates for treatment of steroid-induced osteoporosis.
In general, systemic corticosteroids are used for ___________or ______________. - Correct Answer
exacerbations or long-term asthma therapy in patients with severe symptoms.
When using oral corticosteriods, every effort must be made to reduce the dose to the minimum
needed to control symptoms. Name one way in which you can achieve this. - Correct Answer By
implementing alternate day treatments.
What 2 medicines should be given concurrently with oral corticosteriods? Why? - Correct Answer
Vitamin D and Calcium
Prevents induced bone mineral loss over the long term.
, What are the mediator inhibitors mainly used for? - Correct Answer inhibit both early and late
asthmatic responses to allergen challenge and exercise-induced bronchospasm.
What drug may reduce the dose requirements of the ICS? - Correct Answer Nedocromil (Mast Cell
Stabilizer)
LABAs provide bronchodilation up to ____hours after a single dose. - Correct Answer 12
LABAs are not to be used as ______________ - Correct Answer not be used as monotherapy
When should antibiotics be considered when treating a asthma patient for URI? - Correct Answer
Antibiotics should be considered when there is a high likelihood of acute bacterial respiratory tract
infection, such as for patients with fever or purulent sputum and evidence of pneumonia or bacterial
sinusitis.
Increased use of SABA (more than one canister a month) or lack of expected effect indicates
diminished asthma control and indicates need for additional long term control therapy. T/F - Correct
Answer T
What are the key elements in managing asthma excerbations at home? - Correct Answer — Patient
education, including a written asthma action plan or moderate or severe persistent asthma and any
patient who has a history of severe exacerbations
- A peak-flow-based plan may be particularly useful for patients who have difficulty perceiving airflow
obstruction and worsening asthma
— Recognition of early signs of worsening asthma and taking prompt action
— Appropriate intensification of therapy by increasing inhaled short-acting beta2-agonist (SABA)
and, in some cases, adding a short course of oral systemic corticosteroids
— Removal or withdrawal of the environmental factor contributing to the exacerbation.
— Prompt communication between patient and clinician about any serious deterioration in
symptoms or peak flow, decreased responsiveness to SABAs, or decreased duration of effect.
What are the initial assessments when determining the severity of asthma exacerbation? - Correct
Answer History
Lung auscultation
accessory muscle use
