NUR 2571 EXAM 1 PROFESSIONAL NURSING II / PN2 EXAM 1 LATEST SOLUTION ACTUAL EXAM 70
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
Asthma - correct answer Chronic inflammatory disorder characterized by episodes of airway
inflammation.
Status Asthmaticus - correct answer Severe asthma attack that does not respond to standard
treatment.
Medical emergency!!
Asthma (Assessment) - correct answer Wheezing
Cough
Dyspnea
Chest tightness
A client with asthma has a sudden decrease in wheezes.... What does this indicate? - correct
answer Airways are closing and causing diminished breath sounds.
Less ventilation is able to occur.
This is NOT good!
Asthma ABGs - correct answer Patient experiencing inflammation in the airways will retain
CO2, putting them in respiratory acidosis.
Remember PCO2 levels are 35 - 45; theirs will be increased.
The nurse is teaching a client with chronic obstructive pulmonary disease (COPD) how to
administer multiple medications by inhalation. Which statement by the client indicates an
understanding of the instruction? Select all that apply.
a. "If my symptoms get worse, I can double my dosage."
b. "I will wait at least 1 minute between use of my different inhalers."
c. "I should consult my prescriber before using over-the-counter medications."
d. "I cannot rinse my inhaler equipment because it is not supposed to get wet."
e. "I should store my inhaler in the refrigerator door between uses." - correct answer Answer:
B, C; The client should wait at least 1 minute between inhalations. OTC products should not be
added without consulting the prescriber. Dosages should be taken exactly as prescribed. Inhaler
equipment should be cleaned with mild soap, rinsed, and dried daily. The inhaler should be
stored at room temperature.
A client reports nervousness and tremors after beginning drug therapy with salmeterol. Which
statement by the nurse is most appropriate?
a. "The symptoms are common at first, but decrease over time."
, NUR 2571 EXAM 1 PROFESSIONAL NURSING II / PN2 EXAM 1 LATEST SOLUTION ACTUAL EXAM 70
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
b. "Stop taking the medicine because the symptoms will only get worse."
c. "Drinking coffee or tea will help decrease the symptoms."
d. "Those symptoms indicate a worsening of the disease process." - correct answer Answer: A;
Nervousness and tremors might be experienced when salmeterol (a beta-agonist) is newly
administered, but they frequently decrease over time. Clients should not terminate medication
use without consulting the prescriber. Caffeine would exacerbate the problem. The symptoms
are likely related to the medication, and not to the disease process.
Asthma (Pharmacological Management) - correct answer * Bronchodilators (SABAs)
- Albuterol (ProAir)
- Levalbuterol (Xopenex)
*Bronchodilators (LABAs)
- Salmeterol (Serevent)
- Formoterol (Perforomist)
*Cholinergic Antagonist
- Ipratropium (Atrovent)
- Tiotropium (Spiriva)
*Corticosteroids
- Fluticasone (Ellipta)
- Beclomethasone (Qvar)
- Prednisone PO
True/False
Long-Acting Beta Antagonists should be used as an emergency in the situation that the client is
having an asthma attack. - correct answer FALSE
LABAs are PROPHYLACTIC.
Should be used daily regardless of asthma activity.
LABAs - correct answer Sameterol
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
Asthma - correct answer Chronic inflammatory disorder characterized by episodes of airway
inflammation.
Status Asthmaticus - correct answer Severe asthma attack that does not respond to standard
treatment.
Medical emergency!!
Asthma (Assessment) - correct answer Wheezing
Cough
Dyspnea
Chest tightness
A client with asthma has a sudden decrease in wheezes.... What does this indicate? - correct
answer Airways are closing and causing diminished breath sounds.
Less ventilation is able to occur.
This is NOT good!
Asthma ABGs - correct answer Patient experiencing inflammation in the airways will retain
CO2, putting them in respiratory acidosis.
Remember PCO2 levels are 35 - 45; theirs will be increased.
The nurse is teaching a client with chronic obstructive pulmonary disease (COPD) how to
administer multiple medications by inhalation. Which statement by the client indicates an
understanding of the instruction? Select all that apply.
a. "If my symptoms get worse, I can double my dosage."
b. "I will wait at least 1 minute between use of my different inhalers."
c. "I should consult my prescriber before using over-the-counter medications."
d. "I cannot rinse my inhaler equipment because it is not supposed to get wet."
e. "I should store my inhaler in the refrigerator door between uses." - correct answer Answer:
B, C; The client should wait at least 1 minute between inhalations. OTC products should not be
added without consulting the prescriber. Dosages should be taken exactly as prescribed. Inhaler
equipment should be cleaned with mild soap, rinsed, and dried daily. The inhaler should be
stored at room temperature.
A client reports nervousness and tremors after beginning drug therapy with salmeterol. Which
statement by the nurse is most appropriate?
a. "The symptoms are common at first, but decrease over time."
, NUR 2571 EXAM 1 PROFESSIONAL NURSING II / PN2 EXAM 1 LATEST SOLUTION ACTUAL EXAM 70
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
b. "Stop taking the medicine because the symptoms will only get worse."
c. "Drinking coffee or tea will help decrease the symptoms."
d. "Those symptoms indicate a worsening of the disease process." - correct answer Answer: A;
Nervousness and tremors might be experienced when salmeterol (a beta-agonist) is newly
administered, but they frequently decrease over time. Clients should not terminate medication
use without consulting the prescriber. Caffeine would exacerbate the problem. The symptoms
are likely related to the medication, and not to the disease process.
Asthma (Pharmacological Management) - correct answer * Bronchodilators (SABAs)
- Albuterol (ProAir)
- Levalbuterol (Xopenex)
*Bronchodilators (LABAs)
- Salmeterol (Serevent)
- Formoterol (Perforomist)
*Cholinergic Antagonist
- Ipratropium (Atrovent)
- Tiotropium (Spiriva)
*Corticosteroids
- Fluticasone (Ellipta)
- Beclomethasone (Qvar)
- Prednisone PO
True/False
Long-Acting Beta Antagonists should be used as an emergency in the situation that the client is
having an asthma attack. - correct answer FALSE
LABAs are PROPHYLACTIC.
Should be used daily regardless of asthma activity.
LABAs - correct answer Sameterol
