The nurse completes an admission assessment on a patient with asthma. Which information given by patient is most indicative of a need for a change in therapy?
a. The patient uses albuterol (Proventil) before any aerobic exercise.
b. The patient says that the asthma symptoms are worse every spring.
c. The patient's heart rate increases after using the albuterol (Proventil) inhaler.
d. The patient's only medications are albuterol (Proventil) and salmeterol (Serevent).
ANS: D
Long-acting ?2-agonists should be used only in patients who also are using an inhaled corticosteroid for long-term control. Salmeterol should not be used as the first-line therapy for long-term control. Using a bronchodilator before exercise is appropriate. The other information given by the patient requires further assessment by the nurse, but is not unusual for a patient with asthma.
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