Which statements would indicate that a patient diagnosed with asthma needs additional teaching at discharge? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. "I know I shouldn't smoke, but one or two cigarettes a day shouldn't be harmful.".
2. "I should monitor my peak flow daily and record it in a diary.".
3. "I should rinse my mouth after each use of my corticosteroid inhaler.".
4. "Using a spacer with my inhaler will allow for better and more accurate medication delivery.".
5. "I should plan to have pulmonary function tests done every 5 years.".
1,5
Rationale 1: Environmental pollutants, smoking, allergens, chemicals, and inhalants can all trigger an asthmatic attack and should be avoided.
Rationale 2: Maintaining a diary of peak flow measurements allows the patient to monitor for decreases that indicate bronchoconstriction.
Rationale 3: Inhaled corticosteroids increase the risk for thrush, so the mouth should be rinsed after inhaler use.
Rationale 4: When a spacer is attached to an inhaler, it allows the medication to accumulate while the patient inhales and prevents escape outside the patient's mouth.
Rationale 5: Pulmonary function tests are done frequently until symptoms stabilize and at least once every 1 to 2 years thereafter.
You might also like to view...
A patient is experiencing diarrhea and being treated with diphenoxylate (Lomotil). Which condition requires that diphenoxylate (Lomotil) be administered cautiously?
A) Edema B) Hepatorenal disease C) Congestive heart failure D) Cardiovascular insufficiency
A child weighs 8 lb. The correct calculation for this child's 24-hour maintenance fluid requirements is ____________________ mL
ANS:
While being tested for orthostatic hypotension, the patient stands up and begins to feel light-headed and feels faint. The nurse should do which of the following? (Select all that apply.)
a. Have the patient lie down. b. Report findings to the health care provid-er. c. Have the nursing assistive personnel (NAP) check orthostatic blood pressure. d. Instruct the patient not to get out of bed without assistance. e. Take the BP in each arm and use the arm with the lowest systolic reading.
The physician prescribes risperidone for a client with schizophrenia who displays delusions,
hallucinations, apathy, and social isolation. Which symptoms should be monitored to evaluate improvement? a. Positive symptoms b. Negative symptoms c. Disorganized symptoms d. Both positive and negative symptoms