A patient seen in the asthma clinic has recorded daily peak flows that are 75% of the baseline. Which action will the nurse plan to take next?
a. Increase the dose of the leukotriene inhibitor.
b. Teach the patient about the use of oral corticosteroids.
c. Administer a bronchodilator and recheck the peak flow.
d. Instruct the patient to keep the next scheduled follow-up appointment.
ANS: C
The patient's peak flow reading indicates that the condition is worsening (yellow zone). The patient should take the bronchodilator and recheck the peak flow. Depending on whether the patient returns to the green zone, indicating well-controlled symptoms, the patient may be prescribed oral corticosteroids or a change in dosing of other medications. Keeping the next appointment is appropriate, but the patient also needs to be taught how to control symptoms now and use the bronchodilator.
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Directions: Calculate the IV flow rates with DA equations where requested. For credit, show work. Label all answers. Label flow rates in milliliters per hour or drops per minutes, as needed. Ordered: IVPB antineoplastic
Available from the pharmacy: antineoplastic di-luted in 50-mL solution. Administer over 60 minutes. Equipment: infusion pump. a. Estimated flow rate: b. DA equation: c. Evaluation: