N4 Test - Asthma

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"It takes your breath away"
http://www.nursingcenter.com/prodev/ce_article.asp?tid=525896


1.
Asthma symptoms are more likely to occur
a. after eating.
b. during the night.
c. before exercising.

2.
Which of these factors is most likely to trigger an asthma episode?
a. a viral infection
b. warm air
c. cardiac insufficiency

3.
Unlike an early-phase reaction, a late-phase reaction
a. begins 4 to 8 hours after exposure.
b. lasts about an hour.
c. occurs seconds after exposure.

4.
Adverse effects of fluticasone (Flovent) include
a. dry mouth.
b. tremors.
c. edema.

5.
Which of these instructions should you give to a patient who's taking an inhaled corticosteroid?
a. "Use this inhaler only when symptoms increase."
b. "Use this inhaler every day."
c. "Use this inhaler if coughing persists for several hours."

6.
Symptoms of adrenal insufficiency include
a. muscle and joint pain.
b. decreased urinary output.
c. loss of appetite and jaw pain.

7.
Which of these instructions will promote bioavailability of zafirlukast (Accolate)?
a. "Drink plenty of water while taking this medication."
b. "Inhale and exhale rapidly after taking this medication."
c. "Take this medication 2 hours after a meal."

8.
Which type of drug is recommended to prevent exercise-induced asthma flare-ups?
a. inhaled nonsteroidal anti-inflammatory drugs
b. leukotriene modifiers
c. long-acting bronchodilators

9.
Oral steroids should be taken
a. on an empty stomach.
b. as a long-term therapy.
c. in the morning.

10.
Which statement indicates the patient understands the instructions for taking both an inhaled bronchodilator and an inhaled steroid?
a. "I'll take these medications only when I have chest tightness."
b. "I'll take the bronchodilator first and then the steroid."
c. "I'll rinse my mouth before taking the steroid."

11.
Omalizumab (Xolair) is
a. administered by injection once daily.
b. designed for acute asthma attacks.
c. approved for use by adults and teens with moderate to severe persistent allergic asthma.

12.
If a patient uses a peak flow meter to determine the status of asthma and the reading is in the yellow zone, which of these interpretations and actions is appropriate?
a. The asthma is getting worse; use a quick-relief medication.
b. This signals a medical alert; go immediately to the emergency department.
c. The asthma is in good control; continue with regular treatments.

13.
When teaching a patient to determine the personal best peak flow reading, you should instruct him to measure the peak flow
a. each morning, immediately on awakening.
b. each evening, before going to sleep.
c. each afternoon, after taking quick-relief medication.

14.
Which statement about pregnancy and asthma is correct?
a. Inhaled steroids taken by pregnant women with asthma aren't effective in preventing exacerbations of the disease.
b. Pregnancy may have no effect on asthma.
c. Pregnant patients with asthma shouldn't take inhaled bronchodilators.

15.
Instructions for peak flow monitoring to help a patient find his personal best include
a. "stand up straight."
b. "move the pointer to 10."
c. "block the airway hole of the peak flow meter with your tongue."

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