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kkhh kkhh
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Posts: 350
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6 years ago
The nurse admits a patient who has a diagnosis of an acute asthma attack. Which statement indicates that the patient may need teaching regarding medication use?
 
  a. I have not had any acute asthma attacks during the last year.
  b. I became short of breath an hour before coming to the hospital.
  c. I've been taking Tylenol 650 mg every 6 hours for chest-wall pain.
  d. I've been using my albuterol inhaler more frequently over the last 4 days.

Question 2

The nurse teaches a patient about pulmonary function testing (PFT). Which statement, if made by the patient, indicates teaching was effective?
 
  a. I will use my inhaler right before the test.
  b. I won't eat or drink anything 8 hours before the test.
  c. I should inhale deeply and blow out as hard as I can during the test.
  d. My blood pressure and pulse will be checked every 15 minutes after the test.

Question 3

A patient who has a history of chronic obstructive pulmonary disease (COPD) was hospitalized for increasing shortness of breath and chronic hypoxemia (SaO2 levels of 89 to 90).
 
  In planning for discharge, which action by the nurse will be most effective in improving compliance with discharge teaching?
  a. Start giving the patient discharge teaching on the day of admission.
  b. Have the patient repeat the instructions immediately after teaching.
  c. Accomplish the patient teaching just before the scheduled discharge.
  d. Arrange for the patient's caregiver to be present during the teaching.
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wrote...
6 years ago
The answer to question 1

ANS: D
The increased need for a rapid-acting bronchodilator should alert the patient that an acute attack may be imminent and that a change in therapy may be needed. The patient should be taught to contact a health care provider if this occurs. The other data do not indicate any need for additional teaching.

The answer to question 2

ANS: C
For PFT, the patient should inhale deeply and exhale as long, hard, and fast as possible. The other actions are not needed with PFT. The administration of inhaled bronchodilators should be avoided 6 hours before the procedure.

The answer to question 3

ANS: D
Hypoxemia interferes with the patient's ability to learn and retain information, so having the patient's caregiver present will increase the likelihood that discharge instructions will be followed. Having the patient repeat the instructions will indicate that the information is understood at the time, but it does not guarantee retention of the information. Because the patient is likely to be distracted just before discharge, giving discharge instructions just before discharge is not ideal. The patient is likely to be anxious and even more hypoxemic than usual on the day of admission, so teaching about discharge should be postponed.
kkhh Author
wrote...
6 years ago
tremendous help
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