Posted: January 10th, 2017

Which of the following client actions indicates that he us using the MDI correctly? Select all that apply.

A 34-year-old woman with a history of asthma is admitted to the emergency department. The nurse notes that the client is dyspneic, with a respiratory rate of 35 breaths/minute, nasal flaring, and use of accessory muscles. Auscultation of the lung fields reveals greatly diminished breath sounds. Based on these findings, what action should the nurse take to initiate care of the client?

1. Initiate oxygen therapy and reassess the client in 10 minutes.
2. Draw blood for an ABG analysis and send the client for a chest x-ray.
3. Encourage the client to relax and breathe slowly through the mouth
4. Administer bronchodilators

79.  The nurse would anticipate which of the following ABG results in a client experiencing a prolonged, severe asthma attack?

1. Decreased Pa_CO2, increased Pa_O2, and decreased pH.
2. Increased Pa_CO2, decreased Pa_O2, and decreased pH.
3. Increased Pa_CO2, increased Pa_O2, and increased pH.
4. Decreased Pa_CO2, decreased Pa_O2, and increased pH.

80.  A client with acute asthma is prescribed short-term corticosteroid therapy. What is the rationale for the use of steroids in clients with asthma?

1. Corticosteroids promote bronchodilation
2. Corticosteroids act as an expectorant
3. Corticosteroids have an anti-inflammatory effect
4. Corticosteroids prevent development of respiratory infections.

81.  The nurse is teaching the client how to use a metered dose inhaler (MDI) to administer a Corticosteroid drug. Which of the following client actions indicates that he us using the MDI correctly? Select all that apply.

Which of the following client actions indicates that he us using the MDI correctly? Select all that apply.

1. The inhaler is held upright.
2. Head is tilted down while inhaling the medication
3. Client waits 5 minutes between puffs.
4. Mouth is rinsed with water following administration
5. Client lies supine for 15 minutes following administration