Category: Uncategorized

A client with moderate persistent asthma has been taking an oral glucocorticoid for several years. Because of a new diagnosis of renal impairment, the prescriber writes a prescription to discontinue the oral glucocorticoid and start taking inhaled glucocorticoid instead. What is the priority action of the nurse?

A client with chronic obstructive pulmonary disease (COPD) has been taking theophylline as part of their maintenance therapy. At today’s follow-up visit, the client reports, “I think the medicine might be helping. I’m not as tight in my chest as before, and it feels easier to breathe, but I still have a cough.”Based on these findings, which conclusion by the nurse BEST indicates the medication is effective?

You are providing asthma education to a 21-year-old patient who presents to the primary care clinic today for follow up of asthma. At his last visit he was given a prescription for Beclomethasone inhaler and to continue his albuterol as needed. Which of the following would be the most appropriate to include for discharge instructions when educating on Beclomethasone?

A client has been prescribed impratropium to help treat stable chronic obstructive pulmonary disease (COPD). What discharge instructions will the nurse provide?

A patient has just been prescribed Beclomethasone, an inhaled corticosteroid, for long‑term management of asthma. During discharge teaching, the patient states, “I’ll just use this inhaler when I start to feel short of breath.”Based on this statement, what is the MOST appropriate teaching point for the nurse to provide?

As a nurse you know that the mechanism of action for montelukast for the treatment of asthma is best described as which of the following?

Case Study 1 Sophia Johnson is a 42 year old woman who has been traveling overseas as a freelance wildlife photographer. She just returned from Malaysia, an equatorial country in southeast Asia, about 5 days ago.  This morning she woke up with an extreme headache, painful joints, and nausea so bad she was even having trouble drinking water.  You collect Sophia’s vital signs while doing triage in the local emergency room: Temperature (normal range 97-99oF): 104.2oF Blood Pressure (healthy adult 95%): 96% Use Sophia’s vital signs and her symptoms to answer the following questions:  Calculate Sophia’s pulse pressure (PP) (normal range 40-60). Calculate Sophia’s mean arterial pressure (MAP) (normal range 70-100). Including her vital signs and your calculations for PP & MAP, list any of Sophia’s results that are abnormal, including whether they are too high or too low. Considering Sophia’s symptoms and abnormal results, what is a potential diagnosis? Explain your answer with 2-3 sentences!

Case Study 1 Sophia Johnson is a 68 year old woman who has been volunteering at the local foodbank during the day and babysitting her three grandkids after school while their single mom works. Lately she’s been feeling extremely fatigued, even on her days off, and Sophia’s daughter finally forced her mom to visit the clinic when she found out Sophia’s vision has gotten blurry and her finger tips have gotten numb. You collect Sophia’s vital signs while she is quietly waiting for the doctor, sitting in the examination room: Temperature (normal range 97-99oF): 98.6oF Blood Pressure (healthy adult 95%): 98% Use Sophia’s vital signs and her symptoms to answer the following questions:  Calculate Sophia’s pulse pressure (PP) (normal range 40-60). Calculate Sophia’s mean arterial pressure (MAP) (normal range 70-100). Including her vital signs and your calculations for PP & MAP, list any of Sophia’s results that are abnormal, including whether they are too high or too low. Considering Sophia’s symptoms and abnormal results, what is a potential diagnosis? Explain your answer with 2-3 sentences!

Case Study 4 You are working with the hospital’s nutritionist and have been asked to evaluate a new food item. Review the Nutrition Facts Label below and then answer the following questions.  1. If a patient were to consume the entire container of this food at one time, how many calories would they have eaten?  2. Which type of macromolecule (carbohydrate, protein, lipid) is the major component in this food? Ie. which macromolecule is contributing the most to the total calories?  3. Would this food be a good choice for someone with diabetes mellitus? Briefly explain your answer in 2-3 sentences.

What is one reason a patient might need an enteral tube for feeding or medications?