1) A patient with acute asthma is prescribed short-term corticosteroid therapy. Which is the expected outcome for the use of steroids in patients with asthma? a) Promote bronchodilation. b) Act as an expectorant. c) Have an anti-inflammatory effect. d) Prevent development of respiratory infections. 2) A patient is prescribed metaproterenol (Alupent) via a metered-dose inhaler, two puffs every 4 hours. The nurse instructs the client to report adverse effects. Which of the following are potential adverse effects of Alupent? a) Irregular heartbeat b) Constipation c) Pedal edema d) Decreased pulse rate 3) The nurse is teaching the patient how to use a metered-dose inhaler (MDI) to administer a corticosteroid. Which of the following indicates that the client is using the MDI correctly? a) The patient lies supine for 15 minutes following administration. b) The head is tilted down while inhaling the medicine. c) The patient waits 5 minutes between puffs. d) The patient rinses the mouth with water following administration. 4) Which of the following is an expected outcome for an adult client with well-controlled asthma? a) Chest x-ray demonstrates minimal hyperinflation. b) Temperature remains lower than 100F c) ABG analysis demonstrates a decrease in PaO2. d) Breath sounds are clear. 5) The patient diagnosed with asthma is admitted to the ER with difficulty breathing and a blue color around the mouth. Which diagnostic test can be ordered to determine the status of the client? a) Complete blood count b) Pulmonary function test c) Allergy skin testing d) Drug cortisol level 6) The nurse is discussing with patient about their care after being diagnosed with asthma. Which referral is important to include in the teaching? a) Referral to dietician. b) Referral for allergy testing. c) Referral to the development psychologist. d) Referral to a home health nurse. 7) Which medication order would the nurse question prior to administration if ordered for a patient with asthma and heart failure? a) Prednisone b) Carvedilol c) Albuterol d) Lisinopril 8) A 18 year old with asthma is treated for acute exacerbation in the ED. A nurse caring for the patient monitors for which of the following, knowing that it indicates a worsening of the condition? a) Decreased wheezing b) Warm, dry skin c) Pulse rate of 90 beats/min d) Respirations of 18 breaths/min 9) A newly diagnosed patient with asthma is preparing for discharge. Which point should a nurse emphasize during the patient's teaching? a) Contact care provider only if nighttime wheezing becomes a concern. b) Limit exposure to sources that trigger an attack. c) Use peak flow meter only if symptoms are worsening. d) Use inhaled steroid medication as a rescue inhaler.

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