Asthma

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Question 1: A client is curious about the basic nature of asthma. How should the nurse explain asthma?

Explanation

A) Incorrect. Asthma is not contagious, and it is not caused by bacteria.

B) Correct. Asthma is a chronic respiratory condition characterized by inflammation and narrowing of the airways.

C) Incorrect. Asthma is not a skin disorder and does not involve itchy rashes.

D) Incorrect. Asthma is not an autoimmune disorder and does not primarily affect the joints.


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Question 2: A nurse is teaching a client about asthma. Which statement by the client indicates a correct understanding of asthma's primary characteristics?

Explanation

A) Incorrect. Asthma can affect individuals of all age groups, not just the elderly.

B) Incorrect. Asthma primarily affects the respiratory system, not the digestive system.

C) Correct. Asthma is a chronic condition characterized by symptoms such as difficulty breathing and wheezing.

D) Incorrect. Asthma is a chronic condition, and while symptoms may improve with treatment, it does not typically resolve on its own within a few days.


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Question 3: A client is asking the nurse to explain what asthma is. How should the nurse respond?

Explanation

A) Incorrect. Asthma primarily affects the respiratory system, not the cardiovascular system.

B) Incorrect. While there can be a genetic predisposition to asthma, it is not solely a genetic condition.

C) Correct. Asthma is a chronic respiratory disease characterized by airway inflammation and narrowing, leading to difficulty breathing.

D) Incorrect. Asthma is not a bacterial infection but a chronic respiratory condition.


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Question 4: A nurse is discussing the basics of asthma with a client. Which statement accurately describes asthma?

Explanation

A) Incorrect. Asthma is not rare; it is a relatively common chronic condition.

B) Incorrect. Asthma is not caused by a virus but is related to airway inflammation.

C) Incorrect. Asthma is not a skin condition and does not involve hives and itching.

D) Correct. Asthma is a common chronic respiratory condition characterized by airway inflammation and narrowing.


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Question 5: A client with a history of respiratory issues asks the nurse about asthma. How should the nurse explain asthma's basic nature?

Explanation

A) Incorrect. Asthma primarily affects the respiratory system, not the joints and muscles.

B) Incorrect. Asthma is not an autoimmune disorder and does not primarily involve inflammation of the skin.

C) Incorrect. While asthma involves inflammation, it is not typically an acute respiratory infection.


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Question 6: A client is curious about the pathophysiology of asthma. How should the nurse explain the primary mechanism involved in asthma?

Explanation

A) Incorrect. Asthma is not primarily caused by bacterial infections.

B) Incorrect. While excess mucus can contribute to asthma symptoms, it is not the primary mechanism.

C) Correct. Asthma is characterized by chronic inflammation of the airways and increased reactivity, leading to airway narrowing and symptoms.

D) Incorrect. Asthma primarily involves airway inflammation and narrowing, not a lack of oxygen in the bloodstream.


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Question 7: A nurse is explaining the pathophysiology of asthma to a client. What role do mast cells play in the pathophysiology of asthma?

Explanation

A) Incorrect. Mast cells do not release hormones that relax airway muscles; they are involved in inflammation.

B) Correct. Mast cells release inflammatory substances in response to allergens, leading to bronchoconstriction and inflammation in asthma.

C) Incorrect. Mast cells are not primarily involved in clearing excess mucus from the airways.

D) Incorrect. Mast cells do not produce antibodies to protect against asthma attacks.


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Question 8: A client is asking the nurse to explain how asthma affects the airways. What should the nurse say?

Explanation

A) Incorrect. Asthma leads to airway narrowing, not widening.

B) Incorrect. While chronic inflammation can lead to airway remodeling over time, it does not make the airway walls more rigid in the acute phase.

C) Correct. Asthma is characterized by inflammation and narrowing of the airways, which can lead to symptoms like wheezing and difficulty breathing.

D) Incorrect. Asthma does affect the structure of the airways, primarily through inflammation and airway remodeling in the long term.


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Question 9: A nurse is discussing the role of eosinophils in asthma with a client. How should the nurse explain the involvement of eosinophils in asthma?

Explanation

A) Incorrect. Eosinophils do not release hormones that relax airway muscles.

B) Incorrect. Eosinophils are not primarily involved in antibody production in asthma.

C) Incorrect. Eosinophils are not responsible for clearing excess mucus from the airways.

D) Correct. Eosinophils are white blood cells that contribute to inflammation and airway damage in asthma by releasing inflammatory substances.


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Question 10: A client with asthma asks the nurse about the role of bronchial smooth muscle in asthma. How should the nurse explain it?

Explanation

A) Incorrect. Bronchial smooth muscle is involved in asthma, particularly in airway constriction.

B) Correct. In asthma, bronchial smooth muscle contracts and narrows the airways, contributing to symptoms like wheezing and shortness of breath.

C) Incorrect. Bronchial smooth muscle's primary role in asthma is not to clear mucus from the airways.

D) Incorrect. Bronchial smooth muscle does not release antibodies to protect against asthma attacks.


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Question 11: A nurse is teaching a client about the etiology and risk factors of asthma. Which statement by the client demonstrates an accurate understanding of these factors?

Explanation

A) Incorrect. Bacterial infections are not the primary cause of asthma; it is more related to inflammation and airway hyperreactivity.

B) Incorrect. Genetics can indeed play a role in the development of asthma.

C) Correct. Environmental factors, including allergens and irritants, are significant contributors to asthma development and exacerbation.

D) Incorrect. While emotional stress and anxiety can exacerbate asthma symptoms, they are not the sole triggers of the condition.


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Question 12: A client is discussing potential risk factors for asthma with a nurse. Which of the following risk factors should the nurse emphasize?

Explanation

A) Incorrect. Being physically active and spending time outdoors can have positive effects on respiratory health, reducing the risk of asthma.

B) Correct. Exposure to secondhand smoke, especially during childhood, is a significant risk factor for asthma.

C) Incorrect. A diet rich in fruits and vegetables is generally associated with better overall health but is not a direct risk factor for asthma.

D) Incorrect. Avoiding all exercise is not necessary for asthma prevention and can lead to other health problems. Properly managed exercise can be beneficial for individuals with asthma.


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Question 13: A nurse is educating a client about the risk factors for developing asthma. What should the nurse include in the discussion?

Explanation

A) Incorrect. Exposure to certain allergens from pets can increase the risk of asthma, especially in individuals with allergic tendencies.

B) Incorrect. Living in an urban area with high levels of air pollution can contribute to the development and exacerbation of asthma.

C) Incorrect. A family history of asthma is a known risk factor for the condition.

D) Correct. Respiratory infections, especially during early childhood, can be a risk factor for the development of asthma.


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Question 14: A client is inquiring about the role of allergies in the development of asthma. What should the nurse explain?

Explanation

A) Incorrect. Allergies are related to the development and exacerbation of asthma in some cases.

B) Correct. Allergies, especially allergic rhinitis, are known risk factors for the development of asthma in susceptible individuals.

C) Incorrect. While allergies can have a protective effect against asthma in some cases (the hygiene hypothesis), this is not universally true.

D) Incorrect. Allergies are one of several potential factors that can contribute to asthma, but they are not the sole cause.


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Question 15: A nurse is discussing potential risk factors for asthma with a client. Which of the following factors should the nurse mention as a potential risk for the development of asthma?

Explanation

A) Incorrect. Regular participation in outdoor activities can be beneficial for respiratory health and may reduce the risk of asthma in some cases.

B) Incorrect. A history of good respiratory health is not a risk factor for asthma.

C) Correct. Frequent respiratory infections, especially during childhood, can increase the risk of asthma.

D) Incorrect. Having a diet low in processed foods may be associated with better overall health but is not a direct risk factor for asthma.


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Question 16: A nurse is educating a client about the clinical manifestations of asthma. Which symptom should the nurse emphasize as a common early warning sign of an impending asthma attack?

Explanation

A) Incorrect. Severe coughing can occur during an asthma attack but is not typically considered an early warning sign.

B) Correct. Wheezing is often an early sign of airway constriction and can precede other symptoms of an asthma attack.

C) Incorrect. Chest pain and discomfort are not typical early warning signs of asthma.

D) Incorrect. Difficulty speaking in full sentences is a more advanced symptom that may occur during an asthma attack.


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Question 17: A client with asthma is discussing their symptoms with a nurse. Which description by the client is indicative of a classic asthma symptom?

Explanation

A) Incorrect. A persistent low-grade fever is not a typical asthma symptom.

B) Incorrect. A sore throat and runny nose are more characteristic of upper respiratory infections or allergies, not asthma.

C) Incorrect. A sharp, stabbing pain in the chest is not a classic asthma symptom and should be evaluated by a healthcare provider.

D) Correct. Frequent coughing and the production of thick mucus can be indicative of asthma, especially during exacerbations.


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Question 18: A nurse is assessing a client with asthma. Which symptom should the nurse recognize as a potential indicator of a severe asthma attack?

Explanation

A) Incorrect. Intermittent shortness of breath during physical activity is common in asthma but does not necessarily indicate a severe attack.

B) Incorrect. Occasional coughing and wheezing at night can be part of asthma but do not necessarily signal a severe attack.

C) Correct. Persistent shortness of breath, especially when present at rest, is a potential indicator of a severe asthma attack and should be taken seriously.

D) Incorrect. Mild chest tightness after exposure to allergens is a common symptom of asthma but may not necessarily indicate a severe attack.


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Question 19: A client with asthma is describing their symptoms to a nurse. Which statement by the client suggests nighttime worsening of asthma?

Explanation

A) Incorrect. Improvement of asthma symptoms when lying down is not typical, and nighttime symptoms often worsen in asthma.

B) Correct. Waking up in the middle of the night with a cough and difficulty breathing is a common symptom of nighttime worsening in asthma.

C) Incorrect. While some individuals with asthma may not experience nighttime symptoms, this is not typical.

D) Incorrect. Improved lung function and increased energy at night are not characteristic of asthma; in fact, asthma symptoms often worsen at night.


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Question 20: A nurse is assessing a client with asthma. Which symptom should the nurse identify as an early indicator of an asthma exacerbation?

Explanation

A) Correct. Frequent use of a rescue inhaler is often an early sign that asthma symptoms are worsening and may precede an exacerbation.

B) Incorrect. Rarely experiencing chest tightness does not necessarily indicate the early stages of an asthma exacerbation.

C) Incorrect. The absence of wheezing or coughing is not an early indicator of worsening asthma symptoms; wheezing is a common asthma symptom.

D) Incorrect. Infrequent nighttime awakenings due to asthma may be a sign of well-controlled asthma but do not necessarily signal an exacerbation.


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Question 21: A nurse is educating a client about the diagnostic evaluation of asthma. Which test is commonly used to measure lung function and assess the severity of asthma?

Explanation

A) Incorrect. An ECG is used to assess heart function, not lung function.

B) Incorrect. MRI is a diagnostic imaging technique used to visualize internal structures but is not typically used for asthma diagnosis.

C) Incorrect. Chest X-rays may be performed to rule out other conditions but are not a primary test for asthma diagnosis.

D) Correct. Spirometry is a common lung function test used to assess airflow and determine the presence and severity of asthma.


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Question 22: A client with suspected asthma is discussing diagnostic tests with a nurse. The client asks about the purpose of a bronchial provocation test. What should the nurse explain?

Explanation

A) Incorrect. Measuring oxygen levels in the blood is typically done using pulse oximetry or arterial blood gas tests, not a bronchial provocation test.

B) Correct. A bronchial provocation test evaluates how the airways respond to substances that can trigger bronchoconstriction, helping to diagnose asthma.

C) Incorrect. Visualizing airways using a special camera is usually done through bronchoscopy, not a bronchial provocation test.

D) Incorrect. Checking for specific antibodies related to asthma is not a primary diagnostic test for asthma; it is more commonly associated with allergies.


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Question 23: A nurse is explaining to a client how peak flow monitoring can be helpful in managing asthma. What should the nurse tell the client about the purpose of peak flow measurements?

Explanation

A) Incorrect. Peak flow measurements are not primarily used to assess the response to allergy medications.

B) Incorrect. Assessing heart function is not the purpose of peak flow measurements; they focus on lung function.

C) Correct. Peak flow readings are a valuable tool in assessing lung function and the severity of asthma symptoms, helping guide treatment decisions.

D) Incorrect. Evaluating bone density and fracture risk is not related to peak flow monitoring.


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Question 24: A client with asthma is undergoing diagnostic testing. Which laboratory test is commonly used to measure inflammation in the airways and help diagnose asthma?

Explanation

A) Correct. A CBC can detect elevated levels of white blood cells (eosinophils) associated with airway inflammation in asthma.

B) Incorrect. Serum cholesterol levels are not a primary diagnostic test for asthma.

C) Incorrect. Urinalysis is used to assess kidney function and detect abnormalities in the urine, not for asthma diagnosis.

D) Incorrect. ESR is a nonspecific test used to detect inflammation in the body but is not specific to asthma diagnosis.


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Question 25: A nurse is discussing allergy testing with a client suspected of having allergic asthma. Which allergy testing method involves applying small amounts of allergens to the skin to assess for allergic reactions?

Explanation

A) Incorrect. A blood test for specific IgE antibodies can detect allergen-specific antibodies but is not the same as a skin prick test.

B) Incorrect. A chest X-ray is used to visualize the lungs and is not a test for allergies.

C) Incorrect. A pulmonary function test (PFT) assesses lung function but does not test for allergies.

D) Correct. A skin prick test, also known as a skin allergy test or scratch test, involves applying small amounts of allergens to the skin and monitoring for allergic reactions, helping identify specific allergens triggering asthma symptoms.


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Question 26: A nurse is educating a client about asthma management. The client asks, "What is the purpose of an asthma action plan?" How should the nurse respond?

Explanation

A) Incorrect. An asthma action plan primarily focuses on managing acute symptoms and exacerbations, not long-term treatment.

B) Incorrect. While asthma action plans may include recommendations for daily activities, their primary purpose is to address asthma exacerbations.

C) Correct. An asthma action plan is designed to help individuals manage asthma attacks by providing instructions on when and how to use rescue medications, as well as when to seek medical assistance.

D) Incorrect. While asthma action plans may mention triggers, their primary function is to guide actions during asthma attacks.


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Question 27: A client with asthma is discussing treatment options with a nurse. The client asks, "What is the purpose of inhaled corticosteroids (ICS) in asthma management?" How should the nurse respond?

Explanation

A) Incorrect. Inhaled corticosteroids (ICS) are not typically used for quick relief during asthma attacks; they are primarily for long-term control.

B) Incorrect. Relaxing airway muscles is the function of bronchodilators, not ICS.

C) Correct. ICS medications are anti-inflammatory drugs that reduce airway inflammation, making them a cornerstone of asthma management for long-term control.

D) Incorrect. ICS are not used to treat acute allergic reactions; they are aimed at preventing asthma symptoms over time.


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Question 28: A nurse is teaching a client about using a peak flow meter for asthma management. What does a decrease in peak flow measurements indicate to the client?

Explanation

A) Incorrect. A decrease in peak flow measurements typically indicates worsening asthma, not improved control.

B) Incorrect. While an increase in rescue inhaler use may be necessary during an exacerbation, it does not address the underlying issue of worsening asthma.

C) Correct. A decrease in peak flow measurements is a sign of declining lung function, suggesting that asthma may be worsening. Following the asthma action plan is essential in this situation.

D) Incorrect. Peak flow measurements are a valuable tool in asthma management and are related to monitoring and controlling asthma symptoms.


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Question 29: A client asks a nurse about the role of bronchodilators in asthma treatment. How should the nurse explain their function?

Explanation

A) Incorrect. Reducing airway inflammation is the primary function of inhaled corticosteroids, not bronchodilators.

B) Correct. Bronchodilators, such as beta-agonists, help relax the smooth muscles surrounding the airways, which can improve airflow and relieve bronchoconstriction in asthma.

C) Incorrect. Bronchodilators primarily provide quick relief during asthma attacks but do not prevent asthma symptoms over the long term.

D) Incorrect. Bronchodilators are not used to treat allergic reactions; they are used to relieve acute bronchoconstriction associated with asthma.


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Question 30: A nurse is discussing asthma triggers with a client. Which statement by the client indicates an understanding of common asthma triggers?

Explanation

A) Incorrect. Smoking is a significant asthma trigger, and even occasional smoking can worsen asthma symptoms.

B) Incorrect. Feather pillows may contain allergens that can exacerbate asthma in individuals sensitive to these allergens.

C) Incorrect. Frequent vacuuming can stir up dust and allergens, potentially worsening asthma symptoms, rather than improving indoor air quality.

D) Correct. Outdoor allergens like pollen can trigger asthma symptoms in many individuals, so avoiding exposure is an important part of asthma management.


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Question 31: A nurse is teaching a client about asthma triggers. Which statement by the client indicates an understanding of common triggers?

Explanation

A) Incorrect. Scented candles and air fresheners can release irritants that may trigger asthma symptoms in some individuals, so they should be avoided.

B) Correct. Cold air is a known asthma trigger, and individuals with asthma should take precautions during cold weather to minimize exposure.

C) Incorrect. Dairy products can trigger asthma symptoms in some people who have dairy allergies or sensitivities.

D) Incorrect. Pet fur and dander can be potent asthma triggers, and regular cleaning and reducing exposure to these allergens are essential for asthma management.


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Question 32: A client with asthma asks a nurse how to properly use a peak flow meter. What should the nurse instruct the client to do?

Explanation

A) Incorrect. Breathing too forcefully into the peak flow meter can result in artificially high readings. The client should use a steady, controlled breath.

B) Incorrect. Exhaling forcefully can also lead to inaccurate readings. Gentle exhalation is recommended.

C) Incorrect. The peak flow meter should be exhaled into, not inhaled from.

D) Correct. The correct technique involves standing with feet together and exhaling gently but forcefully into the peak flow meter.


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Question 33: A nurse is discussing asthma management with a client. The client asks, "What is the purpose of a spacer device for my inhaler?" How should the nurse respond?

Explanation

A) Incorrect. A spacer does not increase the force of the medication but rather optimizes the delivery.

B) Incorrect. The purpose of a spacer is not related to portability; it's about enhancing the effectiveness of the inhaler.

C) Incorrect. Using a spacer does not allow for larger doses; it improves the distribution of the prescribed dose.

D) Correct. A spacer device helps ensure that more of the medication reaches the lungs by slowing down and dispersing the spray from the inhaler, making it easier to inhale effectively.


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Question 34: A nurse is providing asthma education to a client. The client asks, "When should I use my rescue inhaler?" What is the nurse's best response?

Explanation

A) Incorrect. Rescue inhalers are typically not used as a daily preventive measure but are reserved for acute symptom relief.

B) Incorrect. While exercise-induced asthma is a valid reason to use a rescue inhaler, it should also be used when experiencing other asthma symptoms.

C) Correct. Rescue inhalers are meant for quick relief during asthma symptoms or exacerbations, and their use should be guided by symptoms or healthcare provider instructions.

D) Incorrect. There is no specific benefit to using a rescue inhaler before bedtime unless asthma symptoms are present at that time.


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Question 35: A client with asthma is concerned about using a spacer device with their inhaler. What should the nurse explain about the benefits of using a spacer?

Explanation

A) Incorrect. Spacers can be beneficial for both children and adults, depending on their ability to use the inhaler effectively.

B) Incorrect. A spacer does not deliver medication directly into the bloodstream but optimizes delivery to the lungs.

C) Correct. Using a spacer reduces the risk of side effects, such as oral thrush, associated with some inhaled medications by ensuring more targeted delivery to the lungs.

D) Incorrect. Spacers are designed to make inhalers easier to use correctly, not more challenging.


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