Nursing Made Incredibly Easy!:
doi: 10.1097/01.NME.0000407214.95879.df
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Up-to-date asthma care

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For more than 24 continuing education articles related to respiratory topics, go to Nursingcenter.com/CE.

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INSTRUCTIONS Up-to-date asthma care

TEST INSTRUCTIONS

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PROVIDER ACCREDITATION

Lippincott Williams & Wilkins, publisher of Nursing made Incredibly Easy!, will award 2.3 contact hours for this continuing nursing education activity.

Lippincott Williams & Wilkins is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.3 contact hours. Lippincott Williams & Wilkins is also an approved provider of continuing nursing education by the District of Columbia and Florida #FBN2454.

Your certificate is valid in all states.

The ANCC's accreditation status of Lippincott Williams & Wilkins Department of Continuing Education refers only to its continuing nursing educational activities and does not imply Commission on Accreditation approval or endorsement of any commercial product.

Up-to-date asthma care

GENERAL PURPOSE: To provide the professional nurse with an overview of current management techniques for asthma. LEARNING OBJECTIVES: After reading this article and taking this test, you should be able to: 1. Describe the pathophysiology of asthma. 2. Explain the classification of asthma severity. 3. Identify treatment modalities for asthma.

1. Which phrase best characterizes asthma as described by the NAEPP Expert Panel Report 3?

a. self-limiting symptoms due to acute inflammation of the airways

b. recurrent symptoms partially related to airflow obstruction

c. predictable symptoms from bronchial hyperresponsiveness

2. Which statement about asthma triggers is correct?

a. Exercise, food additives, and yelling are common triggers.

b. Patients tend to respond in similar way to a trigger.

c. Asthma triggers can also cause GERD.

3. It's important for patients to know what they're allergic to because

a. the vast majority of asthma cases are related to an allergic response.

b. asthma can be cured by avoiding allergens.

c. avoidance of allergic triggers can minimize asthma symptoms.

4. Mast cell release is most likely to cause which symptom in susceptible individuals?

a. coughing throughout the day

b. mucus production

c. breathlessness from airflow obstruction

5. Which isn't an expected airway response to inflammation?

a. bronchial smooth muscle relaxation

b. airway edema

c. mucus hypersecretion

6. One characteristic of intermittent asthma in patients age 12 and older is the absence of

a. the need for using a SABA inhaler.

b. nighttime symptoms.

c. interference with activity.

7. How does intermittent asthma differ from mild persistent asthma?

a. The triggers are different.

b. The frequency of SABA use is different.

c. Patients experience an entirely different set of symptoms.

8. Which statement best describes moderate persistent asthma?

a. The patient experiences symptoms every night.

b. The patient uses a SABA inhaler daily.

c. The patient's activity is significantly curtailed by symptoms.

9. In severe persistent asthma, activity limitation

a. is restricted by the physician.

b. can be reversed by SABA use.

c. is extreme.

10. The stepwise approach to medical therapy for asthma is based on

a. the asthma severity classification.

b. the patient's age.

c. the goal of reversing pulmonary pathology.

11. One goal of asthma therapy is to

a. maintain activity limitation at minimal levels.

b. eliminate use of long-term therapy modalities.

c. achieve minimal to no exacerbations.

12. Which medication is the most effective for long-term asthma treatment?

a. immunomodulators

b. cromolyn sodium

c. corticosteroids

13. Which long-term medication may be used with inhaled corticosteroids for severe persistent asthma?

a. ipratropium

b. salmeterol

c. omalizumab

14. Which statement related to the use of spacers is accurate?

a. Spacers direct medication to the back of the tongue.

b. Spacers turn liquid medication into a fine mist for inhalation.

c. Spacers must be prescribed by the healthcare provider.

15. Appropriate use of a DPI includes

a. having the patient rinse and swallow water after DPI use.

b. storing the DPI away from areas of high humidity.

c. administration via a nebulizer.

16. Which symptom would signal the presence of an asthma emergency?

a. trouble walking or talking with shortness of breath

b. peak flow of 50% to 80% of best measurement

c. waking at night due to asthma

17. Patients with PEFM readings in the yellow zone should

a. add a quick-relief medication.

b. stop their green zone medicine.

c. call their healthcare provider immediately.

18. Which of the following is included in the asthma action plan?

a. a guide to stepping down the patient's medication

b. instructions on using a spacer, nebulizer, and DPI

c. instructions for taking individualized medication doses

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