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Chapter 103 ASTHMA.docx

The document contains a test bank for Chapter 103 on asthma, featuring multiple-choice questions related to asthma management and diagnostics. It includes scenarios for patient assessment and treatment recommendations, emphasizing the importance of spirometry and the asthma action plan. Key answers highlight the appropriate responses to asthma exacerbations and diagnostic procedures.

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27 views1 page

Chapter 103 ASTHMA.docx

The document contains a test bank for Chapter 103 on asthma, featuring multiple-choice questions related to asthma management and diagnostics. It includes scenarios for patient assessment and treatment recommendations, emphasizing the importance of spirometry and the asthma action plan. Key answers highlight the appropriate responses to asthma exacerbations and diagnostic procedures.

Uploaded by

unlockacads
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Chapter 103: Asthma

Test Bank

Multiple Choice

1. 1. A patient who has asthma calls the provider to report having a peak flow measure of 75%, shortness of
breath, wheezing, and cough, and tells the provider that the symptoms have not improved significantly after a dose
of albuterol. The patient uses an inhaled corticosteroid medication twice daily. What will the provider recommend?

a. a. Administering two more doses of albuterol


b. b. Coming to the clinic for evaluation
c. c. Going to the emergency department
d. d. Taking an oral corticosteroid

ANS: A
The patient is experiencing an asthma exacerbation and should follow the asthma action plan (AAP) which recommends
three doses of albuterol before reassessing. The peak flow is above 70%, so ED admission is not indicated. The patient may
be instructed to come to the clinic for oxygen saturation and spirometry evaluation after administering the albuterol. An oral
corticosteroid may be prescribed if the patient will be treated as an outpatient after following the AAP. REF: Management

1. 2. An adult develops chronic cough with episodes of wheezing and shortness of breath. The provider performs
chest radiography and other tests and rules out infection, upper respiratory, and gastroesophageal causes. Which test
will the provider order initially to evaluate the possibility of asthma as the cause of these symptoms?

a. a. Allergy testing
b. b. Methacholine challenge test
c. c. Peak expiratory flow rate
d. d. Spirometry

ANS: D
Spirometry is recommended at the time of initial assessment to confirm the diagnosis of asthma. Allergy testing is performed
only if allergies are a possible trigger. The methacholine challenge test is performed if spirometry is inconclusive. PEFR is
generally used to monitor asthma symptoms. REF: Diagnostics

1. 3. A patient is seen in clinic for an asthma exacerbation. The provider administers three nebulizer treatments
with little improvement, noting a pulse oximetry reading of 90% with 2 L of oxygen. A peak flow assessment is
70%. What is the next step in treating this patient?

a. a. Administer three more nebulizer treatments and reassess


b. b. Admit to the hospital with specialist consultation
c. c. Give epinephrine injections and monitor response
d. d. Prescribe an oral corticosteroid medication

ANS: B
Patients having an asthma exacerbation should be referred if they fail to improve after three nebulizer treatments or three
epinephrine injections, have a peak flow less than 70% and a pulse oximetry reading less than 90% on room air. Giving more
nebulizer treatments or administering epinephrine are not indicated. The patient will most likely be given IV corticosteroids;
oral corticosteroids would be given if the patient is managed as an outpatient. REF: Definition and Epidemiology
Buttaro: Primary Care, A Collaborative Practice, 5th Ed.

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