A client has been using a metaproterenol metered dose inhaler (MDI) for exercise-induced asthma. Montelukast has been added to the client's therapy. What would be important for the nurse to teach the client about the control of asthma with these medications? 1. Use the metaproterenol when the montelukast does not relieve acute symptoms. 2. The montelukast should be taken on a regular schedule whether there are symptoms or not. 3. At the first sign of wheezing or difficulty breathing, take the montelukast. 4. Use the metaproterenol three times a day, preferably before meals.

The nurse is admitting a child with an acute asthma attack. What information would indicate to the nurse the need to review the child's medication use with the parents? 1. Ipratropium is used with albuterol for severe asthma attack. 2. The child has been taking albuterol before playing soccer. 3. The child is taking beclomethasone via a metered dose inhaler (MDI) every 12 hours. 4. When the child begins wheezing, the parents have administered cromolyn.

A client with chronic bronchitis is receiving salmeterol, a beta2-adrenergic agonist. What is the best evidence that the drug is effective? 1. Heart rate decreased from 120 beats/min to 90 beats/min 2. Productive cough with increased amounts of clear sputum 3. Diminished wheezing; decreased shortness of breath 4. Decreased dyspnea for up to 4 hours after administration

The nurse is caring for a client who is taking fluticasone via a metered dose inhaler (MDI) for treatment of asthma. Which client response would indicate to the nurse that the client understands how to take his medication? 1. "I will take one puff of the medication and then wait a minute before taking the second puff." 2. "I will take two puffs of the medication every 4 hours, even if I am not short of breath." 3. "It is important for me to take this medication when I experience shortness of breath." 4. "I will take two puffs, one right after the other whenever I begin to get short of breath."

The nurse is administering cromolyn sodium to a client with asthma. What is the action of this medication? 1. Reduces the histamine load 2. Antagonizes the effects of histamine 3. Stabilizes the mast cell membrane 4. Reduces antiemetic activity

A child begins receiving beclomethasone via metered dose inhaler (MDI) for prophylactic control of his asthma. What will be important to teach the child and parents regarding the medication? 1. Rinse your mouth with water immediately after inhalation of the medication. 2. Take the medication whenever you feel an asthma attack occurring. 3. Take two inhalations, one immediately followed by a second inhalation. 4. Notify your physician if increased mucus production occurs.

The nurse is assessing a child who is experiencing an acute asthma attack. Which nursing observation would indicate that the respiratory status of the child requires immediate intervention? 1. Increased production of thin, white, copious amounts of sputum 2. Wheezing only on expiration 3. Decreased breath sounds with inspiratory and expiratory wheezing 4. Audible wheezing after a cough

The nurse is caring for a client with a diagnosis of bacterial streptococcal pharyngitis. What would the nurse expect to find on assessment of this client? 1. Rhinorrhea 2. Cough 3. Enlarged tonsils with exudate 4. Small oral vesicles