Which information will the nurse include in the asthma teaching plan for a patient being discharged?

Correct Answer: D

Rationale: Inhaled corticosteroids are for maintenance, not rescue (A is wrong). Holding breath for 5 seconds is too short (10 seconds is standard, C is wrong). DPI requires slow, deep inhalation (B is correct but not the best answer here). Tremors are a known side effect of bronchodilators like albuterol (D is correct).

Correct Answer: D

Rationale: The upright position with the arms supported increases lung expansion, allows fluid to collect at the lung bases, and expands the intercostal space so that access to the pleural space is easier. The other positions would increase the work of breathing for the patient and make it more difficult for the health care provider performing the thoracentesis.

Correct Answer: B

Rationale: The nurse should clarify that nasal decongestant sprays should be used for no more than 3 days to prevent rebound vasodilation and congestion. The other responses indicate that the teaching has been effective.

Correct Answer: B

Rationale: Patients should continue to cough and deep breathe after discharge. Fatigue is expected for several weeks. The pneumococcal and influenza vaccines can be given at the same time in different arms. A follow-up chest x-ray needs to be done in 6 to 8 weeks to evaluate resolution of pneumonia.

Correct Answer: C

Rationale: Because a major symptom of IPAH is exertional dyspnea, an improvement in this symptom would indicate that the medication was effective.