Which patient statement indicates a need for further teaching about asthma management?

Correct Answer: A

Rationale: The correct answer is A because using a rescue inhaler before meals is not a recommended practice for asthma management. Rescue inhalers are typically used for immediate relief during asthma attacks, not as a preventive measure before meals. This statement indicates a misunderstanding of how to use the inhaler properly. Choice B is correct as it shows an understanding of avoiding triggers to manage asthma symptoms. Choice C is correct because taking the long-acting inhaler as prescribed is an essential part of asthma management. Choice D is also correct as carrying the inhaler at all times ensures readiness for any asthma exacerbation.

Correct Answer: B

Rationale: The correct answer is B: Orange-colored sputum. This finding may indicate rifampin-induced discoloration of bodily fluids, a common side effect of TB medication. The healthcare provider should be notified to assess for possible liver toxicity. Yellow-tinged sclera (A) may indicate jaundice but is common with rifampin use. Thickening of the fingernails (C) is not typically associated with TB medication. Difficulty hearing high-pitched voices (D) is unrelated to TB treatment.

Correct Answer: A

Rationale: The correct answer is A: Administer aspirin. During the acute phase of myocardial infarction (MI), aspirin is crucial to reduce platelet aggregation and prevent further clot formation in the coronary arteries, reducing the risk of reinfarction. Aspirin helps improve blood flow to the heart muscle, minimizing damage. Thrombolytic therapy (choice B) is important but is typically given within the first few hours of symptom onset, not during the acute phase. Administering IV fluids (choice C) may be necessary for hemodynamic support but is not the priority intervention. Administering an oral anticoagulant (choice D) is not the initial priority in the acute phase of MI.

Correct Answer: C

Rationale: The correct answer is C: Monitor vital signs frequently. The priority intervention after a stroke is to closely monitor vital signs to detect any signs of deterioration or complications early on. This helps in providing timely interventions to prevent further harm. Performing a neurological assessment (A) can be important but not the immediate priority. Administering clot-busting medications (B) should be done within a specific time frame and requires proper patient evaluation first. Administering intravenous fluids (D) may be necessary, but monitoring vital signs takes precedence to ensure the patient's stability.

Correct Answer: B

Rationale: Correct Answer: B Rationale: Maintaining the patient in the lateral position for 20 minutes after postural drainage with percussion and vibration helps to facilitate drainage of secretions from the affected lung segments. This position helps to target specific lung segments and allows gravity to assist in moving secretions towards larger airways for easier expectoration. Incorrect Choices: A: Scheduling the procedure 1 hour after the patient eats is not necessary for postural drainage with percussion and vibration. It is more important to maintain the patient in the proper position for effective drainage. C: Giving albuterol before therapy is not directly related to postural drainage with percussion and vibration. Albuterol is a bronchodilator that may be prescribed for bronchospasm but is not directly related to postural drainage. D: Performing percussion before assisting the patient to the drainage position is incorrect. Percussion should be performed after the patient is in the appropriate position to facilitate secretion movement.