Author Question: Which of the following represent the immediate signs and symptoms of a patient experiencing ... (Read 19 times)

Sportsfan2111 · **on:** Jul 16, 2018

Which of the following represent the immediate signs and symptoms of a patient experiencing bronchospasm during the administration of a bland aerosol?

1. Percentage of forced expiratory volume in 1 second (FEV1) <75
2. Adventitious breath sounds
3. Increased work of breathing
4. Change of breathing pattern
a. 1, 2, and 3 c. 2, 3, and 4
b. 1, 3, and 4 d. 1, 2, 3, and 4

Question 2

Which of the following statements about breath-actuated nebulizers is not true?

a. They can be used during the entire respir-atory cycle.
b. They do not require good hand-breath co-ordination.
c. They decrease aerosol medication waste.
d. They are not appropriate for some patients with severe airway obstruction.

ririgirl15 · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

ANS: D
Monitoring for reactive bronchospasm should consist of peak flow measurements or FEV1 be-fore and after therapy; auscultation for adventitious breath sounds; observation of the patient's breathing pattern and overall appearance; and, most essentially, communication with the patient during therapy to determine the perceived work of breathing.

Answer to Question 2

ANS: A
Breath-actuated nebulizers generate aerosol only during inspiration. It is true that breath-actuated pressure metered dose inhalers do not require good hand-breath coordination, and because of that they decrease aerosol medication waste. Patients with severe airway obstruction may not have the capability of generating enough flow to trigger the breath actuator.