A patient with asthma is given an asthma action plan and returns ...

[SO00]

A patient with asthma is given an asthma action plan and returns to the clinic in 2 weeks to follow up on symptoms. Which statement by the patient indicates a need for further teaching?
 
  a. I use the ICS as needed when I am wheezing.
  b. A side effect of albuterol may be shortness of breath.
  c. I should rinse my mouth thoroughly after using an ICS.
  d. I put the albuterol metered-dose inhaler in my mouth with my lips sealed around it.

Question 2

A patient reports taking antioxidant supplements to help prevent cancer. The primary care NP should:
 
  a. review healthy dietary practices with this patient.
  b. make sure that the supplements contain large doses of vitamin A.
  c. tell the patient that antioxidants are especially important for patients who smoke.
  d. tell the patient that evidence shows antioxidants to be effective in preventing cancer.

[meganlapinski]

Answer to Question 1

A
ICSs are controller medications and are not used as needed for symptoms, so this statement by the patient indicates a need for further teaching. The other statements are true.

Answer to Question 2

A
Epidemiologic evidence indicates that people who eat fruits and vegetables regularly have a decreased risk of cancer. Although retrospective studies have suggested major benefits from antioxidants, no intervention studies have determined conclusively that antioxidants prevent cancer. Large doses of vitamin A can produce a yellow hue to the skin. Antioxidants can be beneficial, but in certain populations, such as smokers, they may be harmful.

[SO00]

Excellent

[dyrone]

TYSM