The nurse instructs a client with asthma on bronchodilator ...

[Lisaclaire]

The nurse instructs a client with asthma on bronchodilator therapy. Which statement indicates client understanding?
 
  A) The medication widens the airways because it acts on the parasympathetic nervous system.
  B) The medication widens the airways because it stimulates the fight-or-flight response of the nervous system.
  C) The medication widens the airways because it decreases the production of histamine that narrows the airways.
  D) The medication widens the airways because it decreases the production of mucous that narrows the airways.

Question 2

The nurse is planning care for a young adolescent client diagnosed with asthma. Which evidence-based age-appropriate interventions will the nurse include in the plan of care?
 
  Select all that apply.
  A) Referring to a peer-lead support group
  B) Teaching the parents how to administer maintenance medication prior to teaching the client
  C) Assessing peer-support when planning care
  D) Collaborating with teachers for support in the school setting
  E) Telling the client to avoid medication while at school

[jharrington11]

Answer to Question 1

Answer: B

During the fight-or-flight response, beta2-adrenergic receptors of the sympathetic nervous system are stimulated, the bronchiolar smooth muscle relaxes, and bronchodilation occurs. Bronchodilators act on the sympathetic nervous system, not the parasympathetic nervous system. Bronchodilators do not decrease the production of mucus or the production of histamine.

Answer to Question 2

Answer: A, C, D

Age-appropriate, evidence-based interventions for a young adolescent client diagnosed with asthmas include referral to a peer-lead support group, assessing peer-support of the client, and collaborating with teachers to ensure the client has the necessary support in the school setting. While it is appropriate to include the parents in the educational process, the client should be taught how to administer medications prior to teaching the parents. Avoiding medication administration while in school could lead to an acute asthma attack.