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NCLEX Practice Question of the Week

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Here is the weekly question posted on the NCSBN Learning Extension:

A nurse is providing instructions for a client with asthma. Which of these factors should the client monitor on a daily basis as a priority?

  1. Respiratory rate
  2. Peak air flow volumes
  3. Pulse oximetry
  4. Respiratory effort

The correct answer is: 2 – peak air flow volumes

When dealing with a patient with asthma, you want to check their pulmonary function tests. Specifically, you want to check their forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), and their peak expiratory  rate of flow (PERF).  Compare your patient’s results with those of the normal (according to age). Patients with asthma will have results that are 15 to 20 percent below normal. If the patient’s results are 12% above normal, and this is after taking a bronchodilator, this would be an indicator of asthma.

Patient education would involve teaching the patient to check their peak flow measures daily so they can adjust treatments accordingly.


Written by stereotypicalone

September 23, 2009 at 13:42

Posted in NCLEX

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