Asthma Educator Certification Exam 2024/2025, Exams of Nursing

Download Asthma Educator Certification Exam 2024/2025 and more Exams Nursing in PDF only on Docsity! ASTHMA EDUCATOR CERTIFICATION EXAM 2024/2025 Name the five things for moderate persistant Asthma (adult) - Precise Answer ✔✔Daily Symptoms Daily use of inhaler Nighttime awakenings more than once/week, but not nightly Moderate limitation to activities Lung function is < predicted Define Asthma - Precise Answer ✔✔Asthma is a chronic, inflammatory, obstructive, non-contagious airway disease with varying levels of severity. Lungs are a pair of ______ shaped organs - Precise Answer ✔✔Cone Lie in the pleural cavity separated by _________ - Precise Answer ✔✔Mediastinum Lungs extend from the ________ to 1-2 cm above the _______ - Precise Answer ✔✔Diaphragm, Clavicles These four things enter the lungs at the Hilum - Precise Answer ✔✔Mainstem bronchi, blood vessels, lymphatic vessels, and nerves Thin layer of tissue that covers the lungs? - Precise Answer ✔✔Visceral pleura Thin layer on the inside of the chest wall? - Precise Answer ✔✔Parietal Pleura Area between the chest wall, and the lungs? Which contains a small amount of what? - Precise Answer ✔✔Pleural Space Fluid The average trachea is how long? - Precise Answer ✔✔10-12 cm long What area of the airways no longer have cartilage to hold them open? - Precise Answer ✔✔Bronchioles Explain in relation to inhalation, and exhalation what the smooth muscle is doing. - Precise Answer ✔✔On inhalation the smooth muscle relaxes allowing the air to enter the alveoli, and on exhalation the smooth muscle contracts. Name the areas of gas exchange - Precise Answer ✔✔Terminal Bronchioles,Respiratory bronchioles these lead to alveolar ducts, then sacs, then to the alveoli themselves Mucosa is infiltrated with eosinophils, such as lymphocytes and mast cells, causing tissue to become swollen. Cilia become damaged and basement membrane of the mucosa becomes thicker than normal Inflammation leads to _________, _________, and _________ - Precise Answer ✔✔airway obstruction, air trapping, and alveolar hyperinflation Acute Asthma is defined as... - Precise Answer ✔✔An asthma attack that lasts for days/weeks Chronic Asthma is defined as... - Precise Answer ✔✔An individual that has had Asthma for years Status Asthmaticus is defined as.. - Precise Answer ✔✔Severe asthma attack that does not respond to conventional therapy. When does an asthmatic develop status asthmaticus - Precise Answer ✔✔Risk can increase in individuals who are not properly treated, or who have previously experienced an episode. What are the signs and symptoms of Status Asthmaticus? - Precise Answer ✔✔a. Extreme dyspnea b. Little or not breath sounds c. Lactic acidosis d. Restlessness, anxiety e. Pt may not cough or wheeze because there is not enough airflow to generate sounds f. Inability to speak g. Cyanosis h. Sweating i. Use of accessory muscles j. Pulsus paradoxus - a variation in the blood pressure during the respiratory cycle that can be felt when taking a pulse. Exercise induced asthma, bronchospasm has what kind of symptoms? - Precise Answer ✔✔Sob, chest tightness or pain, wheezing or stamina problems during exercising For people with EIB, or EIA symptoms should get ______, and won't begin to improve for at least ___ min after exercising. Takes as long as_______ min to resolve - Precise Answer ✔✔Worse 10 20-30 During exercise, the patient goes from two different types of breathing; what are they? - Precise Answer ✔✔Switch from nose breathing to mouth breathing How is exercise induced asthma diagnosed? - Precise Answer ✔✔Exercise challenge test What is the procedure for the test - Precise Answer ✔✔The test should increase the HR to 80% of the pt's max for 4-6 min PEF or Fev1 are taken before and after exercise at 5 min intervals for 20-30 min A 15% decrease in PEF or Fev1 is a reliable indicator How is the EIA treated? - Precise Answer ✔✔15-20 min before exercise pt should use SABA What is Nocturnal Asthma, and what does it cause? - Precise Answer ✔✔This means that pt has asthma symptoms during sleep. This causes loss of sleep, leading to daytime sleepiness and irritability which makes it difficult to control day time asthma What medication (s) will help to control Nocturnal Asthma? - Precise Answer ✔✔LABA, and inhaled steroids Difficult to treat asthma is asthma that is - Precise Answer ✔✔Difficult to manage and does not respond adequately to the addiction of inhaled steroid therapy Definition of an irritant - Precise Answer ✔✔Substance that irritates the lungs and causes asthma symptoms Definition of an allergen - Precise Answer ✔✔Substance that causes an allergic reaction creating airway inflammation Are those that are sensitive to molds, sensitive to all molds? - Precise Answer ✔✔No Outdoor molds grow on - Precise Answer ✔✔Corn, wheat, soybeans, compost, hay, hay and grass piles. Grow on food such as tomatoes, bananas, and mushrooms. There are three different molds that actually cause ashtma episodes, what are they? - Precise Answer ✔✔Alternaria Cladosporium Apergillus How long do molds stary airborne? - Precise Answer ✔✔Throughout the year except when snow covers the ground Outdoor Allergens - Pollens Three classifications of plants that produce wind-bourne pollens? - Precise Answer ✔✔Trees - Most often released between noon and 6 pm. Common trees such as elm, willow, poplar, birch, beech, oak, maple, box elder, hickory, cedar, and ash. Grasses - Most Grasses release pollen from 0730 throughout the day, wet grass = delayed release until dry. Weeds - Begins releasing pllen between sunrise and 0900. Other weeds that release allergenic pollen are mugwort, thistle, sagebrush, marsh elder, and cocklebur. Out of the weeds what is the most common causing asthma allergen? - Precise Answer ✔✔Ragweed When do all plants release their pollen? - Precise Answer ✔✔Warm Sunny days and avoid releasing pollen on cool, rainy days When does the pollen go up in the atmosphere, and when does it come down? - Precise Answer ✔✔It goes up in the warm air during the day then falls down as the air cools after sunset. This is done between 8 and 10 When should those that are sensitive to outdoor allergens avoid going outside? - Precise Answer ✔✔Midday to afternoon when pollen and spore counts are high If the patient's symptoms worsen durning the spring, what is the likely cause? - Precise Answer ✔✔Tree pollen If the patient's symptoms worsen durning the late spring to early summer, what is the likely cause? - Precise Answer ✔✔Grass Pollen If the patient's symptoms worsen durning the late summer to autumn, what is the likely cause? - Precise Answer ✔✔Ragweed Food Allergens Name some of the allergens in food and what are they mostly found in? - Precise Answer ✔✔Peanuts Fish(Freshwater or saltwater) Shellfish(Crab, lobster, clams, oysters or shrimp) Eggs Wheat Cow's Milk Tree nuts(Walnuts, cashews, hazelnuts, almonds or Brazil nuts) They are found mostly in Proteins How long does it take for the allergic reaction to devolop after eating. - Precise Answer ✔✔Minutes to hours after Three different areas that show symptoms - Precise Answer ✔✔Gastrointestinal, IgE antibodies, and anaphyaxis caused by vaccines, insect stings or bites Some of the symtomps from each system - Precise Answer ✔✔Nausea, stomach pain, Colic, severe itching, swollen lips and tongue Hives, Ecema, angioedema Flushing Prutitis Urticaria (hives) Angio Edema (welts)