To monitor a patient for the possibility of reactive bronchospasm during aerosol drug therapy, what should you do?
1. Measure pre- and postpeak flow and/or percentage forced expiratory volume in 1 second (%FEV1).
2. Auscultate for adventitious breath sounds.
3. Carefully observe the patient's response.
4. Communicate with the patient during therapy.
a. 1 and 3 only
b. 1, 3, and 4 only
c. 2, 3, and 4 only
d. 1, 2, 3, and 4
ANS: D
Monitoring for reactive bronchospasm should include peak flow measurements or percentage forced expiratory volume in 1 second (%FEV1) before and after therapy; auscultation for adven-titious breath sounds, and 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 (WOB).
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