Care Manager Certification Practice Exam

If a student with asthma has a peak expiratory flow rate in the yellow zone, what should the nurse include in their plan of action?

1. The student should use his quick-relief inhaler

2. The student's asthma is well controlled

3. The student's peak flow is above 80% of his best peak flow

4. The nurse should avoid further assessments

The correct answer is: The student should use his quick-relief inhaler

When a student with asthma has a peak expiratory flow rate (PEFR) in the yellow zone, it indicates that their asthma is not well controlled, and intervention is necessary. The yellow zone typically signifies that the peak flow is between 50% and 80% of the individual's personal best, which suggests that the student may be experiencing worsening asthma symptoms or a potential exacerbation. Including the use of a quick-relief inhaler in the plan of action is correct because these medications, often known as "rescue" inhalers, are specifically designed to provide immediate relief from acute asthma symptoms. By utilizing the quick-relief inhaler, the student is likely to achieve bronchodilation, helping to alleviate symptoms like wheezing, shortness of breath, and coughing, which are common when their peak flow is in the yellow zone. In contrast, stating that the student's asthma is well controlled is inaccurate, as being in the yellow zone indicates that the asthma is not currently stable. If the peak flow were above 80% of the best peak flow, the student's asthma would be considered well controlled, which is not the case here. Avoiding further assessments would also be inappropriate, as ongoing monitoring and evaluation of asthma status is crucial for effective