A Patient Develops an Asthma Exacerbation $\beta$ ₂ Agonist as Needed Via Metered-Dose Inhaler (MDI)

question 13

Multiple Choice

A patient develops an asthma exacerbation. The patient's medication history lists an inhaled glucocorticoid, montelukast, and a short acting $\beta$ ₂ agonist as needed via metered-dose inhaler (MDI) . The patient's respiratory rate is 18 breaths/minute, heart rate is 96 beats/minute, and an oxygen saturation is 95%. The provider auscultates mild expiratory wheezes bilaterally. What action will the provider take first?

• A) Prescribe a systemic glucocorticoid.
• B) Prescribe a long-acting \(\beta\)₂ agonist.
• C) Evaluate the need for teaching about MDI use.
• D) Question the patient about how much albuterol has been used.

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Definitions:

Variable-Ratio

A reinforcement schedule where a response is reinforced after an unpredictable number of responses, making it highly effective in maintaining behavior.

Fixed-Ratio

A schedule of reinforcement where a response is reinforced only after a specified number of responses, often used in behavior modification.

Stimulus Generalization

The psychological phenomenon whereby a response to a specific stimulus becomes associated with other stimuli, leading to a similar response.

Variable-Interval

A schedule of reinforcement where a response is rewarded after an unpredictable amount of time has passed.