NUR 324 COPD/ASTHMA

The nurse is implementing the plan of care for a client with cystic fibrosis. What is the priority nursing goal for the client's care? Administer medications as prescribed Encouraging adequate nutrition Maintaining adequate airway clearance Assessing for clear breath sounds

Maintaining adequate airway clearance

The nurse is caring for a patient with COPD. The patient is receiving oxygen therapy via nasal cannula. The nurse understands that the goal of oxygen therapy is to maintain the patient's SaO2 level at or above what percent? 30% 90% 50% 70%

90%

Which statement describes emphysema? A disease of the airways characterized by destruction of the walls of overdistended alveoli A disease that results in reversible airflow obstruction, a common clinical outcome Chronic dilatation of a bronchus or bronchi Presence of cough and sputum production for at least a combined total of 2 to 3 months in each of two consecutive years

A disease of the airways characterized by destruction of the walls of overdistended alveoli

Which type of chest configuration is typical of a client with COPD? Pigeon chest Funnel chest Barrel chest Flail chest

Barrel chest

Which exposure accounts for most cases of COPD? Exposure to allergens Ambient air pollution Exposure to tobacco smoke Occupational exposure

Exposure to tobacco smoke

The nurse is caring for a client with an acute asthma exacerbation. What priority assessment would concern the nurse the most? Shortness of breath and temperature above 100 F An oxygen saturation of 90% and pulse rate greater than 80 Inspiratory wheezing and respiratory rate greater than 30 Tachycardia and pursed lip breathing

Inspiratory wheezing and respiratory rate greater than 30

The nurse is instructing an unlicensed assistive personnel (UAP) regarding the care of a male client with a diagnosis of COPD. What is the highest priority nursing action to share with the UAP? Encourage the client to ambulate as much as possible Keep the head of the bed elevated Never leave the client alone when he is out of bed Offer to help the client with activities of daily living

Keep the head of the bed elevated

In COPD, the body attempts to improve oxygen-carrying capacity by increasing the number of red blood cells. Which term refers to this process? Leukocytosis Polycythemia Thrombopenia Anemia

Polycythemia

The nurse is planning care for a client with a diagnosis of cystic fibrosis (CF) living in the community. What is the priority goal to be included? Increase activity level 20 minutes per day Recognize risk factors for respiratory infections Family members will support the client's care Genetic testing will be considered in the future

Recognize risk factors for respiratory infections

The nurse has completed the assessment for a client in the clinic with a diagnosis of chronic asthma. What would be the priority goal the nurse should discuss with the client? Maintaining a regular exercise routine Complying with medication instructions Recognizing triggers that cause asthma attacks Understanding physical limitations cause by this disease

Recognizing triggers that cause asthma attacks

The nurse is monitoring a client who is experiencing an acute asthma attack. What observations would indicate an improvement in the client's condition? Respiratory rate of 18 breaths/min Pulse oximetry of 88% Pulse rate of 110 beats/min Productive cough with rapid breathing

Respiratory rate of 18 breaths/min

A nurse is caring for a client with COPD. While reviewing breathing exercises, the nurse instructs the client to breathe in slowly through the nose, taking in a normal breath. Then the nurse asks the client to pucker his lips as if preparing to whistle. Finally, the client is told to exhale slowly and gently through the puckered lips. The nurse teaches the client this breathing exercise to accomplish which goals? Select all that apply. Release air trapped in the lungs Strengthen the diaphragm Condition the inspiratory muscles Control the rate and depth of respirations

Release air trapped in the lungs Control the rate and depth of respirations

As status asthmaticus worsens, the nurse would expect which acid-base imbalance? Respiratory acidosis Respiratory alkalosis Metabolic alkalosis Metabolic acidosis

Respiratory acidosis

The nurse in the ED has received two new patients in the treatment area. Which patient should the nurse see first? Judy Thomas is a 24-year-old black female with a history of asthma. She is complaining of shortness of breath and is actively wheezing. She has a history of needing intubation in previous asthma exacerbations. Her vital signs taken at the triage station were: T—99 Pulse—115 BP—130/70 Resp rate—26 SpO2—92% Peak Flow—Below personal best David Smiley is a 56-year-old white male with a history of COPD. He is presenting to the ED complaining of increased shortness of breath, wheezing, and a cough. He appears to have pursed lip breathing. He states he has had a bad cold. His vital signs taken at the triage station were: T—100.2 Pulse—122 BP—150/80 Resp rate—28 SpO2—90%

The nurse in the ED has received two new patients in the treatment area. Which patient should the nurse see first? Judy Thomas is a 24-year-old black female with a history of asthma. She is complaining of shortness of breath and is actively wheezing. She has a history of needing intubation in previous asthma exacerbations. Her vital signs taken at the triage station were: T—99 Pulse—115 BP—130/70 Resp rate—26 SpO2—92% Peak Flow—Below personal best -Because she has been on intubation