Test 3: Asthma and COPD

When instructing client on how to decrease the risk of COPD. The nurse would emphasize which of the following behaviors?

Abstain from cigarette smoking

A 34 year old female with a history of asthma is admitted to the emergency department. The nurse notes that the client is dyspneic with a respiratory rate of 35 fields reveal greatly diminished breath sounds based on these findings which action should the nurse take to initiate care of the client?

Administer bronchodilators

Which of the following, if described by the parents of a child with cystic fibrosis. Indicates that the parents understand the underlying problem of the disease?

An abnormality in the body's mucus secreting glands

A client's diagnosis of cystic fibrosis was made 13 years ago and he has since been hospitalized several times. On the latest admission the client has labored respirations fatigue malnutrition and failure to thrive. Which nursing actions are most important initially.

Applying an oximeter and initiating respiratory therapy

A mother brings her 4 month old infant to the walk in clinic and reports that the infant has a bad cold and is having trouble breathing. And "she is not acting herself." Which of the following nursing actions should the nurse do first?

Assess the infant's oxygen saturation

When developing the plan of care for a child with cystic fibrosis who is scheduled to receive postural drainage. The nurse would anticipate performing postural drainage at which of the following times?

Before meals

Which of the following would be an appropriate expected outcome for an adult client with well controlled asthma?

Breath sounds are clear

The nurse assesses the respiratory status of a client who is experiencing an exacerbation of COPD secondary to an upper respiratory tract infection. Which of the following findings would be expected?

Coarse crackles and rhonchi

A client with acute asthma is prescribed short term corticosteroid therapy. Which is the rationale for the use of steroids in clients with asthma?

Corticosteroids have an anti-inflammatory effect

When creating a discharge plan to manage the care of a client with COPD, the nurse will anticipate that eh client will do which of the following?

Develop respiratory infections easily

When performing postural drainage, which of the following factors promotes the movement of secretions from the lower to the upper respiratory tract?

Force of gravity

When teaching the parents of an older infant with cystic fibrosis about the type of diet the child should consume, which of the following would be most appropriate?

High calorie diet

Which of the following diets would be most appropriate for a client with COPD?

High calories high protein diet

A client with COPD is experiencing dyspnea and has low PaO2 levels. The nurse plans to administer oxygen as ordered. What helps with oxygen administration with a COPD client.

High oxygen concentration may inhibit the hypoxic stimulus to breath

A client with COPD reports steady weight loss and being "too tired from just breathing to eat." Which of the following nursing diagnoses would be most appropriate when planning nutritional interventions for this client?

Imbalanced nutrition: less than body requirements related to fatigue

Which of the following health promotion activates should the nurse include in the discharge teaching plan for a client with asthma?

Incorporate physical exercise as tolerated into the daily routine

Which of the following blood gas abnormalities should the nurse anticipate in a client with advanced COPD?

Increased PaCO2

Which of the following physical assessment finds would the nurse expect to find in a client with advance chronic obstructive pulmonary disease (COPD)

Increased anterior to posterior chest diameter (barrel chest)

A client is prescribed a metaproteerenol via a metered dose inhaler two puffs every 4 hours. The nurse instructs the client to report adverse effects. Which of the following are potential adverse effects of metaproterenol?

Irregular heartbeat

When developing a teaching plan for the mother of an asthmatic child concerning measures to reduce allergic triggers which of the following suggestions should the nurse expect to include?

Keep the humidity in home between 50% and 60%

At a follow up appointment after being hospitalized an adolescent with history of cystic fibrosis describes his stools to the nurse. Which of the following descriptions should the nurse interpret as indicative of continued problems with malabsorption?

Large and foul smelling

Which of the following is a priority goal for the client with COPD?

Maintaining functional ability

An adolescent complains of chest pain and goes to the school nurse. The nurse determines that the teenager has a history of asthma but has had no problems for years. Which of the following should the nurse do next?

Obtain a peak flow reading

The nurse teaches a client with COPD to assess for signs and symptoms of right sided heart failure. Which of the following signs and symptoms should be included in the teaching plan?

Peripheral edema

The nurse administers Theophylline to a client, to evaluate the effectiveness of this medication, which of the following drug actions should the nurse anticipate?

Relaxation of bronchial smooth muscle

Which assessment findings should lead the nurse to suspect that a toddler is experiencing respiratory distress:

Respiratory rate of 35 breaths minute, restlessness and diaphoresis

A nurse is teaching a client to use a metered dose inhaler to administer his bronchodilator medication. Indicate the correct order of the steps the client should take to use the MDI appropriately

Shake the inhaler immediately before use Breathe out through the mouth Activate the MDI on inhalation Hold breath for 5 to 10 seconds and then exhale

A 12 year old with asthma wants to exercise. Which of the following activities should the nurse suggest to improve breathing?

Swimming

The nurse is planning to teach a client with COPD how to cough effectively. Which of the following instructions should be included?

Take a deep abdominal breath, or sniff bend forward and cough three or four times on exhalation

A 9 month old child with cystic fibrosis does not like taking pancreatic enzyme supplement with meals and snacks. The mother does not like to force the child to take the supplement. The most important reason for the child to take the pancreatic enzyme supplement with meals and snacks is:

The child needs the pancreatic enzyme to help the digestive system absorbs fats. Carbohydrates and proteins

Which of the following outcomes would be appropriate for a client with COPD who has been discharged to home?

The client agrees to call the physician if dyspnea on exertion increases

Which of the following is the primary reason to teach pursed-lip breathing to clients with emphysema?

To promote carbon dioxide elimination. The condition traps carbon dioxide which makes it difficult to get it out.

The client with asthma should be taught that which of the following is one of the most common precipitating factors of an acute asthma attack?

Viral respiratory infections

When preparing the teaching plan for the mother of a child with asthma, which of the following should the nurse include as signs to alert the mother that her child is having an asthma attack

Wheezing on expiration

When teaching a client with COPD to conserve energy, the nurse should teach the client to lift objects:

While exhaling though pursed lips