Ch. 11 COPD and Asthma

Theophylline

A commonly prescribed methylxanthine used as a bronchodilator is which of the following? 1-Albuteral 2-Levalbuteral 3-Theophylline 4-Terbutaline

IgE-mediated

Asthma is cause by which type of response? 1-IgA-mediated 2-IgM-mediated 3-IgE-mediated 4-IgD-mediated

The patient should take the medication an hour before meals or 2 hours after a meal.

The nurse is instructing the patient with asthma in the use of a newly prescribed leukotriene receptor antagonist. What should the nurse be sure to include in the education? 1-The patient should take the medication with meals since it may cause nausea. 2-The patient should take the medication with a small amount of liquid. 3-The patient should take the medication an hour before meals or 2 hours after a meal. 4-The patient should take the medication separately without other medications.

Cromolyn sodium

A client is being admitted to the medical-surgical unit for the treatment of an exacerbation of acute asthma. Which medication is contraindicated in the treatment of asthma exacerbations? 1-Cromolyn sodium 2-Ipratropium 3-Levalbuterol HFA 4-Albuterol

the importance of blood tests to monitor serum concentrations.

A client is receiving theophylline for long-term control and prevention of asthma symptoms. Client education related to this medication will include 1-taking the medication at least 1 hour prior to meals. 2-the importance of blood tests to monitor serum concentrations. 3-monitoring liver function studies as prescribed. 4-development of hyperkalemia.

"Have you tried to quit smoking before?"

A client with chronic obstructive pulmonary disease (COPD) expresses a desire to quit smoking. The first appropriate response from the nurse is: 1-"Many options are available for you." 2-"Nicotine patches would be appropriate for you." 3-"Have you tried to quit smoking before?" 4-"I can refer you to the American Lung Association."

"I do not need to rinse my mouth with this type of inhaler."

A nurse has just completed teaching with a client who has been prescribed a meter-dosed inhaler for the first time. Which statement if made by the client would indicate to the nurse that further teaching and follow-up care is necessary? 1-"After I breathe in, I will hold my breath for 10 seconds." 2-"If I use the spacer, I know I am only supposed to push on the inhaler once." 3-"I do not need to rinse my mouth with this type of inhaler." 4-"I will make sure to take a slow, deep breath as I push on my inhaler."

92%

A nurse is administering supplemental oxygen to a client with COPD. The nurse assesses the oxygen saturation level to evaluate the client's status. Which reading would the nurse identify as being appropriate to reduce the risk of vital organ damage in this client? 1-82% 2-89% 3-86% 4-92%

II

A nurse notes that the FEV1/FVC ratio is less than 70% and the FEV1 is 65% for a patient with COPD. What stage should the nurse document the patient is in? 1-III 2-IV 3-I 4-II

Beta-adrenergics

The school nurse is caring for a 10-year-old girl who is having an asthma attack on the school ground at recess. What is the preferred treatment to alleviate this patient's current airflow obstruction? 1-Corticosteroids 2-Anticholinergics 3-Peak flow monitoring device 4-Beta-adrenergics

Status asthmaticus Respiratory failure Atelectasis

A nursing instructor is discussing asthma and its complications with medical-surgical nursing students. Which of the following would the group identify as complications of asthma? Choose all that apply.

The patient's airflow may be severely limited.

A patient in an acute-care setting is being monitored closely after recently experiencing status asthmaticus. The nurse who is providing care for the patient has been assessing the patient's respiratory status frequently and has just completed auscultation of the patient's breath sounds. The nurse notes that the patient's breath sounds are significantly quieter than during the previous assessment. How should the nurse best interpret this assessment finding? 1-The patient's airflow may be severely limited. 2-The patient's respiratory wheeze is resolving. 3-The patient's upper airways are responding to bronchodilators. 4-The patient is in the early stages of a pulmonary infection.

Administer the salmeterol and then administer the triamcinolone

A physician orders triamcinolone and salmeterol for a client with a history of asthma. What action should the nurse take when administering these drugs? 1-Administer the triamcinolone and then administer the salmeterol. 2-Administer the salmeterol and then administer the triamcinolone. 3-Allow the client to choose the order in which the drugs are administered. 4-Monitor the client's theophylline level before administering the medications.

Sharp, stabbing chest pain

A pneumothorax is a possible complication of COPD. Symptoms will depend on the suddenness of the attack and the size of the air leak. The most common, immediate symptom that should be assessed is: 1-A dry, hacking cough 2-Sharp, stabbing chest pain 3-Tachycardia 4-Dyspnea

Collects sputum for culture and sensitivity

A young adult with cystic fibrosis is admitted to the hospital for an acute airway exacerbation. Aggressive treatment is indicated. What is the first action by the nurse? 1-Gives oral pancreatic enzymes with meals 2-Collects sputum for culture and sensitivity 3-Administers vancomycin intravenously 4-Provides nebulized tobramycin (TOBI)