MSN 377: Ch 24 Workbook Questions

A, B, C

Upon assessment, the nurse suspects that a patient with COPD may have bronchospasm. What manifestations validate the nurse's concern? (Select all that apply) A. compromised gas exchange B. decreased airflow C. wheezes D. jugular vein distension E. ascites

D

A child is having an asthma attack and the parent can't remember which inhaler to use for quick relief. The nurse accesses the child's medication information and tells the parent to use which inhalant? A. cromolyn sodium B. theo-dur C. serevent D. proventil

B

A nurse notes that the FEV1/FVC ratio is less than 70% for a patient with COPD. What stage should the nurse document the patient is in? A. 0 B. I C. II D. III

B

A patient comes to the clinic for the third time in 2 months with chronic bronchitis. What clinical symptoms does the nurse anticipate assessing for this patient? a. chest pain during respiration b. sputum and a productive cough c. fever, chills, and diaphoresis d. tachypnea and tachycardia

B

The physician orders a beta-2 adrenergic agonist agent (bronchodilator) that is short-acting and administered only by inhaler. What medication does the nurse anticipate will be administered? A. alupent B. brethine C. foradil D. isuprel

A

A patient is being treated for status asthmatics. What danger sign does the nurse observe that can indicate impending respiratory failure? A. respiratory acidosis B. respiratory alkalosis C. metabolic acidosis D. metabolic alkalosis

C

A patient is prescribed a mast cell stabilizer for the treatment of asthma. Which commonly used medication will the nurse educate the patient about? A. albuterol B. budesonide C. cromolyn sodium D. theophylline

C

A patient with cystic fibrosis is admitted to the hospital with pneumonia. When should the nurse administer the pancreatic enzymes that that patient has been prescribed? A. after meals and at bedtime B. before meals C. with meals D. three times a day regardless of meal time

D

A patient with end-stage COPD and heart failure asks the nurse about lung reduction surgery. What is the best response by the nurse? A. "You are not a candidate because you have heart failure." B. "You would have a difficult time recovering from the procedure." C. "At this point, do you really want to go through something like that?" D. "You and your physician should discuss the options that are available for treatment."

D

The nurse is caring for a patient with status asthmatics in the ICU. What does the nurse anticipate observing for the blood gas results related to hyperventilation for this patient? A. metabolic acidosis B. metabolic alkalosis C. respiratory acidosis D. respiratory alkalosis

A, C, D

The nurse is assigned to care for a patient in the ICU who is diagnosed with status asthmatics. Why does the nurse include fluid intake as being an important aspect of the plan of care? (Select all that apply) A. to combat dehydration B. to assist with the effectiveness of the corticosteroids C. to loosen secretions D. to facilitate expectoration E. to relieve bronchospasm

A

The nurse should be alert for a complication of bronchiectasis that results from a combination of retained secretions and obstruction that leads to the collapse of alveoli. What complication should the nurse monitor for? A. atelectasis B. emphysema C. pleurisy D. pneumonia

A

The nurse is assigned to care for a patient with COPD with hypoxemia and hypercapnia. When planning care for this patient, what does the nurse understand is the main goal of treatment? A. providing sufficient oxygen to improve oxygenation B. avoiding the use of oxygen to decrease the hypoxic drive C. monitoring the pulse oximetry to assess need for early intervention when PCO2 levels rise D. increasing pH

C

The nurse is educating a patient with asthma about preventative measures to avoid having an asthma attack. What does the nurse inform the patient is a priority intervention to prevent an asthma attack? A. using a long-acting steroid inhaler when an attack is coming B. avoiding exercise and any strenuous activity C. preparing a written action plan D. staying in the house if it is too cold or too hot

C

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? A. the patient should take the medication with meals since it may cause nausea B. the patient should take the medication separately without the other medications C. the patient should take the medication an hour before meals or 2 hours after the meal D. the patient should take the medication with a small amount of liquid