PrepU Chapter 20: Management of patients with COPD

Asthma is caused by which type of response? A. IgE-mediated B. IgD-mediated C. IgA-mediated D. IgM-mediated

A. IgE-mediated

A home health nurse sees a client with end-stage chronic obstructive pulmonary disease. An outcome identified for this client is preventing infection. Which finding indicates that this outcome has been met? A. decreased oxygen requirements B. increased sputum production C. hyperthermia D. decreased activity tolerance

A. decreased oxygen requirements

What is histamine, a mediator that supports the inflammatory process in asthma, secreted by? A. Lymphocytes B. Neutrophils C. Eosinophils D. Mast cells

D. Mast cells

Upon assessment, the nurse suspects that a client with COPD may have bronchospasm. What manifestations validate the nurse's concern? Select all that apply. A. Decreased airflow B. Ascites C. JVD D. Wheezes E. Compromised gas exchange

A. Decreased airflow D. Wheezes E. Compromised gas exchange

The nurse is assigned the care of a 30-year-old client diagnosed with cystic fibrosis (CF). Which nursing intervention will be included in the client's care plan? A. Performing chest physiotherapy as ordered B. Restricting oral intake to 1,000 mL/day C. Providing the client a low-sodium diet D. Discussing palliative care and end-of-life issues with the client

A. Performing chest physiotherapy as ordered

A nurse is evaluating the diagnostic study data of a client with suspected cystic fibrosis (CF). Which of the following test results is associated with a diagnosis of cystic fibrosis? A. elevated sweat chloride concentration B. presence of protein in the urine C. positive phenylketonuria D. decreased tidal volume

A. elevated sweat chloride concentration

Which exposure accounts for most cases of COPD? A. exposure to tobacco smoke B. ambient air pollution C. passive smoking D. occupational exposure

A. exposure to tobacco smoke

The classification of grade I COPD is defined as: A. mild COPD B. moderate COPD C. severe COPD D. very severe COPD

A. mild COPD

Which of the following are risk factors for the development of chronic obstructive pulmonary disease (COPD)? Select all that apply. A. second-hand smoke B. air pollution C. tobacco smoke D. occupational dust E. infection

A. second-hand smoke B. air pollution C. tobacco smoke D. occupational dust E. infection

In which statements regarding medications taken by a client diagnosed with COPD do the drug name and the drug category correctly match? Select all that apply. A. Cotrimoxazole is a bronchodilator. B. Ciprofloxacin is an antibiotic. C. Albuterol is a bronchodilator. D. Prednisone is a corticosteroid. E. Dexamethasone is an antibiotic.

B. Ciprofloxacin is an antibiotic. C. Albuterol is a bronchodilator. D. Prednisone is a corticosteroid.

A client with asthma has developed obstruction of the airway. Which of the following does the nurse understand as having potentially contributed to this problem? Choose all that apply. A. Destruction of the alveolar wall B. Thick mucus C. Swelling of bronchial membranes D. Airway remodeling

B. Thick mucus C. Swelling of bronchial membranes D. Airway remodeling

Which statement is true about both lung transplant and bullectomy? A. Both procedures treat patients with bullous emphysema. B. Both procedures treat end-stage emphysema C. Both procedures improve the overall quality of life of a client with COPD D. Both procedures cure COPD

C. Both procedures improve the overall quality of life of a client with COPD

Which of the following is a common irritant that acts as a trigger of asthma? A. molds B. aspirin sensitivity C. esophageal reflux D. peanuts

C. esophageal reflux

A client with asthma is prescribed a short acting beta-adrenergic (SABA) for quick relief. Which of the following is the most likely drug to be prescribed? A. Fluticasone propionate B. Ipratropium bromide C. Ipratropium bromide and albuterol sulfate D. Albuterol

D. Albuterol

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 the alveoli. This complication is known as: A. Pneumonia B. Emphysema C. Pleurisy D. Atelectasis

D. Atelectasis

In chronic obstructive pulmonary disease (COPD), decreased carbon dioxide elimination results in increased carbon dioxide tension in arterial blood, leading to which of the following acid-base imbalances? A. Respiratory alkalosis B. Metabolic alkalosis C. Metabolic acidosis D. Respiratory acidosis

D. Respiratory Acidosis

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. Fever, chills, and diaphoresis C. Tachypnea and tachycardia D. Sputum and a productive cough

D. Sputum and a productive cough

A nurse is developing a teaching plan for a client with asthma. Which teaching point has the highest priority? A. Avoid goose down pillows B. Change filters on heating and AC units frequently C. Avoid contact with fur-bearing animals D. Take ordered medications as scheduled

D. Take ordered medications as scheduled