PrepU questions Medsurg

A nurse is reviewing the medical records of several clients who have been diagnosed with COPD. When reviewing pulmonary function test results, the client with which postbronchodilator FEV1/FVC result would be considered to have the most severe disease?

63%

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?

92%

Which statement describes emphysema?

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

Which of the following is accurate regarding status asthmaticus? A severe asthma episode that is refractory to initial therapy Patients have a productive cough. Usually does not progress to severe obstruction Usually occurs with warning

A severe asthma episode that is refractory to initial therapy

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?

Albuterol

A physician orders a beta2 adrenergic-agonist agent (bronchodilator) that is short-acting and administered only by inhaler. What drug would the nurse know to administer to the client?

Albuterol

Which is the strongest predisposing factor for asthma? Air pollution Allergy Male gender Congenital malformations

Allergy

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. This complication is known asAtelectasis Pneumonia Emphysema Pleurisy

Atelectasis

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

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

A nurse is admitting a client with emphysema. What are presenting findings the nurse should assess? Select all that apply. Chronic cough Chest pain Wheezing Tachypnea Dyspnea SUBMIT ANSWER

Chronic cough Dyspnea

The admitting nurse is assessing a patient with chronic obstructive pulmonary disease (COPD). The nurse auscultates diminished breath sounds, which signify changes in the airway. These changes indicate to the nurse the need to monitor the patient for what related signs and symptoms?

Dyspnea and hypoxemia

A nurse consulting with a nutrition specialist knows it's important to consider a special diet for a client with chronic obstructive pulmonary disease (COPD). Which diet is appropriate for this client? Low-fat Full-liquid High-protein 1,800-calorie ADA

High-protein

Asthma is cause by which type of response?

IgE-mediated

Which diagnostic test is most accurate in assessing acute airway obstruction?

Pulmonary function studies

A patient is being treated for status asthmaticus. What danger sign does the nurse observe that can indicate impending respiratory failure? Metabolic acidosis Respiratory acidosis Respiratory alkalosis Metabolic alkalosis

Respiratory acidosis

As status asthmaticus worsens, the nurse would expect which acid-base imbalance?

Respiratory acidosis

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? Metabolic alkalosis Metabolic acidosis Respiratory acidosis Respiratory alkalosis

Respiratory acidosis

A nurse administers albuterol (Proventil), as ordered, to a client with emphysema. Which finding indicates that the drug is producing a therapeutic effect?

Respiratory rate of 22 breaths/minute

The nurse is planning the care of a complex elderly patient who has been admitted to the medical ward for the treatment of cellulitis. The nurse notes that the patient has a longstanding history of chronic obstructive pulmonary disease (COPD). What assessment finding would most clearly indicate the need for oxygen therapy? Respiratory rate (RR) of 25 breaths per minute at rest Presence of bilateral fine crackles to lower lung fields on auscultation Presence of an occasional productive cough SaO2 of 86% on room air

SaO2 of 86% on room air

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? Sputum and a productive cough Tachypnea and tachycardia Fever, chills, and diaphoresis Chest pain during respiration

Sputum and a productive cough

Which of the following is not a primary symptom of COPD? Sputum production Weight gain Cough Dyspnea upon exertion

Weight gain

What is histamine, a mediator that supports the inflammatory process in asthma, secreted by? Eosiniphils Mast cells Lymphocytes Neutrophils

mast cells

The classification of Stage III of COPD is defined as at risk for COPD. very severe COPD. mild COPD. severe COPD. moderate COPD.

severe COPD.

Upon assessment, the nurse suspects that a client with COPD may have bronchospasm. What manifestations validate the nurse's concern? Select all that apply. Jugular vein distention Decreased airflow Wheezes Ascites Compromised gas exchange

>Wheezes >Decreased airflow >Compromised gas exchange

The nurse should be alert for a complication of bronchiectasis that results from a combination of retained secretions and obstruction and that leads to the collapse of alveoli. What complication should the nurse monitor for?

Atelectasis

A junior-level nursing class has just finished learning about the management of clients with chronic pulmonary diseases. They learned that a new definition of COPD leaves only one disorder within its classification. Which of the following is that disorder? Cystic fibrosis Asthma Bronchiectasis Emphysema

Emphysema

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

Exposure to tobacco smoke

Which exposure acts as a risk factor for and accounts for the majority of cases of chronic obstructive pulmonary disease (COPD)?

Exposure to tobacco smoke

To help prevent infections in clients with COPD, the nurse should recommend vaccinations against two bacterial organisms. Which of the following are the two vaccinations? Haemophilus influenzae and Gardasil Streptococcus pneumonia and Haemophilus influenzae Haemophilus influenzae and varicella Streptococcus pneumonia and varicella

Streptococcus pneumonia and Haemophilus influenzae

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

Take ordered medications as scheduled.

The nurse is caring for a patient with chronic obstructive pulmonary disease (COPD) and is now performing discharge teaching with this patient. What should the nurse include in the teaching about breathing techniques? Use chest breathing. Make inhalation longer than exhalation. Use diaphragmatic breathing. Exhale through a wide open mouth.

Use diaphragmatic breathing.

The nurse recognizing a female patient's susceptibility to infection due to her history of chronic obstructive pulmonary disease (COPD). When teaching this patient to reduce her risk of infection in the community, what measure should the nurse emphasize to the patient? Washing her hands frequently and thoroughly Avoiding abrupt transitions from cold air to hot air Remaining indoors when possible during allergy season Avoiding contact with individuals who have not received an influenza vaccination

Washing her hands frequently and thoroughly

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

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

A client is diagnosed with a chronic respiratory disorder. After assessing the client's knowledge of the disorder, the nurse prepares a teaching plan. This teaching plan is most likely to include which nursing diagnosis?

anxiety

A client with chronic obstructive pulmonary disease (COPD) is recovering from a myocardial infarction. Because the client is extremely weak and can't produce an effective cough, the nurse should monitor closely for: pulmonary edema. atelectasis. pleural effusion. oxygen toxicity.

b. atelectasis.

Long-term oxygen therapy has been prescribed for a patient whose chronic obstructive pulmonary disease (COPD) has recently increased in severity. When teaching this patient about this treatment modality, what information should the nurse provide? a. "In time, you will learn to effectively adjust your flow rates depending on the dyspnea you are experiencing or that you anticipate." b. "A good rule of thumb is to temporarily stop your oxygen whenever you feel like you could comfortably go without it." c. "It's important to use your oxygen as ordered and not to base it solely on your shortness of breath at the time." d. "Try to predict those situations where you'll need oxygen and apply your nasal prongs 30 minutes ahead of time."

c. "It's important to use your oxygen as ordered and not to base it solely on your shortness of breath at the time."

A resident of a long-term care facility has lived with chronic obstructive pulmonary disease (COPD) for many years but has experienced a gradual increase in dyspnea despite the use of long-term oxygen therapy. In recent weeks, dyspnea has interfered with the resident's ability to eat, and the nurse recognizes the potential nursing diagnosis of altered nutrition: less than body requirements. How can the nurse best foster this resident's nutritional status? a. Arrange for a high-protein diet to promote gas exchange. b. Liaise with the resident's health care provider to organize total parenteral nutrition (TPN). c. Order small, frequent meals and nutritional supplements for the resident. d. Provide meals early in the morning and late at night.

c. Order small, frequent meals and nutritional supplements for the resident.

The classification of Stage II of COPD is defined as severe COPD. at risk for COPD. mild COPD. very severe COPD. moderate COPD.

moderate COPD.