Stancil

The nurse is assessing a patient whose respiratory disease in characterized by chronic hyperinflation of the lungs. What would the nurse most likely assess in this patient? Chronic chest pain Long, thin fingers A barrel chest Signs of oxygen toxicity

A barrel chest

A male client presents with symptoms of bronchospasm that occurred during a birthday party for his grandson. What medication would the nurse expect the health care provider to give the client? Omalizumab Theophylline Azmacort Albuterol

Albuterol

A 2-year-old child arrives at the emergency department of a local hospital with difficulty breathing from an asthmatic attack. What is the priority nursing intervention? Giving the child a favorite stuffed animal to hold Asking the child's mother about favorite foods Assessing respirations and administering oxygen Raising the side rails and restraining the child's arms

Assessing respirations and administering oxygen

The nurse is working with a group of caregivers of children diagnosed with asthma. Which statement made by a caregiver is most accurate regarding the triggers that may cause an asthma attack? "I always thought that a lack of exercise caused my child's asthma." "My neighbor told me that asthma attacks are caused by hot weather." "One person told me that asthma is caused by using antibiotics for infection." "My sister and her family love animals, and when we go to their house my daughter always has an asthma attack."

"My sister and her family love animals, and when we go to their house my daughter always has an asthma attack."

The parents of a 7-year-old client who has been diagnosed with allergic asthma are being taught about their son's medication regimen. The nurse is teaching about the appropriate use of a "rescue drug" for acute exacerbations. What drug should the nurse suggests the parents to use in these situations? Beclomethasone Acetylcysteine Theophylline Albuterol

Albuterol

A client is admitted to the emergency department with inspiratory stridor and air hunger. When anticipating treatment, the nurse will prepare which medication for administration? Epinephrine Ipratropium bromide Cromolyn Pseudoephedrine

Epinephrine

After teaching a group of students about antiasthmatic agents, the students demonstrate understanding of the information when they identify what as sympathomimetics? (Select all that apply.) Tiotropium Terbutaline Cromolyn Epinephrine Formoterol Budesonide

Epinephrine Terbutaline Formoterol

A client with asthma has been prescribed an albuterol inhaler. What recommendation should the nurse include in client teaching? "Immediately stop using the inhaler if you experience hand shaking." "Limit exercise to one session per week." "Take ibuprofen to decrease inflammation associated with the condition." "Stop smoking to reduce bronchoconstriction."

"Stop smoking to reduce bronchoconstriction."

A client who utilizes a portable oxygen device reports planning to attend an upcoming bonfire on the beach. What is the appropriate nursing response? "Have an enjoyable time." "Saltwater can increase the potential for oxygen toxicity." "You should not leave the house with portable oxygen." "When using portable oxygen, you should avoid any fire."

"When using portable oxygen, you should avoid any fire."

A patient who is prescribed ipratropium administers the drug at 9:15 AM. The patient should begin to notice the drug beginning to act at which time? 9:30 AM 10:15 AM 9:45 AM 10:00 AM

9:30 AM

Which is the most important risk factor for development of COPD? Air pollution Genetic abnormalities Occupational exposure Cigarette smoking

Cigarette smoking

After teaching a group of students about leukotriene receptor antagonists, the instructor determines a need for additional teaching when the students identify which agent as an example? Fluticasone Montelukast Zileuton Zafirlukast

Fluticasone

What category of insulin is rapid acting? Humalog (Aspart) (Rapid-Acting) Humalog R (Short-Acting) Humulin N (Intermediate-Acting) Glargine (Lantus) (Very Long-Acting)

Humalog (Aspart) (Rapid-Acting)

In caring for the child with asthma, the nurse recognizes that which nursing diagnosis would be the highest priority in this child's plan of care? Risk for infection related to anatomic structures of involved body system Ineffective airway clearance related to the diagnosis Delayed growth and development related to physical restrictions Risk for fluid volume excess related to medications

Ineffective airway clearance related to the diagnosis

Which vaccine should a nurse encourage a client with chronic obstructive pulmonary disease (COPD) to receive? Human papilloma virus (HPV) Hepatitis B Influenza Varicella

Influenza

A client is prescribed salmeterol. The nurse would expect this drug to be administered by which route? Oral Inhalation Subcutaneous Intravenous

Inhalation

Which medication blocks synthesis of thyroid hormone? Dexamethasone Methimazole Potassium Iodide Sodium Iodide

Methimazole

A client being seen in the emergency department has labored respirations. Auscultation reveals inspiratory and expiratory wheezes. Oxygen saturation is 86%. The client was nonresponsive to an albuterol (Ventolin) inhaler and intravenous methylprednisolone (Solu-Medrol). The nurse administers the following prescribed treatment first: Oxygen therapy through a non-rebreather mask Oral fluid of at least 2500 mL/day Intravenous magnesium sulfate Normal saline 0.9% at 100 mL/hr intravenously

Oxygen therapy through a non-rebreather mask

The client with asthma has been ordered an inhaler and the nurse is teaching how to prevent Candida infections. Which would the nurse include in the instructions? Brush teeth thoroughly after each puff. Do not use a spacer because it promotes infections. Rinse mouth with water after each use. Clean spacer with alcohol twice a day.

Rinse mouth with water after each use.

A patient with emphysema is experiencing shortness of breath. To relieve this patient's symptoms, the nurse should assist her into what position? Trendelenburg Sitting upright, leaning forward slightly Low Fowler's, with the neck slightly hyperextended Prone

Sitting upright, leaning forward slightly

Which would the nurse include as possible adverse effects when teaching a patient about albuterol? (Select all that apply.) Chills Hypotension Sweating Bronchospasm Nervousness

Sweating Bronchospasm Nervousness

The nurse is caring for a 38-year-old client with asthma who has been started on albuterol. What assessment finding should the nurse most likely attribute to adverse medication effects? The client had diarrhea this morning. The client's oral temperature is 37.8°C (100°F). The client reports excessive thirst. The client's heart rate is 99 beats/min.

The client's heart rate is 99 beats/min.

A nurse is providing discharge teaching for a client with COPD. When teaching the client about breathing exercises, what should the nurse include in the teaching? Lie supine to facilitate air entry Use diaphragmatic breathing Avoid pursed lip breathing Use chest breathing

Use diaphragmatic breathing

The nurse is caring for a child admitted with asthma. Which clinical manifestations would likely have been noted in the child with this diagnosis? Circumoral cyanosis Wheezing Clubbed fingers Elevated temperature

Wheezing

In what age group would a nurse expect to assess the most rapid respiratory rate? infants adolescents older adults middle adults

infants

The nurse is providing education to the parents of a child who has been newly diagnosed with asthma. During teaching, the nurse should explain that asthma attacks occur when mast cells release substances that cause what reaction? smooth muscle dilation. Decreased fluid leakage. inflammation. decreased capillary permeability.

inflammation

A high school student was diagnosed with asthma when he was in elementary school and has become accustomed to carrying and using his "puffers". In recent months, he has become more involved in sports and has developed a habit of administering albuterol up to 10 times daily. The nurse should teach the student that overuse of albuterol can lead to community-acquired pneumonia. rebound bronchoconstriction. permanent liver damage. severe anticholinergic effects

rebound bronchoconstriction.

A nurse is teaching a newly diagnosed client with asthma how to manage the disease. What should the nurse encourage this client to do? taking anti-inflammatory drugs begin using insulin decrease exercising stop smoking cigarettes

stop smoking cigarettes

A client is using an inhaled bronchodilator as treatment for exercise-induced asthma. The nurse would instruct the client to use the inhaler at which time? Midway during the exercise routine 15 minutes before engaging in exercise Immediately after beginning to exercise Right before and after exercising

15 minutes before engaging in exercise

Which type of chest configuration is typical of a client with COPD? Pigeon chest Flail chest Funnel chest Barrel chest

Barrel chest

A nurse is administering levalbuterol to a client. The nurse would administer this drug by which route? Oral Intramuscular Intravenous Inhalation

Inhalation

A nurse is working with a teenage boy who was recently diagnosed with asthma. During the current session, the nurse has taught the boy how to administer his bronchodilator by metered-dose inhaler. How should the nurse best evaluate the teaching-learning process? Ask the boy whether he now understands how to use his inhaler. Assess the boy's respiratory health at the next scheduled visit. Directly observe the boy using his inhaler to give himself a dose. Ask the boy specific questions about his medication.

Directly observe the boy using his inhaler to give himself a dose.