Respiratory

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A client with symptoms of mild persistent asthma is now initiating treatment. Which of the following is the preferred therapy that the nurse will teach the client to use at home? -Oral sustained-release albuterol -Inhaled beclomethasone -Oral prednisone -Subcutaneous omalizumab

-Inhaled beclomethasone

Which statement describes emphysema?

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

What is the priority action by the nurse when a client experiences sudden respiratory distress? Call the provider Assess the airway Lower the head of bed Place an intravenous line

Assess the airway

Which of the following is the most effective treatment for obstructive sleep apnea (OSA)? Bilevel positive airway pressure (BiPAP) Mechanical ventilation Continuous positive airway pressure (CPAP) Oxygen by nasal cannula SUBMIT ANSWER

Continuous positive airway pressure (CPAP)

A client has asthma. Which of the following medications is a commonly prescribed mast cell stabilizer used for asthma? -Budesonide -Theophylline -Cromolyn sodium -Albuterol

Cromolyn sodium

A patient is prescribed a mast cell stabilizer for the treatment of asthma. Which commonly used medication will the nurse educate the patient about? -Theophylline -Cromolyn sodium -Budesonide -Albuterol

Cromolyn sodium

Which of the following represent initial signs and symptoms of a client in respiratory distress? (Select all that apply.) Tachypnea Fever Cyanosis Hypoxemia Dyspnea

Dyspnea Tachypnea Hypoxemia

Which of the following diseases or disorders is most likely described as an abnormal permanent enlargement of the air spaces distal to the bronchioles?

Emphysema

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?

High Protein

Asthma is cause by which type of response?

IgE-mediated

Dyspnea

Main symptom of Pulmonary Hypertension, occurs at first with exertion and eventually at rest

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

Mast cells

The nurse is auscultating lung sounds. What lung sound is associated with narrowing of the airway? Bronchophony Egophony Crackles Wheezes

Wheezes

Which is a characteristic of pleurisy?

Pain with breathing, coughing, or sneezing.

The nurse is reviewing first-line pharmacotherapy for smoking abstinence with a client diagnosed with COPD. The nurse correctly includes which medications? Select all that apply. -Bupropion SR -Acetaminophen -Caffeine -Nicotine gum

-Bupropion SR -Nicotine gum

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. -Ciprofloxacin is an antibiotic. -Dexamethasone is an antibiotic. -Cotrimoxazole is a bronchodilator. -Prednisone is a corticosteroid. -Albuterol is a bronchodilator

-Ciprofloxacin is an antibiotic. -Prednisone is a corticosteroid. -Albuterol is a bronchodilator.

Which of the following medications are classified as leukotriene modifiers (inhibitors)? Select all that apply. -Zileuton -Montelukast -Ipratropium HFA -Zafirlukast -Tiotropium

-Zileuton -Montelukast -Zafirlukast

A school nurse is caring for a 10-year-old girl who is having an asthma attack. What is the preferred intervention to alleviate this client's airflow obstruction? -Utilize a peak flow monitoring device -Administer inhaled anticholinergics -Administer corticosteroids by metered dose inhaler -Administer an inhaled beta-adrenergic agonist

Administer an inhaled beta-adrenergic agonist

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

Administer the salmeterol and then administer the triamcinolone.

A nurse is caring for a client who has been hospitalized with an acute asthma exacerbation. What drugs should the nurse expect to be ordered for this client to gain underlying control of persistent asthma? -Anti-inflammatory drugs -Rescue inhalers -Antibiotics -Antitussives

Anti-inflammatory drugs

Which of the following diseases or disorders is described by chronic inflammation of the airways, leading to variable episodes of airflow obstruction that are usually reversible?

Asthma

The client experiencing an anaphylactic reaction may experience which of the following signs and symptoms? (Select all that apply.) Pallor Bronchospasm Dyspnea Pruritus Laryngeal edema

Bronchospasm Dyspnea Pruritus Laryngeal edema

Which of the following diseases or disorders is described as a chronic inflammation of the bronchi causing airflow obstruction?

Chronic Bronchitis

When a client presents to the emergency department with pneumonia, which signs and symptoms would the nurse expect the client to exhibit? (Select all that apply.) Dyspnea Fever Fatigue Orthopnea Night sweats

Dyspnea Fever Fatigue Orthopnea

Epinephrine is the first-line drug for anaphylaxis because of which of the following properties? Relaxes bronchial muscle Decreases inflammation Decreases urticaria Lowers blood pressure

Relaxes bronchial muscle

Which of the following is most likely a characteristic of COPD?

Slow progressive disease that develops over a long period of time.

Which of the following is most likely used to confirm the diagnosis of COPD?

Spirometry

What frequent sign of pulmonary embolus does the nurse anticipate finding on assessment?

Tachypnea

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? -The patient should take the medication with meals since it may cause nausea. -The patient should take the medication an hour before meals or 2 hours after a meal. -The patient should take the medication with a small amount of liquid.

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


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