Chapter 24-Management of Pt with Chronic pulmonary disease
Emphysema is described by which of the following statements?
A disease of the airways characterized by destruction of the walls of overdistended alveoli
A nurse has just completed teaching with a patient who has been prescribed a meter-dosed inhaler for the first time. Which of the following statements would the nurse use to initiate further teaching and follow-up care?
"I do not need to rinse my mouth with this type of inhaler."
A nurse administers albuterol (Proventil), as ordered, to a client with emphysema. Which finding indicates that the drug is producing a therapeutic effect?
22 resp/min
n which stage of COPD is the forced expiratory volume (FEV) less than 30%?
3
Nursing students are gathered for a study session about the pulmonary system. One student asks the others to name the primary causes for an acute exacerbation of COPD. Which of the following responses should be in the reply? Choose all that apply.
Air pollution • Tracheobronchial infection
55-year-old client is scheduled for spirometry testing for evaluation of chronic obstructive pulmonary disease (COPD). The nurse
Asks the client, "What are your allergies?"
A client experiencing an asthmatic attack is prescribed methylprednisolone (Solu-Medrol) intravenously. The nurse:
Assesses fasting blood glucose levels
Which of the following is true about both lung transplant and bullectomy?
Both are aimed at improving the overall quality of life of a patient with COPD.
Upon assessment, the nurse suspects that a patient with COPD may have bronchospasm. What manifestations validate the nurse's concern? (Select all that apply.)
Compromised gas exchange • Decreased airflow • Wheezes
A patient with bronchiectasis is admitted to the nursing unit. The primary focus of nursing care for this patient includes which of the following?
Implementing measures to clear pulmonary secretions
A nursing student is taking a pathophysiology examination. Which of the following factors would the student correctly identify as contributing to the underlying pathophysiology of chronic obstructive pulmonary disease (COPD)? Choose all that apply.
Inflamed airways that obstruct airflow • Mucus secretions that block airways • Overinflated alveoli that impair gas exchange
Which of the following medications are classified as leukotriene modifiers (inhibitors)
Montelukast (Singulair) • Zafirlukast (Accolate) • Zileuton (Zyflo)
A patient is being treated for status asthmaticus. What danger sign does the nurse observe that can indicate impending respiratory failure?
Respiratory acidosis
As status asthmaticus worsens, the nurse would expect which acid-base imbalance?
Respiratory acidosis
A client with chronic obstructive pulmonary disease (COPD) and cor pulmonale is being prepared for discharge. The nurse should provide which instruction?
Weigh yourself daily and report a gain of 2 lb in 1 day."
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
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?
provide sufficient O2
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?
respiratory acidosis
