Week 3 PrepU

Which manifestations are most common in clients with COPD that is predominantly chronic bronchitis? Select all that apply. - Peripheral edema - Hyperresonance - Increased A-P diameter - Increased mucus secretion - Cyanosis

- Peripheral edema - Increased mucus secretion - Cyanosis

A nurse is teaching a client with emphysema how to perform pursed-lip breathing. The client asks the nurse to explain the purpose of this breathing technique. Which explanation should the nurse provide? - It helps prevent early airway collapse. - It increases inspiratory muscle strength. - It decreases use of accessory breathing muscles. - It prolongs the inspiratory phase of respiration.

It helps prevent early airway collapse.

Which measure may increase complications for a client with COPD? - Administration of antibiotics - Increased oxygen supply - Administration of antitussive agents - Decreased oxygen supply

Increased oxygen supply

As a result of hypoxemia and polycythemia, persons with chronic obstructive bronchitis are prone to which complication? - Breakdown of elastin - Left-sided heart failure - Pulmonary hypertension - Expiratory airway collapse

Pulmonary hypertension

Cystic fibrosis (CF), the major cause of severe chronic respiratory disease in children, is characterized by which diagnostic finding? - Constipation - Salt depletion - Watery mucus - High cholesterol

Salt depletion

When assessing a child for the probable cause of acute bronchiolitis, the nurse focuses on which factor? - Bacterial infections - Environmental allergies - Prenatal complications - Viral infections

Viral infections

Which statement by the parents of a child diagnosed with cystic fibrosis (CF) demonstrates an understand of the goal of the prescribed treatment? - "He requires periodic surfactant installations to prevent atelectasis from occurring." - "Putting her on a ventilator for a few days give her lungs a chance to recover from the infection." - "The secretions in her lungs can't be allowed to get too thick and block her airways." - "We have to be sure that he isn't exposed to allergens that irritate his lungs."

"The secretions in her lungs can't be allowed to get too thick and block her airways."

The health care provider suspects a newly admitted newborn, with a history of premature birth requiring respiratory ventilation, has developed bronchopulmonary dysplasia. Which manifestation(s) correlates with this admitting diagnosis? Select all that apply. - Respiratory rate of 80 breaths/minute and shallow - Heart rate of 200 beats/minute - Use of accessory muscles to breath with sternal retractions - Bilateral periorbital edema - Enlarged kidneys palpable bilaterally - Spasms noted in arms

- Respiratory rate of 80 breaths/minute and shallow - Heart rate of 200 beats/minute - Use of accessory muscles to breath with sternal retractions - Bilateral periorbital edema

The nurse is carefully assessing the infant diagnosed with bacterial pneumonia whose respiratory status is declining. Which nursing findings are reported immediately to the charge nurse and health care provider? Select all that apply. - Temperature 104°F (40°C) - Flaring of the nostrils - Circumoral cyanosis - Intercostal retractions - Respiratory rate of 44 breaths/min

- Temperature 104°F (40°C) - Flaring of the nostrils - Circumoral cyanosis - Intercostal retractions

What is the most common first-line therapy for relief of an acute asthma attack? - Inhaled steroid - Leukotriene modifier - Beta2-adrenergic agonist - Xanthine

Beta2-adrenergic agonist

A nurse is preparing to care for a client with bronchiectasis. The nurse should recognize that this client is likely to experience respiratory difficulties related to what pathophysiologic process? - Intermittent episodes of acute bronchospasm - Alveolar distention and impaired diffusion - Dilation of bronchi and bronchioles - Excessive gas exchange in the bronchioles

Dilation of bronchi and bronchioles

A client recently diagnosed with bronchiectasis asks what may have caused the condition. Which response by the nurse is accurate? - "Your habit of cigarette smoking is the primary causative factor." - "It may have developed after you had a severe inflammation caused by aspiration pneumonia." - "Bronchiectasis occurred due to poor control of your asthma." - "Obesity causes bronchiectasis by placing a strain on your heart and lungs."

"It may have developed after you had a severe inflammation caused by aspiration pneumonia."

A client had a tracheostomy two hours ago. The nurse assesses the client and finds the client's breathing is shallow, with a respiratory rate of 30. The nurse notes increased mucus production around the tracheostomy and on the dressing. What are the priority nursing concerns? Select all that apply. - Ineffective airway clearance - Risk for infection - Knowledge deficit - Impaired gas exchange - Disturbed body image

- Ineffective airway clearance - Impaired gas exchange

The nurse is aware that clients with bronchiectasis often have an underlying medical condition that increases the chance for infection. What are some of these medical conditions? Select all that apply. - Rheumatoid arthritis - AIDS - Diabetes mellitus - Hydrocephalus - Recent organ transplant

- Rheumatoid arthritis - AIDS - Recent organ transplant

An infant born 10 weeks premature was placed on mechanical ventilation. Eight weeks later a nursing assessment reveals a barrel chest, tachycardia, rapid and shallow breathing, hypoxemia, hypercapnia, and poor weight gain. Based on this assessment, which diagnosis is most likely? - Respiratory distress syndrome (RDS) - Bronchopulmonary dysplasia - Bronchiolitis - Pneumonia

Bronchopulmonary dysplasia

The nurse is caring for a 6-week-old with symptoms of irritability, nasal stuffiness, difficulty drinking and occasional vomiting. Which assessment finding produces important information regarding the medical and nursing treatment plan? - Obtain testing for respiratory syncytial virus. - Screen for the "allergic salute." - Obtain vital signs to determine an infection. - Draw a blood count to see if the client is septic.

Obtain testing for respiratory syncytial virus.

The health care provider has prescribed beclomethasone for long term control of asthma. The nurse is most correct to advise the client that beclomethasone is a: - mast cell stabilizer. - xanthine derivative. - corticosteroid. - leukotriene inhibitor.

corticosteroid.

Which complication is common in neonates who receive prolonged mechanical ventilation at birth? - bronchopulmonary dysplasia - esophageal atresia - hydrocephalus - renal failure

bronchopulmonary dysplasia

Why would a client with COPD report feeling fatigued? Select all that apply. - The client is using all expendable energy just to breathe. - Muscle function gradually decreases over time in clients with COPD. - The client is using all expendable energy for activities of daily living (ADLs). - Lung function gradually decreases over time in clients with COPD.

- The client is using all expendable energy just to breathe. - Lung function gradually decreases over time in clients with COPD.

The emergency department nurse is caring for a client with cystic fibrosis who is dyspneic and has a productive cough. Place in order the nursing interventions performed upon arrival to improve breathing. - Assess respiratory status - Place on oxygen at 2 Liters - Instruct on energy conservation measures - Notify respiratory therapist - Place in bed in a semi-Fowler's position - Obtain oxygen saturation reading

1. Assess respiratory status. 2. Place in bed in a semi-Fowler's position. 3. Obtain oxygen saturation reading. 4. Place on oxygen at 2 liters. 5. Notify respiratory therapy. 6. Instruct on energy conservation measures.