AH I Exam 2- Respiratory

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 physician orders triamcinolone (Azmacort) and salmeterol (Serevent) for a client with a history of asthma. What action should the nurse take when administering these drugs?

Administer the salmeterol and then administer the triamcinolone.

Which type of chest configuration is typical of the patient with COPD?

Barrel chest

You are taking a course in lung sounds. You are learning about the lungs of a child with asthma. You learn that the most common symptoms of asthma are what?

Bilateral wheezes

When caring for a client with COPD, the nurse knows it is important to monitor what?

Cognitive changes

The nurse has instructed the client to use a peak flow meter. The nurse evaluates client learning as satisfactory when the client

Exhales hard and fast with a single blow

A nurse has established a nursing diagnosis of ineffective airway clearance. The datum that best supports this diagnosis is that the client

Has wheezes in the right lung lobes

In which stage of COPD is the forced expiratory volume (FEV) less than 30%?

III- Stage III patients demonstrate an FEV less than 30% with respiratory failure or clinical signs of right heart failure. Stage II patients demonstrate an FEV of 30% to 80%. Stage I is mild COPD with an FEV less than 70%. Stage 0 is characterized by normal spirometry.

A client is admitted to a health care facility for treatment of chronic obstructive pulmonary disease. Which nursing diagnosis is most important for this client?

Impaired gas exchange related to airflow obstruction

A nursing student understands the importance of the psychosocial aspects of disease processes. When working with a patient with COPD, the student would rank which of the following nursing diagnoses as the MOST important when analyzing the psychosocial effects?

Ineffective coping related to anxiety

Your patient is having pulmonary-function studies performed. The patient has a spirometry test and has an FEV1/FVC ratio of 60%. You know that this indicates what?

Obstructive lung disease

A client is being seen in the emergency department for exacerbation of chronic obstructive pulmonary disease (COPD). The first action of the nurse is to administer which of the following prescribed treatments?

Oxygen through nasal cannula at 2 L/minute

Your patient is experiencing shortness of breath. To relieve the symptoms in this patient, you would place your patient in what position?

Sitting upright leaning forward slightly

The student nurse is developing a teaching plan for a patient with asthma. Which teaching point has the highest priority and should be included in the plan of care the student is developing?

Take prescribed medications as scheduled

For a client with chronic obstructive pulmonary disease, which nursing intervention helps maintain a patent airway?

Teaching the client how to perform controlled coughing

Which of the following would not be considered a primary symptom of COPD?

Weight gain

A nursing student knows that there are three most common symptoms of asthma. Choose the three that apply.

• Cough • Wheezing • Dyspnea

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

The nurse at the beginning of the evening shift receives a report at 1900 on the following patients. Which patient would the nurse assess first?

An 86 year old with COPD who arrived on the floor 30 minutes ago and is a direct admit from the doctor's office

A client newly diagnosed with emphysema asks the nurse to explain all about the disease. The nurse would include the following response when defining emphysema:

An abnormal distention of the air spaces with destruction of the alveolar walls

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 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

When developing a preventative plan of care for a patient at risk for developing chronic obstructive pulmonary disease (COPD), which of the following should be incorporated?

Smoking cessation

The clinic nurse is explaining to the patient with asthma what prednisone is used for. What would be the best explanation the nurse could give?

To gain prompt control of inadequately controlled, persistent asthma

Emphysema is described by which of the following statements?

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