chapter 24 exam 4 testbank

as status asthmaticus worsens, the nurse would expect which acid base imbalance? a. respiratory acidosis b. metabolic acidosis c. respiratory alkalosis d. metabolic alkalosis

a. respiratory acidosis

a client is receiving theophylline for long term control and prevention of asthma symptoms. client education related to this medication will include a. the importance of blood tests to monitor serum concentrations b. monitoring liver function studies as prescribed c. taking the medication at least 1 hour before meals d. development of hyperkalemia

a. the importance of blood tests to monitor serum concentrations

the nurse is caring for a client with COPD. the patient is receiving oxygen therapy via nasal cannula. the nurse understands that the goal of oxygen therapy is to maintain the patients O2 level at or above what percent? a. 50% b. 90% c. 30% d. 70%

b. 90%

a client is being treated in the ED for respiratory distress coupled with pneumonia. the client has no medical history, however, the client works in a coal mine and smokes 10 cigarettes per day. the nurse anticipates which order based on the clients immediate needs? a. admin of corticosteroids and bronchodilators b. admin of antibiotics c. client education: avoidance of irritants like smoke and pollutants d. completing of 12 leads EKG

b. admin of antibiotics

in which grade of COPD is the forced expiratory volume (FEV) less than 30%? a. I b. II c. III d. IV

c. III

the nurse is reviewing first-line therapy for smoking abstinence with a client diagnosed with COPD. the nurse correctly includes which medications? SATA a. Bupropion SR b.Varenicline c. clonidine d. nicotine gum

a. Bupropion SR d. nicotine gum

the classification grade I of COPD is defined as a. mild COPD b. very severe COPD c. moderate COPD d. severe COPD

a. mild COPD

in which statements regarding medications taken by a client diagnosed with COPD do both the drug name and the drug category correctly match (SATA) a. prednisode is a corticosteroid b. cotrimoxazole is a bronchodilator c. albuterol is a bronchodilator d. dexamethasone is an antibiotic e. ciprofloxacin is an antibiotic

a. prednisode is a corticosteroid c. albuterol is a bronchodilator e. ciprofloxacin is an antibiotic

which type of chest configuration is typical of a client with COPD? a. flail chest b. barrel chest c. funnel chest d. pigeon chest

b. barrel chest

which is the most important risk factor for development of COPD? a. genetic abnormalities b. cigarette smoking c. air pollution d. occupational exposure

b. cigarette smoking

which symptoms are considered primary symptoms of COPD? a. weight gain b. dyspnea upon exertion c. sputum production d. cough

b. dyspnea upon exertion c. sputum production d. cough

which exposure acts as a risk factor for and accounts for the majority of cases of COPD? a. occupational exposure b. exposure to tobacco smoke c. passive smoking d. ambient air pollution

b. exposure to tobacco smoke

the nurse is reviewing pressurized metered dose inhaler (pMDI) instructions with a client. which statement by the client indicates the need for further instruction? a. i will shake the MDI container before I use it b. i cant use a spacer or holding chamber with the MDI c. i will take a slow, deep breath in after pushing down on the MDI d. because i am prescribed a corticosteroid-containing MDI, i will rinse my mouth with water after use

b. i cant use a spacer or holding chamber with the MDI

a client diagnosed with asthma is preparing for discharge. the nurse is educating the client on the proper use of a peak flow meter. the nurse instructs the client to complete which action? a. move the indicator to the top of the numbered scale b. if coughing occurs during the procedure, repeat it c. take and record peak flow readings three times daily d. sit down while completing a peak flow reading

b. if coughing occurs during the procedure, repeat it

which diagnostic test is the most accurate in assessing acute airway obstruction? a. ABG b. pulmonary function studies c. chest x-ray d. pulse oximetry

b. pulmonary function studies

cystic fibrosis (CF) is diagnosed by clinical signs/symptoms in addition to which test? a. pulmonary function studies b. sweat chloride concentration c. lumbar puncture d. ABG

b. sweat chloride concentration

which is the strongest predisposing factor for asthma? a. male gender b. congenital malformations c. allergy d. air pollution

c. allergy

which statement is true about both lung transplant and bullectomy? a. both aim to treat end stage emphysema b. both aim to cure COPD c. both aim to improve the overall quality of life in a client with COPD d. both are used to treat clients with bullous emphysema

c. both aim to improve the overall quality of life in a client with COPD

which medication is contraindicated in acute asthma exacerbations? a. albuterol b. levalbuterol c. cromolyn sodium d. ipratropium bromide

c. cromolyn sodium

which measure may increase complications for a client with COPD? a. decreased oxygen supply b. administration of antibiotics c. increased oxygen supply d. administration of antitussive agents

c. increased oxygen supply

in COPD, the body attempts to improve oxygen-carrying capacity by increasing the RBC concentration in the blood? what is this called? a. bronchitis b. emphysema c. polycythemia d. asthma

c. polycythemia

in which grade of COPD is the FEV in one second (FEV1) less than 30% predicted? a. I b. II c. III d, IV

d, IV

which statement describes emphysema? a. prescence of cough and sputum production for at least a combined total of 2-3 months in each of two consecutive years b. a disease that results in reversible airflow obstruction, a common clinical outcome c. chronic dilation of a bronchus or bronchi d. a disease of the airways characterized by destruction of the walls of overdistended alveoli

d. a disease of the airways characterized by destruction of the walls of overdistended alveoli

which drug is second-line pharmoacotherapy for smoking abstinence? a. Buproprion SR b. nortripyline c. nicotine gum d. clonidine

d. clonidine

a nurse is caring for a COPD client. while reviewing breathing exercises, the nurse instructs the client to breathe in slowly through the nose, taking in a normal breath. then the nurse asks the client to pucker his lips as if preparing to whistle. finally, the client is told to exhale slowly and gently through the puckered lips. the nurse teaches the client this breathing exercise to accomplish which goals? SATA a. prevent airway collapse b. release air trapped in the lungs c. control the rate and depth of respirations d. condition the inspiratory volume d. strengthen the diaphragm

a. prevent airway collapse b. release air trapped in the lungs c. control the rate and depth of respirations

a client presents to the ED experiencing symptoms of COPD exacerbation. the nurse understands that goals of therapy should be achieved to improve the clients condition. which statements reflect therapy goals? SATA a. provide medical support for the current exacerbation b. treat the underlying cause of the event c. provide long term support for medical management d. return the client to their original functioning abilities d. teach the client to suspend activity

a. provide medical support for the current exacerbation b. treat the underlying cause of the event c. provide long term support for medical management d. return the client to their original functioning abilities

why would a COPD client report feeling fatigued? SATA a. muscle function gradually decreases over time in clients with COPD b. the client is using all expendable energy for ADL's c. lung function gradually decreases over time in clients with COPD d. the client is using all expendable energy just to breathe

c. lung function gradually decreases over time in clients with COPD d. the client is using all expendable energy just to breathe

a client newly diagnosed with COPD tells the nurse, i cant believe i have COPD, i only had a cough. are there other symptoms i should know about". which is the best response by the nurse? a. you can also expect to experience a progressive weight gain b. as your COPD worsens, you will frequently develop respiratory infections c. other symptoms you may develop are SOB upon exertion and sputum production d. there are no other symptoms, however, your cough may et worse as the disease progresses

c. other symptoms you may develop are SOB upon exertion and sputum production

a client with bronchiectasis is admitted to the nursing unit. the primary focus of nursing care for this client includes a. teaching the family how to perform postural drainage b. instructing the client on the s/sx of respiratory infection c. providing the client a low calorie, high fiber diet d. implementing measures to clear pulmonary secretions

d. implementing measures to clear pulmonary secretions

the nurse is assigned the care of 30-year client diagnosed with CF. which nursing intervention will be included in the clients care plan? a. proving the client a low-sodium diet b. restricting oral intake to 1000 mL per day c. discussing palliative care and end of life issues with the client d. performing CPT as ordered

d. performing CPT as ordered