Chapter 24- MGT of COPD

A nurse has been asked to give a workshop on COPD for a local community group. The nurse emphasizes the importance of smoking cessation because smoking has what pathophysiologic effect? A) Increases the amount of mucus production B) Destabilize hemoglobin

A

A nurse is caring for a 6-year-old patient with cystic fibrosis. In order to enhance the child nutritional status, what intervention should most likely be included in the plan of care? A) Pancreatic enzyme supplementation with meals. B) Provision of five to six small meals per day rather than three larger meals C) TPN D) Magnesium, thiamine, and iron supplementation

A

A nurse is evaluating the diagnostic study data of a patient with suspected cystic fibrosis (CF). Which of the following test results is associated with a diagnosis of cystic fibrosis? A) Elevated sweat chloride concentration B) Presence of protein in the urine C) Positive phenylketonuria D) Malignancy on lung biopsy

A

A patient with emphysema is experiencing shortness of breath. To relieve this patient's symptoms, the nurse should assist her into what position? A) Sitting upright, leaning forward slightly B) Low Fowler's, with the neck slightly hyperextended C) Prone D) Trendelenburg

A

What are complications of COPD? Select all that apply A) Respiratory failure B) pneumothorax C) atelectasis D) pneumonia E) pulmonary hyptertension (cor pulmonale) F) Lung cancer G) hemothorax

A,B,C,D,E

A nurse is caring for a patient who has been hospitalized with an acute asthma exacerbation. What drugs should the nurse expect to be ordered for this patient to gain underlying control of persistent asthma? A) rescue inhalers B) anti-inflammatory drugs C) antibiotics

B

A nurse is developing a teaching plan for a patient with copd. What would be the most important component for the nurse to emphasize? A) Smoking up to one-half of a pack of cigarettes weekly is allowable. B) Chronic inhalation of indoor toxins can cause lung damage. C) Minor respiratory infections are considered to be self-limited and are not treated.

B

A nurse's assessment reveals that a client with COPD may be experiencing bronchospasm. What assessment finding would suggest that the patient is experiencing bronchospasm? A) Fine or coarse crackles on auscultation B) Wheezes or diminished breath sounds on auscultation C) Reduced respiratory rate or lethargy D) Slow, deliberate respirations

B

An admitting nurse is assessing a patient with COPD. The nurse auscultates diminished breath sounds, which signify changes in the airway. These changes indicate to the nurse to monitor the patient for what? A) Kyphosis and clubbing of the fingers B) Dyspnea and hypoxemia C) Sepsis and pneumothorax D) Bradypnea and pursed lip breathing

B

An asthma educator is teaching a patient newly diagnosed with asthma and her family about the use of a peak flow meter. The educator should teach the patient that a peak flow meter measures what value? A) Highest airflow during a forced inspiration B) Highest airflow during a forced expiration C) Airflow during a normal inspiration D) Airflow during a normal expiration

B

The nurse is explaining to a patient with asthma what her new prescription for prednisone is used for. What would be the most accurate explanation that the nurse could give? A) To ensure long-term prevention of asthma exacerbations. B) To gain prompt control of inadequately controlled, persistent asthma.

B

A nurse is completing a focused respiratory assessment of a child with asthma. What assessment finding is most closely associated with the characteristic signs and symptoms of asthma? A) Shallow respirations B) Increased anterior-posterior (A-P) diameter C) Bilateral wheezes

C

A nurse is creating a health promotion intervention focused on chronic obstructive pulmonary disease (COPD) What should the nurse identify as a complication of COPD? A) Lung cancer B) Cystic Fibrosis C) Respiratory failure D) hemothorax

C

A nurse is teaching a patient with asthma about Azmacort, a inhaled corticosteroid. Which ADVERSE EFFECTS should the nurse be sure to address in patient teaching? A) Dyspnea and increased respiratory secretions B) nausea and vomiting C) cough and thrush

C

A patient arrives in the emergency department with an attack of acute bronchiectasis. Chest auscultation reveals the presence of copious secretions. What intervention should the nurse prioritize in this patient's care? A)

C

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 clients airflow obstruction? A) administer corticosteroids by metered dose inhaler B) Administer inhaled anticholinergics C) Administer an inhaled beta-adrenergic agonist D) Utilize a peak flow monitoring device.

C

A student nurse is developing a teaching plan for an adult patient with asthma. Which teaching point should have the highest priority in the plan of care that the student is developing? A) Gradually increase levels of physical exertion. B) Change filters on heaters and air conditioners frequently. C) Take prescribed medications as scheduled.

C

A student nurse is prepaing to care for a patient with bronchiectasis. The student nurse should recognize that this patient is likely to experience respiratory difficulties related to what pathophysiology process? A) Intermittent episodes of acute bronchospasm B) Alveolar distention and impaired diffusion C) Dilation of bronchi and bronchioles D) excessive gas exchange in the bronchioles

C

The nurse is assessing a patient whose respiratory disease in characterized by chronic hyperinflation of the lungs. What would the nurse most likely assess in this patient? A) signs of oxygen toxicity B) chronic chest pain C) a barrel chest D) long, thin fingers

C

A nurse is working with a child who is undergoing a diagnostic workup for suspected asthma. What are the signs and symptoms that are consistent with a diagnosis of asthma? select all that apply. A) chest tightness B) crackles C) Bradypnea D) wheezing E) cough

a,d,e

A nurse is caring for a patient with COPD. The patients medication regimen has been recently changed and the nurse is assessing for therapeutic effect of a new bronchodilator. What assessment parameters suggest a consequent improvement in respiratory status? Select all that apply. A) negative sputum culture. B) increased viscosity of lung secretions C) Increased expiratory flow rate D) relief of dyspnea

c, d