Chapter 28 3 of 5 COPD

he nurse is caring for the patient with chronic obstructive pulmonary disease (COPD). The nurse will include in the patient plan of care: 1 Teach the patient to discontinue oxygen while eating 2 Advise the patient to rest at least 30 minutes before eating 3 Tell the patient to avoid taking bronchodilators before meals 4 Encourage the patient to perform mild exercises 60 minutes before eating

Answer: 2

What does the nurse interpret from finding that a patient, after being treated for chronic cough and dyspnea associated with inflammation in lung parenchyma, loses muscle mass? 1 The patient is on diuretic therapy. 2 The patient is on theophylline therapy. 3 The patient is on corticosteroid therapy. 4 The patient is on bronchodilator therapy

Answer: 3

A patient who is a chronic smoker is diagnosed with chronic obstructive pulmonary disease (COPD). What causes the loss of elastic recoil in the patient's lungs and the destruction of alveoli? 1 Secretion of leukotrienes and cytokines 2 Secretion of neutrophils and lymphocytes 3 Inhalation of noxious particles into the lungs 4 Imbalance of protease and antiprotease ratio

Answer: 4

Prolonged exposure to a high level of oxygen leads to pulmonary damage caused by what? 1 Anoxia 2 Hypoxia 3 Normoxia 4 Oxygen toxicity

Answer: 4

While caring for a patient with a chronic cough and dyspnea associated with the inflammation of lung parenchyma, a nurse instructs the patient, "You should reduce the salt in your diet." What is the reason behind this instruction? 1 The patient has cor pulmonale. 2 The patient underwent a bullectomy. 3 The patient is on corticosteroid therapy. 4 The patient is on bronchodilator therapy.

Answer 1

A patient with a tracheostomy has difficulty breathing. Which device will be the most feasible for the patient to breathe through the tracheostomy tube?

Answer 4

A male patient with chronic obstructive pulmonary disease (COPD) becomes dyspneic at rest. His baseline blood gas results are PaO2 70 mm Hg, PaCO2 52mm Hg, and pH 7.34. What updated patient assessment requires the nurse's priority intervention? 1 Arterial pH 7.26 2 PaCO2 50 mm Hg 3 Patient in tripod position 4 Increased sputum expectoration

Answer: 1

The nurse understands that which description best characterizes chronic obstructive pulmonary disease (COPD)? 1 Progressive persistent expiratory airflow limitation 2 Airway obstruction due to increased mucus production 3 Difficulty clearing secretions due to dilated bronchioles 4 Variations in airflow over time with normal lung function in between

Answer: 1

The patient has a prescription for albuterol 3 mg by nebulizer. Available is a solution containing 24mg/mL. How many mL should the nurse administer? 1 0.125 mL 2 0.15 mL 3 0.6 mL 4 0.75 mL

Answer: 1

The nurse is caring for a patient diagnosed with cor pulmonale. What symptoms assessed by the nurse correlate with the assigned diagnosis? 1 Oxygen saturation of 92% 2 Presence of edema in the ankles 3 Yellowish discoloration of the skin 4 Partial pressure of arterial oxygen (PaO2) is 60 mm Hg

Answer: 2

The patient has a prescription to receive 600 mg guaifenesin every four hours as needed (PRN). Available are 400 mg tablets. How many tablets should the nurse prepare to give? 1 1 tablet 2 1.5 tablets 3 2 tablets 4 2.5 tablets

Answer: 2

When caring for a patient with chronic obstructive pulmonary disease (COPD), the nurse identifies a nursing diagnosis of imbalanced nutrition: less than body requirements after noting a weight loss of 30 lb. Which intervention should the nurse add to the plan of care for this patient? 1 Prescribe fruits and fruit juices to be offered between meals 2 Prescribe a high-calorie, high-protein diet with six small meals a day 3 Teach the patient to use frozen meals at home that can be microwaved 4 Provide a high-calorie, high-carbohydrate, nonirritating, frequent feeding diet

Answer: 2

While reviewing the laboratory reports of a patient with a chronic cough, dyspnea, and lung inflammation, the nurse finds that the patient has a forced expiratory volume of 55%. Which treatment strategy would be most effective for this patient? 1 Roflumilast 2 Salmeterol and formoterol 3 Lung volume reduction surgery 4 50% oxygen at 8 L/minute concentration

Answer: 2

A patient requires oxygen administration in low concentrations of 24% at 1 L/min for a long duration. Which device is the most appropriate for this patient? 1 Face mask 2 Nasal cannula 3 Tracheostomy collar 4 Partial and non-rebreather masks

Answer:2

Before discharge, the nurse discusses nutrition with the patient with emphysema and pneumonia. The nurse instructs the patient to do what? 1 Increase intake of hot foods 2 Eat three large meals per day 3 Rest for 30 minutes before eating 4 Exercise before meals to increase appetite

Answer:3

A nurse is caring for a patient diagnosed with chronic obstructive pulmonary disease (COPD). The lab reports of the patient reveal a hemoglobin level of 20 g/dL. What could be the reason for the increased hemoglobin? 1 The patient no longer has COPD. 2 The patient consumes iron-rich food. 3 The heart is functioning well in response to COPD treatments. 4 The production of red blood cells increases in response to hypoxia.

Answer:4

A patient in the outpatient clinic has symptoms including chronic cough, sputum production, and dyspnea. On taking a detailed history of the patient, the nurse finds that this patient has a prolonged exposure to smoke. Which condition would the nurse most likely suspect the patient to have? 1 Influenza 2 Pneumonia 3 Tuberculosis 4 Chronic obstructive pulmonary disease (COPD)

Answer:4

The nurse is caring for the patient with chronic obstructive pulmonary disease (COPD). The patient complains of difficult breathing. What action by the nurse is most appropriate? 1 Initiate oxygen administration at low flow rates 2 Begin administration of oxygen at maximum levels 3 Withhold oxygen to prevent depression of the hypoxic drive 4 Wait until arterial blood gases (ABGs) are obtained before starting oxygen

Answer; 1

A patient with chronic obstructive pulmonary disease (COPD) needs to be taught about effective huff coughing in a stepwise manner. In which order should the nurse put the steps for teaching the patient? 1. Forcefully exhale quickly. 2. Assume a sitting position. 3. Inhale slowly through your mouth. 4. Hold your breath for 2 to 3 seconds.

answer: 2, 3, 4, 1

The nurse is caring for a patient with chronic obstructive pulmonary disease (COPD). What does the nurse recognize are the predominant inflammatory cells in this disorder? Select all that apply. 1 Mast cells 2 Eosinophils 3 Neutrophils 4 Lymphocytes 5 Macrophages

answer: 3,4,5

The nurse is educating a patient with chronic obstructive pulmonary disease (COPD) who continues to smoke cigarettes despite the diagnosis. What complication of smoking should the nurse discuss with the patient? 1 Cachexia 2 Osteoporosis 3 Metabolic syndrome

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