MS24

The nurse is assessing a patient who is respiratory disease is characterized by chronic hyper inflation of the lungs. What would the nurse most likely assess in this patient?

A barrel chest

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?

Administer an inhaled beta-adrenergic agonist

A nurse is assessing a patient who is suspected of having bronchiectasis. The nurse should consider which of the following potential causes? SATA

Airway obstruction, pulmonary infections, genetic disorders

An interdisciplinary team is planning the care of a patient with Bronchiectasis. What aspects of care should the nurse anticipate? SATA

Antimicrobial therapy, chest physiotherapy, smoking cessation

A nurse is preparing to perform an admission assessment on a COPD patient. It is most important for the nurse to review which of the following?

Available diagnostic tests

A nurse is completing A focused respiratory assessment of a child with asthma. What assessment finding is most likely associated with the characteristic signs and symptoms of asthma?

Bilateral wheezes

A nurse is reviewing pathophysiology of cystic fibrosis in anticipation of a new admission. The nurse should identify what characteristic aspects of CF?

Bronchial mucus plugging, inflammation, and eventual Bronchiectasis

A nurse is working with a child who is undergoing a diagnostic work up for suspected as well. What are the signs and symptoms that are consistent with a diagnosis of asthma? SATA

Chest tightness, wheezing, cough

A nurse is developing the teaching portion of a care plan for a patient with COPD. What would be the most important component for the nurse to emphasize?

Chronic inhalation of indoor toxins can cause lung damage

A nurse is documenting the results of assessment of a patient with bronchiectasis. What would the nurse most likely include in documentation?

Clubbing of the fingers

A nurse is caring for a patient who has been admitted with an exacerbation of chronic bronchiectasis. The nurse should expect to assess the patient for which of the following clinical manifestations?

Copious sputum production

A nurse is teaching a patient with asthma about Azmacort, and inhaled corticosteroid. Which adverse effects should the nurse be sure to dress and patient teaching?

Cough and oral thrush

A student nurse is preparing to care for a patient with bronchiectasis. The student nurse should recognize that this patient is likely to experience respiratory difficulties related to what pathophysiologic process?

Dilation of bronchi and bronchioles

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?

Dyspnea and hypoxemia

And as my nurse educator is working with a group of adolescent asthma patients. One is most likely to prevent an exacerbation among these patients?

Educating patients about recognizing and avoiding asthma triggers

A nurse is evaluating the diagnostic study data of a patient with suspected cystic fibrosis. Which of the following test results is associated with a diagnosis of cystic fibrosis?

Elevated sweat chloride concentration

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?

Highest airflow during a forced expiration

A patient's severe asthma has necessitated the use of a long acting beta agonist. Which of the patient statements suggest a need for further education

I'll make sure to use this each time I feel an asthma attack coming on

A nurse is caring for a patient with COPD. The patient's 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? SATA

Increased expiratory flow rate, relief of dyspnea

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 affect?

Increases the amount of mucus production. Smoking irritates the goblet cells and mucous glands causing an increased accumulation of mucus which intern produces more irritation infection and damage to the lungs

The case manager for a group of patients with COPD is providing health education. What is most important for the nurse to assess when providing instructions on self management to these patients

Knowledge about self-care and their therapeutic regimen

A nurse is caring for a young adult patient who is medical history includes an alpha anti-trypsin deficiency. This deficiency predisposes the patient to what health problems?

Lobular emphysema

A patient is having pulmonary function studies performed. The patient performs a spy rectum a test revealing an FEV/FVC ratio of 60%. How should the nurse interpret this fine day

Obstructive lung disease

A nurse is caring for a six-year-old patient with cystic fibrosis. In order to enhance the child's nutritional status what intervention should most likely be included in the care plan?

Pancreatic enzyme supplementation with meals

A pediatric nurse practitioner is caring for a child who has just been diagnosed with asthma. The nurse has provided the parents with information that includes potential causes of agents for an asthmatic reaction. What potential closeted agent should the nurse described?

Pets

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

Postural chest drainage

A nurse is creating a health promotion intervention focused on chronic obstructive pulmonary disease. What should the nurse identify as a complication of COPD?

Respiratory failure Complications of COPD include respiratory failure pneumothorax atelectasis pneumonia and pulmonary hypertension. Lung cancer, cystic fibrosis, and hemothorax are not common complications

A nurse is developing a teaching plan for a patient with COPD. What should the nurse include as the most important area of teaching?

Setting and accepting realistic short- and long-range goals

A nurse is planning the care of a patient with emphysema who will soon be discharged. What teaching should the nurse prioritize in the plan of care?

Setting realistic short term and long term goals

A patient with emphysema is experiencing shortness of breath. To relieve this patient's symptoms the nurse should assist her in the what position?

Sitting upright, leaning forward slightly

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?

Take prescribed medication as scheduled

A nurse is admitting a new patient who has been admitted with a diagnosis of COPD exacerbation. How can the nurse best help the patient achieve the goal of maintaining effective oxygenation?

Teach the patient strategies for promoting diaphragmatic breathing

A nurse is providing health education to the family of a patient with Bronchiectasis. What should the nurse teach the patient's family members

The correct technique for providing postural drainage

A clinic nurse is caring for a patient who has just been diagnosed with COPD. The patient asked the nurse what he could've done to minimize the risk of contracting this disease. What would be the nurses best answer?

The most important risk factor for COPD is cigarette smoking

An older adult patient has been diagnosed with COPD. What characteristic of the patient's current health status would preclude the safe and effective use of a metered dose inhaler?

The patient has severe arthritis in her

A nurse is planning the care of a client with Bronchiectasis. What goal of care should the nurse prioritize?

The patient will successfully mobilize pulmonary secretions.

A nurse is explaining to a patient with asthma what her new prescription for prednisone is used for. What would be the most accurate exclamation that the nurse could give?

To gain prompt control of inadequately controlled persistent asthma

A nurse is providing discharge teaching for a client with COPD. When teaching a client about breathing exercises what should the nurse include in the teaching

Use diaphragmatic breathing.

A nurses assessment reveals that a client with COPD may be experiencing bronchospasm. What assessment finding would suggest that the patient is experiencing bronchospasm?

Wheezers are diminished breath sounds on auscultation

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?

anti-inflammatory drugs