Question 1

The nurse has received a change-of-shift report about the following clients with chronic obstructive pulmonary disease (COPD) . Which client should the nurse assess first?

Accepted Answer

A)  A client with a respiratory rate of 38
B)  A client with loud expiratory wheezes
C)  A client with jugular vein distension and peripheral edema
D)  A client who has a cough productive of thick, green mucusE) A) and B)
F) B) and C)

Question 2

The nurse is caring for a client with chronic obstructive pulmonary disease (COPD)  who has a nursing diagnosis of imbalanced nutrition: less than body requirements. Which of the following interventions is best to address this problem?

Accepted Answer

A)  Increase the client's intake of fruits and fruit juices.
B)  Have the client exercise for 10 minutes before meals.
C)  Assist the client in choosing foods with a lot of texture.
D)  Offer high calorie snacks between meals and at bedtime.E) C) and D)
F) B) and D)

Question 3

The nurse is caring for a client with cystic fibrosis (CF)  who has blood glucose levels that are consistently 11-14 mmol/L. Which of the following nursing actions should the nurse plan to implement?

Accepted Answer

A)  Discuss the role of diet in blood glucose control.
B)  Educate the client about administration of insulin.
C)  Give oral hypoglycemic medications before meals.
D)  Evaluate the client's home use of pancreatic enzymes.E) None of the above
F) A) and B)

Question 4

The nurse is evaluating the effectiveness of therapy for a client with cor pulmonale. Which of the following findings should the nurse assess for in the client?

Accepted Answer

A)  Elevated temperature
B)  Clubbing of the fingers
C)  Jugular vein distension
D)  Complaints of chest painE) All of the above
F) B) and D)

Question 5

Which of the following information should the nurse teach a client with COPD?

Accepted Answer

A)  To exercise immediately before a meal.
B)  To eat a high-calorie, low-protein diet.
C)  To have 5 or 6 small meals a day.
D)  Avoid foods that are cooked in a microwave.E) B) and C)
F) A) and C)

Question 6

Which of the following findings in a client who has received omalizumab is considered an adverse effect?

Accepted Answer

A)  Pain at injection site
B)  Flushing and dizziness
C)  Respiratory rate 22 breaths/minute
D)  Peak flow reading 75% of normalE) All of the above
F) A) and B)

Question 7

Which of the following information should the nurse include in teaching a client with chronic obstructive pulmonary disease (COPD)  who has a new prescription for home oxygen therapy?

Accepted Answer

A)  Storage of oxygen tanks will require adequate space in the home.
B)  Travel opportunities will be limited because of the use of oxygen.
C)  Oxygen flow should be increased if the client has more dyspnea.
D)  Oxygen use can improve the client's prognosis and quality of life.E) None of the above
F) A) and B)

Question 8

Which of the following information should the nurse include when teaching the client with asthma about the prescribed medications?

Accepted Answer

A)  Utilize the inhaled corticosteroid when shortness of breath occurs.
B)  Inhale slowly and deeply when using the dry-powder inhaler (DPI) .
C)  Hold your breath for 5 seconds after using the bronchodilator inhaler.
D)  Tremors are an expected adverse effect of rapidly acting bronchodilators.E) B) and D)
F) B) and C)

Question 9

The nurse in the emergency department receives arterial blood gas results for four recently admitted clients with asthma. Which of the following clients require the most rapid action by the nurse?

Accepted Answer

A)  20-year-old with ABG results: pH 7.28, PaCO2 60 mm Hg, and PaO2 58 mm Hg
B)  32-year-old with ABG results: pH 7.50, PaCO2 30 mm Hg, and PaO2 65 mm Hg
C)  40-year-old with ABG results: pH 7.34, PaCO2 33 mm Hg, and PaO2 80 mm Hg
D)  64-year-old with ABG results: pH 7.31, PaCO2 58 mm Hg, and PaO2 64 mm HgE) B) and C)
F) A) and D)

Question 10

Which of the following diagnostic tests should the nurse plan to discuss with a client who has progressively increasing dyspnea and is being evaluated for a possible diagnosis of chronic obstructive pulmonary disease (COPD) ?

Accepted Answer

A)  Eosinophil count
B)  Spirometry
C)  Immunoglobin E (Ig
E)   levels
D)  Radioallergosorbent test (RAST) E) B) and C)
F) All of the above

Question 11

The nurse is teaching a client about continuous home oxygen use and cautions the client to take extra care to not run out of oxygen. Which of the following seasons should the nurse instruct the client has the highest rate of oxygen evaporation?

Accepted Answer

A)  Spring
B)  Summer
C)  Fall
D)  WinterE) A) and B)
F) A) and C)

Question 12

A young adult client with cystic fibrosis (CF)  tells the nurse that she is considering having a child. Which of the following responses is best for the nurse to respond initially?

Accepted Answer

A)  "Are you aware of the normal lifespan for clients with CF?"
B)  "Do you need any information to help you with the decision?"
C)  "You will need to have genetic counselling before making a decision."
D)  "Many women with CF do not have difficulty in conceiving children."E) B) and C)
F) A) and C)

Question 13

The following medications are prescribed by the health care provider for a client having an acute asthma attack. Which medication should the nurse administer first?

Accepted Answer

A)  Salmeterol 50 mcg per dry-powder inhaler (DPI) 
B)  Salbutamol 2.5 mg per nebulizer
C)  Triamcinolone 2 puffs per metered-dose inhaler (MDI) 
D)  Methylprednisolone 60 mg IVE) B) and C)
F) A) and D)

Question 14

The nurse is preparing a client with possible asthma for pulmonary function testing. Which of the following instructions should the nurse include in the teaching plan?

Accepted Answer

A)  Avoid eating or drinking for several hours before the testing.
B)  Use rescue medications immediately before the tests are done.
C)  Take oral corticosteroids at least 2 hours before the examination.
D)  Withhold bronchodilators for 6-12 hours before the examination.E) None of the above
F) B) and C)

Question 15

The nurse is admitting a client with chronic obstructive pulmonary disease (COPD)  to the hospital. Which of the following positions should the nurse place the client in to improve gas exchange?

Accepted Answer

A)  Resting in bed with the head elevated to 45-60 degrees
B)  Sitting up at the bedside in a chair and leaning slightly forward
C)  Resting in bed in a high Fowler's position with the knees flexed
D)  In the Trendelenburg position with several pillows behind the headE) None of the above
F) A) and B)

Question 16

The nurse is caring for a client who is hospitalized with cystic fibrosis (CF)  and is coughing up large quantities of thick green mucus. Which of the following treatments should the nurse include in the teaching plan?

Accepted Answer

A)  Antibiotic resistance
B)  Inhaled bronchodilators
C)  Oral corticosteroid therapy
D)  Aerosolized amoxicillinE) B) and C)
F) A) and D)

Question 17

The nurse is assessing a young adult client in the outpatient clinic who has a new diagnosis of emphysema and does not have a history of smoking. Which of the following information should the nurse anticipate teaching the client about?

Accepted Answer

A)  ?1-antitrypsin testing
B)  Use of the nicotine patch
C)  Continuous pulse oximetry
D)  Effects of leukotriene modifiersE) All of the above
F) C) and D)

Question 18

The nurse is caring for a client with chronic bronchitis who has a new prescription for a combined fluticasone and salmeterol inhaler and the client asks the nurse the purpose of using two drugs. Which of the following information is the basis for the nurse'sresponse?

Accepted Answer

A)  One drug decreases inflammation, and the other is a bronchodilator.
B)  It is a combination of long-acting and slow-acting bronchodilators.
C)  The combination of two drugs works more quickly in an acute asthma attack.
D)  The two drugs work together to block the effects of histamine on the bronchioles.E) C) and D)
F) B) and D)

Question 19

The nurse is caring for a client with severe chronic obstructive pulmonary disease (COPD)  who tells the nurse, "I wish I were dead! I cannot do anything for myself anymore." Based on this information, which of the following nursing diagnoses is best?

Accepted Answer

A)  Hopelessness related to chronic stress (expectation of death) 
B)  Ineffective coping related to insufficient sense of control
C)  Deficient knowledge related insufficient information (education about COP
D)  
D)  Social isolation related to insufficient personal resources (increased physical dependence) E) All of the above
F) A) and C)

Question 20

Which of the following information given by a client with asthma while the nurse is doing the admission assessment is most indicative of a need for a change in therapy?

Accepted Answer

A)  The client uses terbutaline before any aerobic exercise.
B)  The client says that the asthma symptoms are worse every spring.
C)  The client's heart rate increases after using the salbutamol inhaler.
D)  The client's only medications are formoterol and salmeterol.E) C) and D)
F) None of the above

Exam 31: Nursing Management Obstructive Pulmonary Diseases

Which of the following diagnostic tests should the nurse plan to discuss with a client who has progressively increasing dyspnea and is being evaluated for a possible diagnosis of chronic obstructive pulmonary disease (COPD) ?

Correct AnswerverifiedShow Answer

The nurse is assessing a young adult client in the outpatient clinic who has a new diagnosis of emphysema and does not have a history of smoking. Which of the following information should the nurse anticipate teaching the client about?

Correct AnswerverifiedShow Answer

The nurse is admitting a client with chronic obstructive pulmonary disease (COPD) to the hospital. Which of the following positions should the nurse place the client in to improve gas exchange?

Correct AnswerverifiedShow Answer

Which of the following information given by a client with asthma while the nurse is doing the admission assessment is most indicative of a need for a change in therapy?

Correct AnswerverifiedShow Answer

Which of the following information should the nurse teach a client with COPD?

Correct AnswerverifiedShow Answer

The nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who has a nursing diagnosis of imbalanced nutrition: less than body requirements. Which of the following interventions is best to address this problem?

Correct AnswerverifiedShow Answer

The nurse is preparing a client with possible asthma for pulmonary function testing. Which of the following instructions should the nurse include in the teaching plan?

Correct AnswerverifiedShow Answer

The nurse is caring for a client with cystic fibrosis (CF) who has blood glucose levels that are consistently 11-14 mmol/L. Which of the following nursing actions should the nurse plan to implement?

Correct AnswerverifiedShow Answer

Which of the following information should the nurse include when teaching the client with asthma about the prescribed medications?

Correct AnswerverifiedShow Answer

The nurse is caring for a client with severe chronic obstructive pulmonary disease (COPD) who tells the nurse, "I wish I were dead! I cannot do anything for myself anymore." Based on this information, which of the following nursing diagnoses is best?

Correct AnswerverifiedShow Answer

The nurse is evaluating the effectiveness of therapy for a client with cor pulmonale. Which of the following findings should the nurse assess for in the client?

Correct AnswerverifiedShow Answer

The following medications are prescribed by the health care provider for a client having an acute asthma attack. Which medication should the nurse administer first?

Correct AnswerverifiedShow Answer

The nurse is caring for a client who is hospitalized with cystic fibrosis (CF) and is coughing up large quantities of thick green mucus. Which of the following treatments should the nurse include in the teaching plan?

Correct AnswerverifiedShow Answer

Which of the following findings in a client who has received omalizumab is considered an adverse effect?

Correct AnswerverifiedShow Answer

The nurse is teaching a client about continuous home oxygen use and cautions the client to take extra care to not run out of oxygen. Which of the following seasons should the nurse instruct the client has the highest rate of oxygen evaporation?

Correct AnswerverifiedShow Answer

The nurse in the emergency department receives arterial blood gas results for four recently admitted clients with asthma. Which of the following clients require the most rapid action by the nurse?

Correct AnswerverifiedShow Answer

The nurse has received a change-of-shift report about the following clients with chronic obstructive pulmonary disease (COPD) . Which client should the nurse assess first?

Correct AnswerverifiedShow Answer

A young adult client with cystic fibrosis (CF) tells the nurse that she is considering having a child. Which of the following responses is best for the nurse to respond initially?

Correct AnswerverifiedShow Answer

The nurse is caring for a client with chronic bronchitis who has a new prescription for a combined fluticasone and salmeterol inhaler and the client asks the nurse the purpose of using two drugs. Which of the following information is the basis for the nurse'sresponse?

Correct AnswerverifiedShow Answer

Which of the following information should the nurse include in teaching a client with chronic obstructive pulmonary disease (COPD) who has a new prescription for home oxygen therapy?

Correct AnswerverifiedShow Answer

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