Nursing Management Obstructive Pulmonary Diseases

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Question 1
Free
Multiple Choice

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?

Choose correct answer/s
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.

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Question 2
Free
Multiple Choice

The nurse has completed client teaching about the administration of salmeterol using a metered-dose inhaler (MDI). Which of the following actions by the client indicates good understanding of the teaching?

Choose correct answer/s
A

The client attaches a spacer before using the MDI.

B

The client coughs vigorously after using the inhaler.

C

The client floats the MDI in water to see if it is empty.

D

The client activates the inhaler at the onset of expiration.

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Question 3
Free
Multiple Choice

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?

Choose correct answer/s
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.

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Question 4
Free
Multiple Choice

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

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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.

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Question 5
Free
Multiple Choice

The nurse is evaluating the effectiveness of therapy for a client who has received treatment during an asthma attack. Which of the following findings is the best indicator that the therapy has been effective?

Choose correct answer/s
A

No wheezes are audible.

B

Oxygen saturation is >92%.

C

Accessory muscle use has decreased.

D

Respiratory rate is 16 breaths/minute.

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Question 6
Multiple Choice

The nurse is assessing a client in the asthma clinic who has recorded daily peak flows that are 85% of the baseline. Which of the following actions should the nurse plan to take?

Choose correct answer/s
A
Teach the client about the use of oral corticosteroids.
B
Administer a bronchodilator and recheck the peak flow.
C
Instruct the client to continue to use current medications.
D
Evaluate whether the peak flow meter is being used correctly.
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Question 7
Multiple Choice

Which of the following actions by a client who has asthma indicates a good understanding of the nurse's teaching about peak flow meter use?

Choose correct answer/s
A
The client records an average of three peak flow readings every day.
B
The client inhales rapidly through the peak flow meter mouthpiece.
C
The client uses the albuterol metered-dose inhaler (MDI) for peak flows in the yellow zone.
D
The client calls the health care provider when the peak flow is in the green zone.
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Question 8
Multiple Choice

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?

Choose correct answer/s
A
?1-antitrypsin testing
B
Use of the nicotine patch
C
Continuous pulse oximetry
D
Effects of leukotriene modifiers
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Question 9
Multiple Choice

Which of the following information about a newly admitted client with chronic obstructive pulmonary disease (COPD) indicates that the nurse should consult with the health care provider before administering the prescribed theophylline?

Choose correct answer/s
A
The client has had a recent 10-pound weight gain.
B
The client has a cough productive of green mucus.
C
The client denies any shortness of breath at present.
D
The client takes cimetidine 150 mg daily.
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Question 10
Multiple Choice

The nurse is caring for a client with chronic bronchitis who has a nursing diagnosis of impaired breathing pattern related to anxiety. Which of the following nursing actions is best to include in the plan of care?

Choose correct answer/s
A
Titrate oxygen to keep saturation at least 90%.
B
Discuss a high-protein, high-calorie diet with the client.
C
Suggest the use of over-the-counter sedative medications.
D
Teach the client how to effectively use pursed lip breathing.
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Question 11
Multiple Choice

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?

Choose correct answer/s
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.
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Question 12
Multiple Choice

The nurse is interviewing a client with a new diagnosis of chronic obstructive pulmonary disease (COPD). Which of the following information will help most in confirming a diagnosis of chronic bronchitis?

Choose correct answer/s
A
The client tells the nurse about a family history of bronchitis.
B
The client's history indicates a 40 pack-year cigarette history.
C
The client denies having any respiratory problems until the last 6 months.
D
The client complains about a productive cough every winter for 3 months.
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Question 13
Multiple Choice

After the nurse has finished teaching a client about pursed lip breathing, which of the following client actions indicate that more teaching is needed?

Choose correct answer/s
A
The client inhales slowly through the nose.
B
The client tenses the neck muscles while exhaling.
C
The client practises by blowing through a straw.
D
The client's ratio of inhalation to exhalation is 1:3.
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Question 14
Multiple Choice

Which of the following findings by the nurse for a client with a nursing diagnosis of impaired gas exchange will be most useful in evaluating the effectiveness of treatment?

Choose correct answer/s
A
Pulse oximetry reading of 91%
B
Absence of wheezes or crackles
C
Decreased use of accessory muscles
D
Respiratory rate of 22 breaths/minute
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Question 15
Multiple Choice

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?

Choose correct answer/s
A
Elevated temperature
B
Clubbing of the fingers
C
Jugular vein distension
D
Complaints of chest pain
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Question 16
Multiple Choice

The nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who is receiving oxygen. Which of the following actions is best for the nurse to implement to determine the appropriate oxygen flow rate?

Choose correct answer/s
A
Minimize oxygen use to avoid oxygen dependency.
B
Maintain the pulse oximetry level at 90% or greater.
C
Administer oxygen according to the client's level of dyspnea.
D
Avoid administration of oxygen at a rate of more than 2 L/minute.
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Question 17
Multiple Choice

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?

Choose correct answer/s
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.
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Question 18
Multiple Choice

The nurse is caring for a client who is receiving 35% oxygen via a Venturi mask. To ensure the correct amount of oxygen delivery, it is most important that the nurse implement which of the following actions?

Choose correct answer/s
A
Keep the air entrainment ports clean and unobstructed.
B
Give a high enough flow rate to keep the bag from collapsing.
C
Use an appropriate adaptor to ensure adequate oxygen delivery.
D
Drain moisture condensation from the oxygen tubing every hour.
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Question 19
Multiple Choice

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

Choose correct answer/s
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.
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Question 20
Multiple Choice

The nurse is developing a teaching plan to help increase activity tolerance at home for a 70-year-old client with severe chronic obstructive pulmonary disease (COPD). Which of the following exercise goals should the nurse teach the client?

Choose correct answer/s
A
Walk until pulse rate exceeds 130.
B
Walk for a total of 20 minutes daily.
C
Exercise until shortness of breath occurs.
D
Limit exercise to activities of daily living (ADLs).
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