Question 1

A client has been diagnosed with chronic obstructive pulmonary disease. Which of the following nursing diagnoses would be the most important at this time?

Accepted Answer

A)   Activity intolerance
B)   Anxiety
C)   Impaired gas exchange
D)   Nutrition, imbalanceE) A) and D)
F) A) and C) C

Question 2

The nurse is to collect a stool specimen from a client diagnosed with cystic fibrosis. The nurse would expect to see:

Accepted Answer

A)   black, tarry stool.
B)   bulky, foul-smelling stool.
C)   clay-colored stool.
D)   green stool.E) A) and D)
F) All of the above

Question 3

The nurse is caring for a client diagnosed with chronic obstructive pulmonary disease. Which of the following interventions require extra care by the nurse?

Accepted Answer

A)   Administering pain medications
B)   Applying a cardiac monitor
C)   Encouraging fluids
D)   Teaching the client diaphragmatic breathingE) A) and C)
F) All of the above

Question 4

A client is experiencing a sudden onset of headache, nausea, cough, fever, myalgia, and fatigue. The nurse suspects this client is experiencing:

Accepted Answer

A)   seasonal influenza.
B)   chronic obstructive pulmonary disease.
C)   asthma.
D)   cystic fibrosis.E) B) and C)
F) A) and B)

Question 5

A client diagnosed with chronic obstructive pulmonary disease is scheduled for diagnostic tests. Which of the following are used to aid in the diagnosis of this disorder? (Select all that apply.)

Accepted Answer

A)   Pulmonary function spirometry tests
B)   Chest x-ray
C)   Electrocardiogram
D)   Medication levels
E)   Sputum samplesF)  Electrolyte levelsG) B) and F)
H) D) and E)

Question 6

A client diagnosed with asthma is having an acute episode at home. Which of the following medications should the client be instructed not to use during this episode?

Accepted Answer

A)   Albuterol
B)   Proventil
C)   Serevent
D)   VentolinE) A) and C)
F) B) and D)

Question 7

The nurse suspects a client is experiencing chronic obstructive pulmonary disease when which of the following is assessed? (Select all that apply.)

Accepted Answer

A)   Peripheral edema
B)   Jugular vein distention
C)   High blood pressure
D)   Dyspnea on exertion
E)   Sputum productionF)  CoughG) All of the above
H) A) and B)

Question 8

The nurse is assessing a client diagnosed with asthma. The client's breath sounds initially had wheezing but are diminishing until no audible sounds are heard. This has occurred because:

Accepted Answer

A)   swelling has increased, and it has blocked airways.
B)   the attack has passed.
C)   the client used an inhaler.
D)   no mucus is present.E) C) and D)
F) B) and C)

Question 9

A client is being admitted with the diagnosis of asthma. To facilitate breathing, in what position would the nurse place the client?

Accepted Answer

A)   Lateral
B)   Prone
C)   High-Fowler's
D)   SupineE) C) and D)
F) A) and B)

Question 10

A client is diagnosed with stage I mild, chronic obstructive pulmonary disease. Which of the following assessment findings will support this diagnosis? (Select all that apply.)

Accepted Answer

A)   Chronic cough
B)   Sputum production
C)   Forced expiratory volume in 1 second of greater than 80%
D)   Mild airflow limitations
E)   Extreme dyspnea on exertionF)  Right-sided heart failureG) A) and D)
H) A) and C)

Question 11

A client diagnosed with chronic obstructive pulmonary disease has the complication of cor pulmonale. Which of the following instructions will be included in the client's discharge teaching?

Accepted Answer

A)   Adjust oxygen higher depending on activity level.
B)   Increase sodium in the diet.
C)   Maintain bed rest.
D)   Weigh self daily, and call the physician with a weight gain of 2 poundsE) All of the above
F) A) and B)

Question 12

The nurse is caring for a client diagnosed with cystic fibrosis. Which of the following medications does the nurse realize are commonly used to help treat this disorder? (Select all that apply.)

Accepted Answer

A)   N-acetylcysteine (Mucomyst) 
B)   Acetaminophen (Tylenol) 
C)   Dornase alfa (Pulmozyme) 
D)   Furosemide (Lasix) 
E)   Ibuprofen (Motrin) F)  Digitalis (Digoxin) G) B) and D)
H) B) and F)

Question 13

The parents of a child diagnosed with cystic fibrosis ask the nurse how their child developed the disease. Which of the following should the nurse explain to these parents?

Accepted Answer

A)   Cystic fibrosis is a disease that has an extra chromosome.
B)   Cystic fibrosis is an X-linked disorder.
C)   Cystic fibrosis is passed on by a defective gene from both parents.
D)   Cystic fibrosis is passed on by one defective gene from one parent.E) B) and D)
F) None of the above

Question 14

A client states, "I don't know why I should quit smoking. It can't improve anything." The nurse responds by informing the client about the decrease in lung cancer rates over time after a person quits smoking. Which of the following is correct?

Accepted Answer

A)   The lung cancer rate corresponds to that of nonsmokers 1 year after quitting smoking.
B)   The lung cancer rate corresponds to that of nonsmokers 2 years after quitting smoking.
C)   The lung cancer rate corresponds to that of nonsmokers 5 years after quitting smoking.
D)   The lung cancer rate corresponds to that of nonsmokers 10 years after quitting smoking.E) B) and D)
F) None of the above D

Question 15

A client has been smoking for the last 40 years and has a history of emphysema. Which of the following findings would the nurse not expect to find?

Accepted Answer

A)   Decreased forced vital capacity (FV
C)  
B)   Increased anterior-posterior chest diameter
C)   Increased forced expiratory volume (FEV1) 
D)   Pursed lip breathingE) A) and D)
F) A) and B)

Question 16

The nurse is caring for a client who has completed pulmonary function testing. Which of the following indicates the amount of air inhaled or exhaled with each breath during normal breathing?

Accepted Answer

A)   Expiratory reserve volume
B)   Minute volume
C)   Tidal volume
D)   Vital capacityE) A) and B)
F) A) and C) C

Question 17

A client diagnosed with asthma is receiving instructions about the use of albuterol. The client should be aware that albuterol may cause:

Accepted Answer

A)   bradycardia.
B)   drowsiness.
C)   nasal congestion.
D)   nervousness.E) A) and D)
F) All of the above

Question 18

A client is being treated for exacerbation of chronic obstructive pulmonary disease. Which of the following nursing interventions will the nurse expect to be completed?

Accepted Answer

A)   Initiate oxygen at 1 L/min via nasal cannula.
B)   Limit fluids.
C)   Place on respiratory isolation.
D)   Schedule all activities at one time.E) None of the above
F) All of the above

Exam 33: Obstructive Pulmonary Disease: Nursing Management

A client has been diagnosed with chronic obstructive pulmonary disease. Which of the following nursing diagnoses would be the most important at this time?

Correct Answer
verified
C

The nurse is to collect a stool specimen from a client diagnosed with cystic fibrosis. The nurse would expect to see:

Correct Answer
verified

The nurse is caring for a client diagnosed with chronic obstructive pulmonary disease. Which of the following interventions require extra care by the nurse?

Correct Answer
verified

A client is experiencing a sudden onset of headache, nausea, cough, fever, myalgia, and fatigue. The nurse suspects this client is experiencing:

Correct Answer
verified

A client diagnosed with chronic obstructive pulmonary disease is scheduled for diagnostic tests. Which of the following are used to aid in the diagnosis of this disorder? (Select all that apply.)

Correct Answer
verified

A client diagnosed with asthma is having an acute episode at home. Which of the following medications should the client be instructed not to use during this episode?

Correct Answer
verified

The nurse suspects a client is experiencing chronic obstructive pulmonary disease when which of the following is assessed? (Select all that apply.)

Correct Answer
verified

The nurse is assessing a client diagnosed with asthma. The client's breath sounds initially had wheezing but are diminishing until no audible sounds are heard. This has occurred because:

Correct Answer
verified

A client is being admitted with the diagnosis of asthma. To facilitate breathing, in what position would the nurse place the client?

Correct Answer
verified

A client is diagnosed with stage I mild, chronic obstructive pulmonary disease. Which of the following assessment findings will support this diagnosis? (Select all that apply.)

Correct Answer
verified

A client diagnosed with chronic obstructive pulmonary disease has the complication of cor pulmonale. Which of the following instructions will be included in the client's discharge teaching?

Correct Answer
verified

The nurse is caring for a client diagnosed with cystic fibrosis. Which of the following medications does the nurse realize are commonly used to help treat this disorder? (Select all that apply.)

Correct Answer
verified

The parents of a child diagnosed with cystic fibrosis ask the nurse how their child developed the disease. Which of the following should the nurse explain to these parents?

Correct Answer
verified

A client states, "I don't know why I should quit smoking. It can't improve anything." The nurse responds by informing the client about the decrease in lung cancer rates over time after a person quits smoking. Which of the following is correct?

Correct Answer
verified
D

A client has been smoking for the last 40 years and has a history of emphysema. Which of the following findings would the nurse not expect to find?

Correct Answer
verified

The nurse is caring for a client who has completed pulmonary function testing. Which of the following indicates the amount of air inhaled or exhaled with each breath during normal breathing?

Correct Answer
verified
C

A client diagnosed with asthma is receiving instructions about the use of albuterol. The client should be aware that albuterol may cause:

Correct Answer
verified

A client is being treated for exacerbation of chronic obstructive pulmonary disease. Which of the following nursing interventions will the nurse expect to be completed?

Correct Answer
verified

Exam 33: Obstructive Pulmonary Disease: Nursing Management

A client has been diagnosed with chronic obstructive pulmonary disease. Which of the following nursing diagnoses would be the most important at this time?

Correct AnswerverifiedC

The nurse is to collect a stool specimen from a client diagnosed with cystic fibrosis. The nurse would expect to see:

Correct AnswerverifiedShow Answer

The nurse is caring for a client diagnosed with chronic obstructive pulmonary disease. Which of the following interventions require extra care by the nurse?

Correct AnswerverifiedShow Answer

A client is experiencing a sudden onset of headache, nausea, cough, fever, myalgia, and fatigue. The nurse suspects this client is experiencing:

Correct AnswerverifiedShow Answer

A client diagnosed with chronic obstructive pulmonary disease is scheduled for diagnostic tests. Which of the following are used to aid in the diagnosis of this disorder? (Select all that apply.)

Correct AnswerverifiedShow Answer

A client diagnosed with asthma is having an acute episode at home. Which of the following medications should the client be instructed not to use during this episode?

Correct AnswerverifiedShow Answer

The nurse suspects a client is experiencing chronic obstructive pulmonary disease when which of the following is assessed? (Select all that apply.)

Correct AnswerverifiedShow Answer

The nurse is assessing a client diagnosed with asthma. The client's breath sounds initially had wheezing but are diminishing until no audible sounds are heard. This has occurred because:

Correct AnswerverifiedShow Answer

A client is being admitted with the diagnosis of asthma. To facilitate breathing, in what position would the nurse place the client?

Correct AnswerverifiedShow Answer

A client is diagnosed with stage I mild, chronic obstructive pulmonary disease. Which of the following assessment findings will support this diagnosis? (Select all that apply.)

Correct AnswerverifiedShow Answer

A client diagnosed with chronic obstructive pulmonary disease has the complication of cor pulmonale. Which of the following instructions will be included in the client's discharge teaching?

Correct AnswerverifiedShow Answer

The nurse is caring for a client diagnosed with cystic fibrosis. Which of the following medications does the nurse realize are commonly used to help treat this disorder? (Select all that apply.)

Correct AnswerverifiedShow Answer

The parents of a child diagnosed with cystic fibrosis ask the nurse how their child developed the disease. Which of the following should the nurse explain to these parents?

Correct AnswerverifiedShow Answer

A client states, "I don't know why I should quit smoking. It can't improve anything." The nurse responds by informing the client about the decrease in lung cancer rates over time after a person quits smoking. Which of the following is correct?

Correct AnswerverifiedD

A client has been smoking for the last 40 years and has a history of emphysema. Which of the following findings would the nurse not expect to find?

Correct AnswerverifiedShow Answer

The nurse is caring for a client who has completed pulmonary function testing. Which of the following indicates the amount of air inhaled or exhaled with each breath during normal breathing?

Correct AnswerverifiedC

A client diagnosed with asthma is receiving instructions about the use of albuterol. The client should be aware that albuterol may cause:

Correct AnswerverifiedShow Answer

A client is being treated for exacerbation of chronic obstructive pulmonary disease. Which of the following nursing interventions will the nurse expect to be completed?

Correct AnswerverifiedShow Answer

Correct Answer
verified
C

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
verified

Correct Answer
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Correct Answer
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Correct Answer
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D

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C

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Correct Answer
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