Chapter 22 - Chronic Obstructive Pulmonary Disease

Question 1

A nurse is providing discharge teaching to a a client who has COPD and a new prescription for albuterol. Which of the following statements by the client indicates an understanding of the teaching?
A. This medication can increase my blood sugar levels
B. This medication can decrease my immune response
C. I can have an increase in my heart rate while taking this medication
D. I can have mouth sores while taking this medication

Answer 1

C. I can have an increase in my heart rate while taking this medication

Question 2

A nurse is preparing to administer an initial dose of prednisone to a client who has COPD, The nurse should monitor for which of the following adverse effects for this medication? (Select all that apply)
A. Hypokalemia
B. Tachycardia
C. Fluid retention 
D. Nausea
E. Black, tarry stools

Answer 2

A. Hypokalemia
C. Fluid retention
E. Black, tarry stools

Question 3

A nurse is discharging a client who has COPD. The client is concerned about not being able to leave the house due to the need for staying on continuous oxygen. Which of the following responses should the nurse make?
A. There are portable oxygen delivery systems that you can take with you
B. When you go out, you can remove the oxygen and then reapply it when you get home
C. You probably will not be able to go out as much as you used to
D. Home health services will come to you so you will not need to get out

Answer 3

A. There are portable oxygen delivery systems that you can take with you

Question 4

A nurse is instructing a client on the use of an incentive spirometer. Which of the following statements by the client indicates an understanding of the teaching?
A. I will place he adapter on my finger to read my blood oxygen saturation level
B. I will lie on my back with my knees bent
C. I will rest my hand over my abdomen to create resistance
D. I will take in a deep breath and hold it before exhaling

Answer 4

D. I will take in a deep breath and hold it before exhaling

Question 5

A nurse is planning to instruct a client on how to perform pursed-lip breathing. Which of the following statements should the nurse include?
A. Take quick breaths upon inhalation
B. Place your hand over your stomach
C. Take a deep breath in through your nose
D. Puff your cheeks upon inhalation

Answer 5

C. Take a deep breath in through your nose