Chapter 28 Book - Obstructive Pulmonary Diseases

Question 1

A patient is concerned that he may have asthma. Of the symptoms that he relates to the nurse, which ones suggest asthma or risk factors for asthma? (Select all that apply)
A. Allergic rhinitis
B. Prolonged inhalation 
C. History of skin allergy 
D. Cough, especially at night 
E. Gastric reflux or heartburn

Answer 1

A. Allergic rhinitis
C.History of skin allergy
D. Cough, especially at night
E. Gastric reflux or heartburn

Question 2

In evaluating an asthmatic patients knowledge of self-care, the nurse recognizes that additional instruction is needed when the patient says,
A. “I use my corticosteroid inhaler when I feel short of breath.”
B. “I get a flu shot every year and see my HCP if I have an upper respiratory tract infection.”
C. “I use my inhaler before I visit my aunt who has a cat, but I only visit a few minutes because of my allergies

Answer 2

A. I use my corticosteroid inhaler when I feel short of breath

Question 3

A plan of care for the patient with COPD could include (Select all that apply)
A. Exercise such as walking
B. High flow rate of O2 administration
C. Low-dose chronic oral corticosteroid therapy
D. Use of a peak flow meter to monitor the progression of COPD
E. Breathing exercises such as pursed lip breathing that focus on exhalation

Answer 3

A. Exercise such as walking

E. Breathing exercises such as pursed lip breathing that focus on exhalation

Question 4

The effects of cigarette smoking on respiratory system include:
A. Hypertrophy of capillaries causing hemoptysis
B. Hyperplasia of goblet cells and increased production of mucus
C. Increased proliferation of cilia and decrease clearance of mucus
D. Proliferation of alveolar macrophages to decrease the risk for infection

Answer 4

B. Hyperplasia of goblet cells and increased production of mucus

Question 5

The major advantage of a Venturi mask is that it can deliver:
A. Deliver up to 80% O2
B. Provide continuous 100% humidity
C. Deliver a precise concentration of O2
D. Proliferation of alveolar macrophages to decrease the risk for infection

Answer 5

C. Deliver precise concentration of O2

Question 6

Which guideline should be a part of teaching patients how to use a metered-dose inhaler (MDI)?
A. After activating the MDI, breathe in as quickly as you can
B. Estimate the amount of remaining medicine in the MDI by floating the canister in water
C. Disassemble the plastic canister from the inhaler and rinse both pieces under running water every week
D. To determine how long the canister will last, divide the total number of puffs in the canister by the puffs needed per day

Answer 6

D. To determine how long the canister will last, divide the total number of puffs in the canister by the puffs needed per day

Question 7

Which treatments in CF would the nurse expect to implement in the management plan of patients with CF? (Select all that apply)
A. Sperm banking
B. IV corticosteroids on a chronic basis
C. Airway clearance techniques (e.g. Acapella)
D. GoLYTLEY given PRN for severe constipation
E. Inhaled tobramycin to combat Pseudomonas infection

Answer 7

A. Sperm banking
C. Airway clearance techniques (e.g. Acapella)
D. GoLYTLEY given PRN for severe constipation
E. Inhaled tobramycin to combat Pseudomonas infection

Question 8

A patient who has bronchiectasis asks the nurse, “what conditions would warrant a call to the clinic?”
A. Blood clots in sputum
B. Sticky sputum on a hot day
C. Increased shortness of breath after eating a large meal
D. Production of large amounts of sputum on a daily basis

Answer 8

A. Blood clots in sputum