Chapter 31 Obstructive Pulmonary + Oxygen Therapy

Question 1

1. A client is concerned that he may have asthma. Of the following 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 allergies
   d. Cough, especially at night
   e. Gastric reflux or heartburn

Answer 1

A C D E

Question 2

2. In evaluating an asthmatic client’s knowledge of self-care, the nurse recognizes that additional instruction is needed when the client says which of the following?
   a. “I use my corticosteroid inhaler when I feel short of breath.”
   b. “I get a flu shot every year and see my health care provider if I have an upper respiratory tract infection.”
   c. “I use my inhaler before I visit my aunt who has a cat, but I visit for only a few minutes because of my allergies.”
   d. “I walk 30 minutes every day but sometimes I have to use my bronchodilator inhaler before walking to prevent me from getting short of breath.”

Answer 2

D

Question 3

3. Which of the following clinical manifestations would the nurse recognize as a key feature of COPD?
   a. Age at onset of younger than 40 years
   b. Smoking history of more than 10 pack-years
   c. History of atopic dermatitis
   d. Infrequent sputum production

Answer 3

B

Question 4

4. When teaching clients about the common adverse effects of cigarette smoke on the respiratory system, the nurse would include which of the following?
   a. Increased proliferation of ciliated cells
   b. Hypertrophy of the alveolar membrane
   c. Destruction of all alveolar macrophages
   d. Hyperplasia of goblet cells and increased production of mucus

Answer 4

D

Question 5

5. A plan of care for the client with COPD could include which of the following? (Select all that apply)
   a. Exercise, such as walking
   b. High flow rate of O2 administration
   c. Low-dose long-term oral corticosteroid therapy
   d. Use of peak flowmeter to monitor the progression of COPD
   e. Breathing exercises such as pursed-lip breathing that focus on exhalation

Answer 5

A E

Question 6

6. The nurse is preparing a client for transport for a diagnostic test and selects a Venturi mask for oxygen delivery. What is the rationale for choosing a Venturi mask?
   a. It can deliver up to 80% oxygen.
   b. It can provide continuous 100% humidity.
   c. It can deliver a precise concentration of oxygen.
   d. It can be used while a patient eats and sleeps.

Answer 6

C

Question 7

7. Which studies would the nurse anticipate that the health care provider would order to diagnose cystic fibrosis?
   a. Pulmonary function test and sweat test
   b. Insulin tolerance and blood glucose
   c. Pancreatic enzymes and hormones
   d. Sweat test and vitamin B tolerance test

Answer 7

A