Davis Advantage unit 2 Flashcards
The nurse is talking with a friend who is experiencing allergic rhinitis. What could the nurse share as possible causes?
Cow’s milk
Angiotensin-converting enzyme (ACE) inhibitors
Animal dander
The nurse is asking family health history information of a young adult. The patient’s father has obstructive sleep apnea (OSA). Which statement by the client requires additional education?
“I enjoy drinking with my friends; we usually have a few beers each evening.”
“I’m at a higher risk of OSA because I’m a man.”
“I enjoy drinking with my friends; we usually have a few beers each evening.”
Which respiratory disorder can be diagnosed with the help of polysomnography?
Obstructive sleep apnea (OSA)
The provider is sending the patient for polysomnography testing. What symptoms support the need for this? Select all that apply.
Hoarseness of voice Daytime sleepiness Loud snoring Rhinorrhea Insomnia
Daytime sleepiness
Loud snoring
Insomnia
The nurse is caring for a patient who experienced a laryngeal trauma from a self-aborted suicide attempt by hanging. What is a priority action?
Confirm that emergency tracheostomy or intubation equipment is kept nearby.
The nurse is caring for a patient being discharged from the urgent care with the diagnosis of bacterial rhinosinusitis. What should the nurse include in the instructions?
notify the service provider of any neck stiffness, severe head ache, or light sensitivity.
The client with COPD exacerbation has a pulse oximetry reading of 89% on 2L per nasal cannula. What concern does the nurse feel is causing the problem?
Hypoventilation
Oxygenation problems
Airway obstruction
Secondary infection
Airway obstruction
The client with COPD exacerbation has a pulse oximetry reading of 89% on 2L per nasal cannula. What concern does the nurse feel is causing the problem?
Hypoventilation
Oxygenation problems
Airway obstruction
Secondary infection
Airway obstruction
The nurse is instructing a client newly diagnosed with chronic bronchitis about his disease. He says a friend has this disease and he calls himself a “blue bloater.” The client asks the nurse why. How should the nurse reply?
“That’s a term used for someone who smokes a lot.”
“It has to do with the color of the phlegm.”
“That’s from the ‘puffing’ breathing pattern.”
“The lack of oxygen in the blood gives the skins a blue appearance.”
“The lack of oxygen in the blood gives the skins a blue appearance.”
The client with emphysema comes to the emergency department with difficulty breathing. What assessment finding should the nurse anticipate?
Excess mucous production
Barrel shaped chest
Hypoventilation
Blueish skin tones
Barrel shaped chest
A client comes to the clinic with a 5-year history of COPD. The nurse provides a focused assessment. What should be included? Select all that apply.
Cough Sputum Confusion Use of accessory muscles Bowel sounds
Cough
Sputum
Confusion
Use of accessory muscles
The nurse is caring for a client admitted with COPD who is having difficulty breathing. Which actions can the nurse take to provide support? Select all that apply.
Place client in semi-Fowler’s position Provide bronchodilators, if ordered Offer small, frequent meals Encourage smoking cessation Wean from oxygen
Place client in semi-Fowler’s position
Provide bronchodilators, if ordered
Offer small, frequent meals
Encourage smoking cessation
A client comes to the clinic with a 5-year history of COPD. The nurse provides a focused assessment. What should be included? Select all that apply.
Cough Sputum Confusion Use of accessory muscles Bowel sounds
This is wrong
Cough
Sputum
Confusion
Use of accessory muscles
The nurse is caring for a patient with COPD who is on ventilator therapy. Which test is most beneficial to evaluate the patient’s response to ventilator therapy?
Arterial blood gases (ABG)
Which is true regarding emphysema
It is associated with chronic respiratory acidosis.
A patient with chronic obstructive pulmonary disorder (COPD) is reporting shortness of breath. On assessment, the nurse finds a pulse rate of 115 beats/min, a blood pressure of 152/94 mm Hg, a temperature of 101°F, and a respiratory rate of 28. Which respiratory test is priority?
oxygen saturation
A patient with COPD reporting chest tightness arrives at the hospital. On assessment, the nurse notes wheezing, cough, elevated blood pressure, and pulse rate. The primary health-care provider prescribes corticosteroids. Which is the most likely outcome of the prescribed therapy?
Decreases the inflammation of airway
A patient with a severe cough and decreased appetite arrives at the hospital. On assessment, the nurse finds the anterior-posterior diameter as 2:2. After reviewing the assessment findings, what action should the nurse take first?
Encourage pursed-lip breathing.
The nurse is evaluating the effectiveness of a small volume nebulizer bronchodilator treatment for a patient with emphysema. Which assessment change indicates an effective outcome of the therapy? Select all that apply.
Pulse oximetry reading goes from 92% to 94%.
Audible wheezes are diminished.
A patient with end-stage chronic obstructive pulmonary disorder (COPD) develops sudden dyspnea and chest pain. A spontaneous pneumothorax is suspected. What is the nurse’s priority action?
Maintain oxygenation.
A patient with exacerbation of chronic obstructive pulmonary disorder (COPD) has a respiratory rate of 28 breaths per minute. What action should the nurse take?
Provide comfortable positioning.
Which medications are prescribed for patients with chronic obstructive pulmonary disorder (COPD) because of relaxation of the smooth muscles of the respiratory tract? Select all that apply.
Long acting beta2-agonists
Short acting beta2-agonists
Anticholinergics
The nurse is providing care to William Parish, who presents in the emergency department with symptoms indicative of tuberculosis (TB).
Which action should the nurse take when triaging William upon his arrival to the emergency department?
Ask William to place a face mask over his mouth and nose.
Which type of room should the William be placed in when transferred from the waiting room to an ED room?
A client room with negative airflow capability.
