Quiz 5 Chronic Respiratory Flashcards

1
Q

Question:

A

Keep them out of the hospital

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2
Q

A client with asthma.

A

You should tell the family to remove the items that trigger an attack

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3
Q

What is the abnormal -

A

1:1

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4
Q

Nurse is conducting family planning with a couple -

A

Each child has a 50% chance of being a carrier

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5
Q

When developing a nursing care plan for a child with cystic fibrosis, which of the problems should be addressed?

A

The malabsorption of fat soluble vitamins

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6
Q

Which characteristics should the nurse expect in the stool of a child who has cystic fibrosis?

A

Foul smelling and fatty stools

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7
Q

Which of the following is typical of progressive emphysema?

A

Residual lung volume increases

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8
Q

What is the cause of chronic bronchitis?

A

Chronic irritation, inflammation, and (?) infections of the larger airways

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9
Q

A mutated gene for cystic fibrosis is located on the:

A

7th Chromosome

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10
Q

A client with COPD is receiving care at a primary providers care clinic with worsening symptoms of emphysema. The provider orders an out pt chest xray to determine if there are any changes in lung obstruction. Which best describes what will show on the chest xray?

A

A flattened diaphragm

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11
Q

A client who is in the hospital for exacerbation of emphysema symptoms. The nurse notes shortness of breath and tachypnea. Which client action is most appropriate in response to this?

A

Check the clients oxygenation status by pulse oximetry

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12
Q

Client with emphysema has gained more than 5lbs in less than a week. Even though his oral intake has been (?) the clients weight gain can reflect which associated complication of COPD?

A

Cor pulmonapathy

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13
Q

A nurse is teaching a client about a metered dose inhaler (MDI). Which action indicates a client needs additional teaching?

A

A client waits 15 seconds before using the inhaler a second time

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14
Q

You are providing discharge instructions to a client with COPD. Which of the following instructions provided by the nurse is not an effective strategy to improve activity (?) COPD?

A

Refrain from exercising

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15
Q

The following eating habits can help ease the symptoms of COPD… EXCEPT:

A

Eat and drink in only designated meal times

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16
Q

58 y/o client has a 40 year history of smoking 2 packs of cigarettes’ a day. Is at chronic risk for producing sputum, peripheral emphysema, cyanotic nailbeds. Based on this information he has probably which of the following?

A

Chronic bronchitis

17
Q

What is the initial step in the management of emphysema?

A

Cessation of smoking

18
Q

Which clinical manifestations are associated with pulmonary hypertension?

A

Dyspnea upon exertion
Peripheral edema
JVD
Fatigue

19
Q

Which assessment finding of a client with COPD indicates to the nurse that a respiratory problem is chronic?

A

Clubbing of fingers

20
Q

The nurse is caring for a client with chronic airway disease. Which of the following is associated d/o has changes that are reversible?

A

Asthma