Deck 33: Obstructive Pulmonary Disease: Nursing Management

Question 1

The nurse is assessing a client diagnosed with asthma. The client's breath sounds initially had wheezing but are diminishing until no audible sounds are heard. This has occurred because:

A) swelling has increased, and it has blocked airways.
B) the attack has passed.
C) the client used an inhaler.
D) no mucus is present.

Answer 1

swelling has increased, and it has blocked airways.

Question 2

A client has been diagnosed with chronic obstructive pulmonary disease. Which of the following nursing diagnoses would be the most important at this time?

A) Activity intolerance
B) Anxiety
C) Impaired gas exchange
D) Nutrition, imbalance

Answer 2

Impaired gas exchange

Question 3

A client is experiencing a sudden onset of headache, nausea, cough, fever, myalgia, and fatigue. The nurse suspects this client is experiencing:

A) seasonal influenza.
B) chronic obstructive pulmonary disease.
C) asthma.
D) cystic fibrosis.

Answer 3

seasonal influenza.

Question 4

The nurse suspects a client is experiencing chronic obstructive pulmonary disease when which of the following is assessed? (Select all that apply.)

A) Peripheral edema
B) Jugular vein distention
C) High blood pressure
D) Dyspnea on exertion
E) Sputum production
F) Cough

Question 5

The nurse is caring for a client who has completed pulmonary function testing. Which of the following indicates the amount of air inhaled or exhaled with each breath during normal breathing?

A) Expiratory reserve volume
B) Minute volume
C) Tidal volume
D) Vital capacity

Question 6

A client diagnosed with chronic obstructive pulmonary disease has the complication of cor pulmonale. Which of the following instructions will be included in the client's discharge teaching?

A) Adjust oxygen higher depending on activity level.
B) Increase sodium in the diet.
C) Maintain bed rest.
D) Weigh self daily, and call the physician with a weight gain of 2 pounds

Question 7

The parents of a child diagnosed with cystic fibrosis ask the nurse how their child developed the disease. Which of the following should the nurse explain to these parents?

A) Cystic fibrosis is a disease that has an extra chromosome.
B) Cystic fibrosis is an X-linked disorder.
C) Cystic fibrosis is passed on by a defective gene from both parents.
D) Cystic fibrosis is passed on by one defective gene from one parent.

Question 8

A client is being treated for exacerbation of chronic obstructive pulmonary disease. Which of the following nursing interventions will the nurse expect to be completed?

A) Initiate oxygen at 1 L/min via nasal cannula.
B) Limit fluids.
C) Place on respiratory isolation.
D) Schedule all activities at one time.

Question 9

A client states, "I don't know why I should quit smoking. It can't improve anything." The nurse responds by informing the client about the decrease in lung cancer rates over time after a person quits smoking. Which of the following is correct?

A) The lung cancer rate corresponds to that of nonsmokers 1 year after quitting smoking.
B) The lung cancer rate corresponds to that of nonsmokers 2 years after quitting smoking.
C) The lung cancer rate corresponds to that of nonsmokers 5 years after quitting smoking.
D) The lung cancer rate corresponds to that of nonsmokers 10 years after quitting smoking.

Question 10

A client is diagnosed with stage I mild, chronic obstructive pulmonary disease. Which of the following assessment findings will support this diagnosis? (Select all that apply.)

A) Chronic cough
B) Sputum production
C) Forced expiratory volume in 1 second of greater than 80%
D) Mild airflow limitations
E) Extreme dyspnea on exertion
F) Right-sided heart failure

Question 11

A client diagnosed with asthma is having an acute episode at home. Which of the following medications should the client be instructed not to use during this episode?

A) Albuterol
B) Proventil
C) Serevent
D) Ventolin

Question 12

A client is being admitted with the diagnosis of asthma. To facilitate breathing, in what position would the nurse place the client?

A) Lateral
B) Prone
C) High-Fowler's
D) Supine

Question 13

The nurse is to collect a stool specimen from a client diagnosed with cystic fibrosis. The nurse would expect to see:

A) black, tarry stool.
B) bulky, foul-smelling stool.
C) clay-colored stool.
D) green stool.

Question 14

The nurse is caring for a client diagnosed with cystic fibrosis. Which of the following medications does the nurse realize are commonly used to help treat this disorder? (Select all that apply.)

A) N-acetylcysteine (Mucomyst)
B) Acetaminophen (Tylenol)
C) Dornase alfa (Pulmozyme)
D) Furosemide (Lasix)
E) Ibuprofen (Motrin)
F) Digitalis (Digoxin)

Question 15

A client diagnosed with asthma is receiving instructions about the use of albuterol. The client should be aware that albuterol may cause:

A) bradycardia.
B) drowsiness.
C) nasal congestion.
D) nervousness.

Question 16

The nurse is caring for a client diagnosed with chronic obstructive pulmonary disease. Which of the following interventions require extra care by the nurse?

A) Administering pain medications
B) Applying a cardiac monitor
C) Encouraging fluids
D) Teaching the client diaphragmatic breathing

Question 17

A client diagnosed with chronic obstructive pulmonary disease is scheduled for diagnostic tests. Which of the following are used to aid in the diagnosis of this disorder? (Select all that apply.)

A) Pulmonary function spirometry tests
B) Chest x-ray
C) Electrocardiogram
D) Medication levels
E) Sputum samples
F) Electrolyte levels

Question 18

A client has been smoking for the last 40 years and has a history of emphysema. Which of the following findings would the nurse not expect to find?

A) Decreased forced vital capacity (FVC)
B) Increased anterior-posterior chest diameter
C) Increased forced expiratory volume (FEV₁)
D) Pursed lip breathing