Question 1

The nurse is teaching the patient recently diagnosed with asthma the correct use of the peak flow meter. In which order does the nurse instruct the patient? (Enter the letter of each step in the proper sequence; use capital letters, and do not use punctuation or spaces. Example: ABCDEF)

Accepted Answer

The answer of The nurse is teaching the patient recently...

Question 2

Which systems should the nurse anticipate will be affected when planning care for a patient diagnosed with cystic fibrosis? Select all that apply.

Accepted Answer

Cystic fibrosis primarily affects the respiratory system due to mucus buildup, the reproductive system due to potential infertility issues, and the gastrointestinal system due to pancreatic enzyme insufficiency and malabsorption.

Question 3

Although all of these patients do not currently smoke cigarettes, the nurse recognizes that which patient is at greatest risk factor for the development of lung cancer?

Accepted Answer

The 68-year-old black male with a 40 pack-year history of smoking is at the greatest risk for the development of lung cancer due to the significant history of smoking, which is a primary risk factor for lung cancer. Pack-years are calculated by multiplying the number of packs of cigarettes smoked per day by the number of years the person has smoked. A 40 pack-year history indicates a substantial exposure to the carcinogens in cigarettes.

Question 4

The nurse is caring for a patient in a community clinic who wishes to quit smoking. The patient asks the nurse, "If I quit smoking, will my risk of lung cancer be the same as a nonsmoker? " Which is the best response by the nurse?

Accepted Answer

C is the correct answer because when a person quits smoking, their risk of lung cancer decreases over time compared to if they had continued smoking. However, their risk does not become equal to that of a never-smoker and remains higher than someone who has never smoked.

Question 5

In reviewing teaching about use of the peak flow meter in a patient with asthma, which statements by the patient indicate understanding of correct use? Select all that apply.

Accepted Answer

The answer of In reviewing teaching about use of the...

Question 6

The community health nurse is preparing an educational program for local residents. Which information does the nurse include about chronic obstructive pulmonary disease (COPD)? Select all that apply.

Accepted Answer

- A) Cigarette smoking is indeed the leading cause of COPD, contributing to the majority of cases.- B) It is accurate that 80% to 90% of deaths from COPD are related to smoking, highlighting the significant impact of smoking on mortality rates in COPD patients.- D) A deficiency in alpha-1 antitrypsin is a less common cause of COPD, accounting for less than 5% of all cases. This genetic condition can lead to COPD even in non-smokers.

Question 7

The nurse is providing care to a patient diagnosed with chronic obstructive pulmonary disease (COPD). Which factors in the patient's history support the current diagnosis? Select all that apply.

Accepted Answer

Working in an industrial environment (A) can expose individuals to pollutants that contribute to COPD. A history of asthma (C) can be a risk factor for developing COPD. Current cigarette smoking (D) is a well-known major risk factor for COPD.

Question 8

Which statement by the patient regarding the treatment for cystic fibrosis indicates the need for further teaching?

Accepted Answer

CFTR modulators do not cure cystic fibrosis; they are designed to improve the function of the defective protein made by the CFTR gene, thus improving the symptoms and quality of life for patients with cystic fibrosis, but not curing the disease.

Question 9

The nurse is caring for an older adult patient who is very thin and emaciated. The patient reports new onset of shortness of breath. A chest x-ray examination reveals a spot on the lungs that the physician believes is an inoperable lung cancer. Because of the patient's poor nutritional status, chemotherapy is not an option. The healthcare provider also believes that the location of the cancer would make radiation therapy unsuccessful. In advocating for this patient, what approach does the nurse collaborate with the healthcare team to offer the patient?

Accepted Answer

The nurse should collaborate with the healthcare team to determine the patient's and family's wishes regarding diagnostic testing, as this respects the patient's autonomy and ensures that care aligns with their values and preferences.

Question 10

Which statements about lung cancer indicate that teaching was effective? Select all that apply.

Accepted Answer

Controlled breathing can help manage shortness of breath, pacing activities can help conserve energy, and regular pain medication can improve comfort.

Quiz 26: Coordinating Care for Patients With Lower Airway Disorders