med surg elsevier questions
st st st
Duringstanstassessmentstofstast45-yr-
oldstpatientstwithstasthma,stthestnursestnotesstwheezingstandstdyspnea.stThestnu
rsestinterpretsstthatstthesestsymptomsstarestrelatedsttostwhatstpathophysiologicst
change?
a.stLaryngospasm
b.stPulmonarystedema
c.stNarrowingstofstthestairway
d.stOverdistentionstofstthestalveolist-stcorrectstanswer✔ ✔
c.stNarrowingstofstthestairway
Ast45-yr-
oldstmanstwithstasthmastisstbroughtsttostthestemergencystdepartmentstbystautom
obile.stHestisstshortstofstbreathstandstappearsstfrightened.stDuringstthestinitialstnu
rsingstassessment,stwhichstclinicalstmanifestationstmightstbestpresentstasstanste
arlystmanifestationstduringstanstexacerbationstofstasthma?
a.stAnxietyst
b.stCyanosisst
c.stBradycardia
d.stHypercapniast-stcorrectstanswer✔ ✔ a.stAnxiety
,Thestnursestisstassignedsttostcarestforstastpatientstwhosthasstanxietystandstanstexac
erbationstofstasthma.stWhatstisstthestprimarystreasonstforstthestnursesttostcarefull
ystinspectstthestcheststwallstofstthisstpatient?
a.Allowsttimesttostcalmstthestpatient.
b.Observestforstsignsstofstdiaphoresis.st
c.Evaluatestthestusestofstintercostalstmuscles.st
d.Monitorstthestpatientstforstbilateralstcheststexpansion.st-stcorrectstanswer✔
✔ c.Evaluatestthestusestofstintercostalstmuscles.
Whichstpositionstisstmoststappropriatestforstthestnursesttostplacestastpatientstexpe
riencingstanstasthmastexacerbation?
a.Supine
b.Lithotomy
c.HighstFowler'sst
d.ReversestTrendelenburgst-stcorrectstanswer✔ ✔ c.HighstFowler's
Thestnursestisstcaringstforstastpatientstwithstanstacutestexacerbationstofstasthma.st
Afterstinitialsttreatment,stwhatstfindingstindicatessttostthestnursestthatstthestpatie
nt'sstrespiratoryststatusstisstimproving?
a.Wheezingstbecomesstlouder.st
b.Coughstremainsstnonproductive.
c.Vesicularstbreathstsoundsstdecrease.st
,d.Aerosolstbronchodilatorsststimulatestcoughing.st-stcorrectstanswer✔ ✔
a.Wheezingstbecomesstlouder.
Thestnursestidentifiesstthestnursingstdiagnosisstofstactivitystintolerancestforstastp
atientstwithstasthma.stInstpatientsstwithstasthma,stthestnursestassessesstforstwhic
hstetiologicstfactorstforstthisstnursingstdiagnosis?
Workstofstbreathingst
Fearstofstsuffocation
Effectsstofstmedications
Anxietystandstrestlessnessst-stcorrectstanswer✔ ✔ Workstofstbreathing
Thestnursestisstassignedsttostcarestforstastpatientstinstthestemergencystdepartments
tadmittedstwithstanstexacerbationstofstasthma.stThestpatientsthasstreceivedstastâ-
adrenergicstbronchodilatorstandstsupplementalstoxygen.stIfstthestpatient'sstcon
ditionstdoesstnotstimprove,stthestnursestshouldstanticipatestwhatstasstthestmoststli
kelystnextststepstinsttreatment?
IVstfluids
Biofeedbacksttherapy
Systemicstcorticosteroids
Pulmonarystfunctionsttestingst-stcorrectstanswer✔ ✔
Systemicstcorticosteroids
, Astpatientstwithstanstacutestexacerbationstofstchronicstobstructivestpulmonaryst
diseasest(COPD)stneedssttostreceivestprecisestamountsstofstoxygen.stWhichsteq
uipmentstshouldstthestnursestpreparesttostuse?
Oxygensttent
Venturistmaskst
Nasalstcannulast
Oxygen-conservingstcannulast-stcorrectstanswer✔ ✔ Venturistmask
Whilestteachingstastpatientstwithstasthmastaboutstthestappropriatestusestofstastpea
kstflowstmeter,stwhatstshouldstthestnursestinstructstthestpatientsttostdo?
Keepstastrecordstofstthestpeakstflowstmeterstnumbersstifstsymptomsstofstasthmasta
restgettingstworse.st
Usestthestflowstmetersteachstmorningstaftersttakingstmedicationssttostevaluatestt
heirsteffectiveness.
Increasestthestdosesstofstthestlong-
termstcontrolstmedicationstifstthestpeakstflowstnumbersstdecrease.
Emptystthestlungsstandstthenstinhalestquicklystthroughstthestmouthpiecesttostme
asuresthowstfaststairstcanstbestinhaled.st-stcorrectstanswer✔ ✔
Keepstastrecordstofstthestpeakstflowstmeterstnumbersstifstsymptomsstofstasthm
astarestgettingstworse.
Thestphysiciansthasstprescribedstsalmeterolst(Serevent)stforstastpatientstwithstas
thma.stInstreviewingstthestusestofstdrystpowderstinhalersst(DPIs)stwithstthestpatie
nt,stwhatstinstructionsstshouldstthestnursestprovide?
st st st
Duringstanstassessmentstofstast45-yr-
oldstpatientstwithstasthma,stthestnursestnotesstwheezingstandstdyspnea.stThestnu
rsestinterpretsstthatstthesestsymptomsstarestrelatedsttostwhatstpathophysiologicst
change?
a.stLaryngospasm
b.stPulmonarystedema
c.stNarrowingstofstthestairway
d.stOverdistentionstofstthestalveolist-stcorrectstanswer✔ ✔
c.stNarrowingstofstthestairway
Ast45-yr-
oldstmanstwithstasthmastisstbroughtsttostthestemergencystdepartmentstbystautom
obile.stHestisstshortstofstbreathstandstappearsstfrightened.stDuringstthestinitialstnu
rsingstassessment,stwhichstclinicalstmanifestationstmightstbestpresentstasstanste
arlystmanifestationstduringstanstexacerbationstofstasthma?
a.stAnxietyst
b.stCyanosisst
c.stBradycardia
d.stHypercapniast-stcorrectstanswer✔ ✔ a.stAnxiety
,Thestnursestisstassignedsttostcarestforstastpatientstwhosthasstanxietystandstanstexac
erbationstofstasthma.stWhatstisstthestprimarystreasonstforstthestnursesttostcarefull
ystinspectstthestcheststwallstofstthisstpatient?
a.Allowsttimesttostcalmstthestpatient.
b.Observestforstsignsstofstdiaphoresis.st
c.Evaluatestthestusestofstintercostalstmuscles.st
d.Monitorstthestpatientstforstbilateralstcheststexpansion.st-stcorrectstanswer✔
✔ c.Evaluatestthestusestofstintercostalstmuscles.
Whichstpositionstisstmoststappropriatestforstthestnursesttostplacestastpatientstexpe
riencingstanstasthmastexacerbation?
a.Supine
b.Lithotomy
c.HighstFowler'sst
d.ReversestTrendelenburgst-stcorrectstanswer✔ ✔ c.HighstFowler's
Thestnursestisstcaringstforstastpatientstwithstanstacutestexacerbationstofstasthma.st
Afterstinitialsttreatment,stwhatstfindingstindicatessttostthestnursestthatstthestpatie
nt'sstrespiratoryststatusstisstimproving?
a.Wheezingstbecomesstlouder.st
b.Coughstremainsstnonproductive.
c.Vesicularstbreathstsoundsstdecrease.st
,d.Aerosolstbronchodilatorsststimulatestcoughing.st-stcorrectstanswer✔ ✔
a.Wheezingstbecomesstlouder.
Thestnursestidentifiesstthestnursingstdiagnosisstofstactivitystintolerancestforstastp
atientstwithstasthma.stInstpatientsstwithstasthma,stthestnursestassessesstforstwhic
hstetiologicstfactorstforstthisstnursingstdiagnosis?
Workstofstbreathingst
Fearstofstsuffocation
Effectsstofstmedications
Anxietystandstrestlessnessst-stcorrectstanswer✔ ✔ Workstofstbreathing
Thestnursestisstassignedsttostcarestforstastpatientstinstthestemergencystdepartments
tadmittedstwithstanstexacerbationstofstasthma.stThestpatientsthasstreceivedstastâ-
adrenergicstbronchodilatorstandstsupplementalstoxygen.stIfstthestpatient'sstcon
ditionstdoesstnotstimprove,stthestnursestshouldstanticipatestwhatstasstthestmoststli
kelystnextststepstinsttreatment?
IVstfluids
Biofeedbacksttherapy
Systemicstcorticosteroids
Pulmonarystfunctionsttestingst-stcorrectstanswer✔ ✔
Systemicstcorticosteroids
, Astpatientstwithstanstacutestexacerbationstofstchronicstobstructivestpulmonaryst
diseasest(COPD)stneedssttostreceivestprecisestamountsstofstoxygen.stWhichsteq
uipmentstshouldstthestnursestpreparesttostuse?
Oxygensttent
Venturistmaskst
Nasalstcannulast
Oxygen-conservingstcannulast-stcorrectstanswer✔ ✔ Venturistmask
Whilestteachingstastpatientstwithstasthmastaboutstthestappropriatestusestofstastpea
kstflowstmeter,stwhatstshouldstthestnursestinstructstthestpatientsttostdo?
Keepstastrecordstofstthestpeakstflowstmeterstnumbersstifstsymptomsstofstasthmasta
restgettingstworse.st
Usestthestflowstmetersteachstmorningstaftersttakingstmedicationssttostevaluatestt
heirsteffectiveness.
Increasestthestdosesstofstthestlong-
termstcontrolstmedicationstifstthestpeakstflowstnumbersstdecrease.
Emptystthestlungsstandstthenstinhalestquicklystthroughstthestmouthpiecesttostme
asuresthowstfaststairstcanstbestinhaled.st-stcorrectstanswer✔ ✔
Keepstastrecordstofstthestpeakstflowstmeterstnumbersstifstsymptomsstofstasthm
astarestgettingstworse.
Thestphysiciansthasstprescribedstsalmeterolst(Serevent)stforstastpatientstwithstas
thma.stInstreviewingstthestusestofstdrystpowderstinhalersst(DPIs)stwithstthestpatie
nt,stwhatstinstructionsstshouldstthestnursestprovide?
