Medical Surgical Nursing Study Guide
Ignatavicius Ch. 30 questions with correct
answers
What is the priority medical-surgical concept for patients with noninfectious lower respiratory problems such as emphysema?
a. perfusion
b. gas exchange
c. cellular regulation
d. tissue integrity Answer b. gas exchange
Which of the following are characteristics of chronic pulmonary emphysema? Select all that apply.
a. Decreased surface area of alveoli
b. chronic thickening of bronchial walls
c. high arterial oxygen level
d. hypercapnia
e. ABGs show chronic respiratory acidosis
f. increased eosinophils Answer a. decreased surface area of alveoli
d. hypercapnia
e. ABGs show chronic respiratory acidosis
Which are characteristics of asthma? Select all that apply.
a. narrowed airway lumen due to inflammation b. increased eosinophils
c. increased secretions
d. intermittent bronchospasm
e. loss of elastic recoil
f. stimulation of disease process by allergies Answer a. narrowed airway lumen due to inflammation
b. increased eosinophils
d. intermittent bronchospasm
f. stimulation of disease process by allergies
The nurse is caring for an older adult patient with a chronic respiratory disorder. Which interventions are best to use in caring for this patient? Select all that apply.
a. Provide rest periods between activities such as bathing, meals, and ambulation.
b. Place the patient in a supine position after meals to allow for rest.
c. Schedule drug administration around routine activities to increase adherence to drug therapy.
d. Arrange chairs in strategic locations to allow the patient to walk and rest.
e. Teach the patient to avoid getting the pneumococcal vaccine.
f. Encourage the patient to have an annual flu vaccination. Answer a. Provide rest periods between activities such as bathing, meals, and ambulation.
c. Schedule drug administration around routine activities to increase adherence to drug therapy.
d. Arrange chairs in strategic locations to allow the patient to walk and rest.
f. Encourage the patient to have an annual flu vaccination. The nurse is caring for an older adult patient with a history of chronic asthma. Which problem related to aging can influence the care and treatment of this patient?
a. Asthma usually resolves with age, so the condition is less severe in older adult patients.
b. It is more difficult to teach older adult patients about asthma than to teach younger patients.
c. With aging, the beta-adrenergic drugs do not work as effectively.
d. Older adult patients have difficulty manipulating handheld inhalers. Answer c. With aging, the beta-adrenergic drugs do not work as effectively.
A patient with COPD is likely to have which findings on assessment? Select all that apply.
a. Body odor and unkempt hair.
b. Sitting in a chair leaning forward with elbows on knees.
c. unintentional weight gain.
d. decreased appetite.
e. unexplained weight loss
f. crooked fingers Answer a. Body odor and unkempt hair.
b. Sitting in a chair leaning forward with elbows on knees.
d. decreased appetite.
e. unexplained weight loss
The nurse is helping a patient learn about managing her asthma. What does the nurse instruct the patient to do? a. keep a symptom diary to identify what triggers the asthma attack
b. make an appointment with an allergist for allergy therapy
c. take a low dose of aspirin every day for the anti-inflammatory action
d. drink large amounts of clear fluid to keep mucus thin and watery. Answer a. keep a symptom diary to identify what triggers the asthma attack
The nurse is taking a medical history on a new patient who has come to the office for a checkup. the patient states that he was supposed to take a medication called montelukast, but that he never got the prescription filled. What is the best response by the nurse?
a. "When were first diagnosed with a respiratory disorder?"
b. "Why didn't you get the prescription filled?"
c. "Tell me how you feel about your decision to not fill the prescription."
d. "Are you having any problems with your asthma?" Answer d. "Are you having any problems with your asthma?"
The nurse teaches a patient with asthma to perform which intervention before exercising?
a. Rest for at least an hour.
b. Use the short-acting beta-adrenergic (SABA) medication.
c. Dress in extra clothing during cold weather.
d. Practice pursed lip breathing. Answer b. Use the short-acting beta-adrenergic (SABA) medication.
A patient with asthma is repeatedly non-compliant with the medication regimen, which has resulted in the patient being hospitalized for a severe asthma attack.
Ignatavicius Ch. 30 questions with correct
answers
What is the priority medical-surgical concept for patients with noninfectious lower respiratory problems such as emphysema?
a. perfusion
b. gas exchange
c. cellular regulation
d. tissue integrity Answer b. gas exchange
Which of the following are characteristics of chronic pulmonary emphysema? Select all that apply.
a. Decreased surface area of alveoli
b. chronic thickening of bronchial walls
c. high arterial oxygen level
d. hypercapnia
e. ABGs show chronic respiratory acidosis
f. increased eosinophils Answer a. decreased surface area of alveoli
d. hypercapnia
e. ABGs show chronic respiratory acidosis
Which are characteristics of asthma? Select all that apply.
a. narrowed airway lumen due to inflammation b. increased eosinophils
c. increased secretions
d. intermittent bronchospasm
e. loss of elastic recoil
f. stimulation of disease process by allergies Answer a. narrowed airway lumen due to inflammation
b. increased eosinophils
d. intermittent bronchospasm
f. stimulation of disease process by allergies
The nurse is caring for an older adult patient with a chronic respiratory disorder. Which interventions are best to use in caring for this patient? Select all that apply.
a. Provide rest periods between activities such as bathing, meals, and ambulation.
b. Place the patient in a supine position after meals to allow for rest.
c. Schedule drug administration around routine activities to increase adherence to drug therapy.
d. Arrange chairs in strategic locations to allow the patient to walk and rest.
e. Teach the patient to avoid getting the pneumococcal vaccine.
f. Encourage the patient to have an annual flu vaccination. Answer a. Provide rest periods between activities such as bathing, meals, and ambulation.
c. Schedule drug administration around routine activities to increase adherence to drug therapy.
d. Arrange chairs in strategic locations to allow the patient to walk and rest.
f. Encourage the patient to have an annual flu vaccination. The nurse is caring for an older adult patient with a history of chronic asthma. Which problem related to aging can influence the care and treatment of this patient?
a. Asthma usually resolves with age, so the condition is less severe in older adult patients.
b. It is more difficult to teach older adult patients about asthma than to teach younger patients.
c. With aging, the beta-adrenergic drugs do not work as effectively.
d. Older adult patients have difficulty manipulating handheld inhalers. Answer c. With aging, the beta-adrenergic drugs do not work as effectively.
A patient with COPD is likely to have which findings on assessment? Select all that apply.
a. Body odor and unkempt hair.
b. Sitting in a chair leaning forward with elbows on knees.
c. unintentional weight gain.
d. decreased appetite.
e. unexplained weight loss
f. crooked fingers Answer a. Body odor and unkempt hair.
b. Sitting in a chair leaning forward with elbows on knees.
d. decreased appetite.
e. unexplained weight loss
The nurse is helping a patient learn about managing her asthma. What does the nurse instruct the patient to do? a. keep a symptom diary to identify what triggers the asthma attack
b. make an appointment with an allergist for allergy therapy
c. take a low dose of aspirin every day for the anti-inflammatory action
d. drink large amounts of clear fluid to keep mucus thin and watery. Answer a. keep a symptom diary to identify what triggers the asthma attack
The nurse is taking a medical history on a new patient who has come to the office for a checkup. the patient states that he was supposed to take a medication called montelukast, but that he never got the prescription filled. What is the best response by the nurse?
a. "When were first diagnosed with a respiratory disorder?"
b. "Why didn't you get the prescription filled?"
c. "Tell me how you feel about your decision to not fill the prescription."
d. "Are you having any problems with your asthma?" Answer d. "Are you having any problems with your asthma?"
The nurse teaches a patient with asthma to perform which intervention before exercising?
a. Rest for at least an hour.
b. Use the short-acting beta-adrenergic (SABA) medication.
c. Dress in extra clothing during cold weather.
d. Practice pursed lip breathing. Answer b. Use the short-acting beta-adrenergic (SABA) medication.
A patient with asthma is repeatedly non-compliant with the medication regimen, which has resulted in the patient being hospitalized for a severe asthma attack.
