Chapter 28: Obstructive Pulmonary
Diseases Lewis: Medical-Surgical
Nursing, 10th Edition
A 55-year-antique patient with growing dyspnea is being evaluated for a possible analysis of
continual obstructive pulmonary ailment (COPD). When coaching a patient approximately
pulmonary spirometry for this situation, what is the most crucial question the nurse ought to
ask?
A. "Are you claustrophobic?"
b. "Are you allergic to shellfish?"
c. "Have you taken any bronchodilators these days?"
d. "Do you have got any metallic implants or prostheses?" - ANS-c. "Have you taken any
bronchodilators today?"
A patient hospitalized with chronic obstructive pulmonary ailment (COPD) is being discharged
home on O2 remedy. Which education should the nurse encompass inside the discharge
coaching?
A. Travel isn't viable with the use of O2 gadgets.
B. O2 flow ought to be elevated if the patient has extra dyspnea.
C. O2 use can enhance the affected person's diagnosis and nice of life.
D. Storage of O2 requires massive metals tanks that each final four to 6 hours. - ANS-c. O2 use
can improve the patient's analysis and quality of existence.
A patient in the hospital with *cystic fibrosis (CF)* reports increased *sweating and weak point*
during the *summer time* months. Which movement by means of the nurse would be most
appropriate?
A. Teach the affected person symptoms of hypoglycemia.
B. Have the affected person upload dietary salt to food.
C. Suggest decreasing intake of nutritional fat and energy.
D. Instruct the affected person about pancreatic enzyme replacements. - ANS-b. Have the
patient upload nutritional salt to meals.
Added dietary salt is indicated on every occasion sweating is excessive, together with at some
stage in warm climate, when fever is gift, or from severe physical pastime.
A affected person is receiving 35% O2 thru a Venturi mask. To make certain an appropriate
amount of O2 transport, which motion by the nurse is critical?
A. Teach the patient to maintain the mask on at some point of food.
B. Keep the air entrainment ports smooth and unobstructed.
C. Give a excessive sufficient waft price to preserve the bag from collapsing.
, D. Drain moisture condensation from the corrugated tubing every hour. - ANS-b. Keep the air
entrainment ports easy and unobstructed.
The air entrainment ports regulate the O2 percentage delivered to the patient, in order that they
have to be unobstructed.
A affected person is scheduled for *spirometry*. Which movement must the nurse take to put
together the affected person for this method?
A. Give the rescue medicinal drug straight away earlier than checking out.
B. Administer oral corticosteroids 2 hours earlier than the process.
C. Withhold bronchodilators for six to 12 hours before the exam.
D. Ensure that the patient has been NPO for several hours earlier than the test. - ANS-c.
Withhold bronchodilators for six to 12 hours earlier than the examination.
*Bronchodilators* are *held earlier than spirometry* so that a baseline evaluation of airway
feature may be decided
A patient newly identified with allergies is being discharged. The nurse anticipates such as
which subject matter inside the discharge teaching?
A. Use of lengthy-performing b-adrenergic medicines
c. Self-administration of inhaled corticosteroids
b. Side results of sustained-launch theophylline
d. Complications associated with O2 remedy - ANS-c. Self-management of inhaled
corticosteroids
Inhaled corticosteroids are more effective in improving allergies than some other drug and are
indicated for all sufferers with chronic asthma
A affected person seen inside the asthma medical institution has recorded daily height float
prices which might be 75% of the baseline. Which action will the nurse plan to take next?
A. Increase the dose of the leukotriene inhibitor.
B. Teach the affected person approximately the use of oral corticosteroids.
C. Administer a bronchodilator and recheck the height go with the flow.
D. Instruct the affected person to preserve the scheduled follow-up appointment. - ANS-c.
Administer a bronchodilator and recheck the height go with the flow.
The patient's top go with the flow analyzing suggests that the circumstance is worsening (yellow
sector). The affected person should take the bronchodilator and recheck the peak float.
A affected person who has been experiencing an bronchial asthma attack develops bradycardia
and a decrease in wheezing. Which motion ought to the nurse take first?
A. Notify the fitness care company.
B. Document modifications in breathing popularity.
C. Encourage the affected person to cough and deep breathe.
D. Administer IV methylprednisolone (Solu-Medrol). - ANS-a. Notify the fitness care provider.
Diseases Lewis: Medical-Surgical
Nursing, 10th Edition
A 55-year-antique patient with growing dyspnea is being evaluated for a possible analysis of
continual obstructive pulmonary ailment (COPD). When coaching a patient approximately
pulmonary spirometry for this situation, what is the most crucial question the nurse ought to
ask?
A. "Are you claustrophobic?"
b. "Are you allergic to shellfish?"
c. "Have you taken any bronchodilators these days?"
d. "Do you have got any metallic implants or prostheses?" - ANS-c. "Have you taken any
bronchodilators today?"
A patient hospitalized with chronic obstructive pulmonary ailment (COPD) is being discharged
home on O2 remedy. Which education should the nurse encompass inside the discharge
coaching?
A. Travel isn't viable with the use of O2 gadgets.
B. O2 flow ought to be elevated if the patient has extra dyspnea.
C. O2 use can enhance the affected person's diagnosis and nice of life.
D. Storage of O2 requires massive metals tanks that each final four to 6 hours. - ANS-c. O2 use
can improve the patient's analysis and quality of existence.
A patient in the hospital with *cystic fibrosis (CF)* reports increased *sweating and weak point*
during the *summer time* months. Which movement by means of the nurse would be most
appropriate?
A. Teach the affected person symptoms of hypoglycemia.
B. Have the affected person upload dietary salt to food.
C. Suggest decreasing intake of nutritional fat and energy.
D. Instruct the affected person about pancreatic enzyme replacements. - ANS-b. Have the
patient upload nutritional salt to meals.
Added dietary salt is indicated on every occasion sweating is excessive, together with at some
stage in warm climate, when fever is gift, or from severe physical pastime.
A affected person is receiving 35% O2 thru a Venturi mask. To make certain an appropriate
amount of O2 transport, which motion by the nurse is critical?
A. Teach the patient to maintain the mask on at some point of food.
B. Keep the air entrainment ports smooth and unobstructed.
C. Give a excessive sufficient waft price to preserve the bag from collapsing.
, D. Drain moisture condensation from the corrugated tubing every hour. - ANS-b. Keep the air
entrainment ports easy and unobstructed.
The air entrainment ports regulate the O2 percentage delivered to the patient, in order that they
have to be unobstructed.
A affected person is scheduled for *spirometry*. Which movement must the nurse take to put
together the affected person for this method?
A. Give the rescue medicinal drug straight away earlier than checking out.
B. Administer oral corticosteroids 2 hours earlier than the process.
C. Withhold bronchodilators for six to 12 hours before the exam.
D. Ensure that the patient has been NPO for several hours earlier than the test. - ANS-c.
Withhold bronchodilators for six to 12 hours earlier than the examination.
*Bronchodilators* are *held earlier than spirometry* so that a baseline evaluation of airway
feature may be decided
A patient newly identified with allergies is being discharged. The nurse anticipates such as
which subject matter inside the discharge teaching?
A. Use of lengthy-performing b-adrenergic medicines
c. Self-administration of inhaled corticosteroids
b. Side results of sustained-launch theophylline
d. Complications associated with O2 remedy - ANS-c. Self-management of inhaled
corticosteroids
Inhaled corticosteroids are more effective in improving allergies than some other drug and are
indicated for all sufferers with chronic asthma
A affected person seen inside the asthma medical institution has recorded daily height float
prices which might be 75% of the baseline. Which action will the nurse plan to take next?
A. Increase the dose of the leukotriene inhibitor.
B. Teach the affected person approximately the use of oral corticosteroids.
C. Administer a bronchodilator and recheck the height go with the flow.
D. Instruct the affected person to preserve the scheduled follow-up appointment. - ANS-c.
Administer a bronchodilator and recheck the height go with the flow.
The patient's top go with the flow analyzing suggests that the circumstance is worsening (yellow
sector). The affected person should take the bronchodilator and recheck the peak float.
A affected person who has been experiencing an bronchial asthma attack develops bradycardia
and a decrease in wheezing. Which motion ought to the nurse take first?
A. Notify the fitness care company.
B. Document modifications in breathing popularity.
C. Encourage the affected person to cough and deep breathe.
D. Administer IV methylprednisolone (Solu-Medrol). - ANS-a. Notify the fitness care provider.
