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5.0
COPD NCLEX Questions with Detailed Verified
Answers (100% Correct Answers) /Already Graded
A+
A 10-year-old child with asthma is treated for acute exacerbation in the
emergency department. The nurse caring for the child should monitor
for which sign, knowing that it indicates a worsening of the condition?
a.
Warm, dry skin
b.
Decreased wheezing
c.
Pulse rate of 90 beats/minute
d.
Respirations of 18 breaths/minute
Ans: b. decreased wheezing
Rationale: Asthma is a chronic inflammatory disease of the airways.
Decreased wheezing in a child with asthma may be interpreted incorrectly
as a positive sign when it may actually signal an inability to move air. A
"silent chest" is an ominous sign during an asthma episode. With treatment,
increased wheezing actually may signal that the child's condition is
improving. Warm, dry skin indicates an improvement in the child's condition
because the child is normally diaphoretic during exacerbation. The normal
pulse rate in a 10 year old is 70-110 beats/min and normal respiratory rate is
16-20 breaths/minute.
Sunday, 02 March 2025
,The patient asks the nurse why the physician ordered beclomethasone
(Beclovent) for his COPD. Which statement by the nurse is most
appropriate?
a.
"Beclovent prevents airway dilation."
b.
"Beclovent decreases inflammation, and makes it easier to breathe."
c.
"Beclovent suppresses the immune response."
d.
"Beclovent decreases responsiveness to medications that dilate the
airway."
Ans: b. Beclovent decreases inflammation and makes it easier to breathe
Rationale: Beclovent is an inhaled corticosteroid that is thought to decrease
inflammation and dilate the airway. Preventing airway dilation is undesirable
for this patient, and the exact opposite action of Beclovent. The exact
mechanism of action is unknown. Becolvent, like any other corticosteroid,
does suppress the immune response, but this is not the rationale for
administration of the medication. Inhaled corticosteroids are thought to
increase responsiveness of bronchial smooth muscle to beta-agonist drugs.
The nurse teaches a client with COPD to assess for s/sx of right-sided
heart failure. Which of the following s/sx would be included in the
teaching plan?
Examstudy - Stuvia US
, a.
Clubbing of nail beds
b.
Hypertension
c.
Peripheral edema
d.
Increased appetite
Ans: c. peripheral edema
Rationale: Right-sided heart failure is a complication of COPD that occurs
because of pulmonary hypertension. Signs and symptoms of right-sided
heart failure include peripheral edema, jugular venous distention,
hepatomegaly, and weight gain due to increased fluid volume. Clubbing of
nail beds is associated with conditions of chronic hypoxia. Hypertension is
associated with left-sided heart failure. Clients with heart failure have
decreased appetites.
A client with asthma has started to take a beta-adrenergic agent. The
client also takes a monoamine oxidase inhibitor (MAOI). For what
complication should the nurse asses the client?
a.
Hypotension
b.
Hypertension
Examstudy - Stuvia US
In today's fast-paced educational landscape, students need reliable resources to excel in their studies.
5.0
COPD NCLEX Questions with Detailed Verified
Answers (100% Correct Answers) /Already Graded
A+
A 10-year-old child with asthma is treated for acute exacerbation in the
emergency department. The nurse caring for the child should monitor
for which sign, knowing that it indicates a worsening of the condition?
a.
Warm, dry skin
b.
Decreased wheezing
c.
Pulse rate of 90 beats/minute
d.
Respirations of 18 breaths/minute
Ans: b. decreased wheezing
Rationale: Asthma is a chronic inflammatory disease of the airways.
Decreased wheezing in a child with asthma may be interpreted incorrectly
as a positive sign when it may actually signal an inability to move air. A
"silent chest" is an ominous sign during an asthma episode. With treatment,
increased wheezing actually may signal that the child's condition is
improving. Warm, dry skin indicates an improvement in the child's condition
because the child is normally diaphoretic during exacerbation. The normal
pulse rate in a 10 year old is 70-110 beats/min and normal respiratory rate is
16-20 breaths/minute.
Sunday, 02 March 2025
,The patient asks the nurse why the physician ordered beclomethasone
(Beclovent) for his COPD. Which statement by the nurse is most
appropriate?
a.
"Beclovent prevents airway dilation."
b.
"Beclovent decreases inflammation, and makes it easier to breathe."
c.
"Beclovent suppresses the immune response."
d.
"Beclovent decreases responsiveness to medications that dilate the
airway."
Ans: b. Beclovent decreases inflammation and makes it easier to breathe
Rationale: Beclovent is an inhaled corticosteroid that is thought to decrease
inflammation and dilate the airway. Preventing airway dilation is undesirable
for this patient, and the exact opposite action of Beclovent. The exact
mechanism of action is unknown. Becolvent, like any other corticosteroid,
does suppress the immune response, but this is not the rationale for
administration of the medication. Inhaled corticosteroids are thought to
increase responsiveness of bronchial smooth muscle to beta-agonist drugs.
The nurse teaches a client with COPD to assess for s/sx of right-sided
heart failure. Which of the following s/sx would be included in the
teaching plan?
Examstudy - Stuvia US
, a.
Clubbing of nail beds
b.
Hypertension
c.
Peripheral edema
d.
Increased appetite
Ans: c. peripheral edema
Rationale: Right-sided heart failure is a complication of COPD that occurs
because of pulmonary hypertension. Signs and symptoms of right-sided
heart failure include peripheral edema, jugular venous distention,
hepatomegaly, and weight gain due to increased fluid volume. Clubbing of
nail beds is associated with conditions of chronic hypoxia. Hypertension is
associated with left-sided heart failure. Clients with heart failure have
decreased appetites.
A client with asthma has started to take a beta-adrenergic agent. The
client also takes a monoamine oxidase inhibitor (MAOI). For what
complication should the nurse asses the client?
a.
Hypotension
b.
Hypertension
Examstudy - Stuvia US
