A nurse is teaching a client about chronic Cough with sputum production
obstructive pulmonary disease (COPD). Which
information should the nurse include? (Select all
that apply.) The nurse is assessing a client diagnosed with
emphysema. Which clinical manifestation should
COPD exacerbations cause shortness of breath the nurse expect to find? (Select all that apply.)
and increased sputum production.
Barrel chest
After a flare-up, the lung tissue returns to normal.
Diminished breath sounds
COPD is a respiratory disorder that has
components of chronic bronchitis and Cough with copious amounts of sputum
emphysema.
Hypercapnia noted within laboratory results
COPD is a curable disease.
Use of accessory muscles when breathing -
Intermittent flare-ups of the symptoms are ANSWER -Barrel chest
expected. - ANSWER -COPD
exacerbations cause shortness of breath and Diminished breath sounds
increased sputum production.
Use of accessory muscles when breathing
COPD is a respiratory disorder that has
components of chronic bronchitis and
emphysema. The nurse is describing the effects of smoking.
Which effect should be included? (Select all that
Intermittent flare-ups of the symptoms are apply.)
expected.
Constriction of smooth muscle
The nurse is assessing a client who has chronic Destruction of airways
bronchitis. Which symptom should the nurse
expect to find? (Select all that apply.) Inhibited function of alveolar macrophages
Distended neck veins Atrophy of mucus-secreting glands
Barrel chest Enhanced ciliary movement - ANSWER -
Constriction of smooth muscle
Wheezing
Destruction of airways
Diminished breath sounds
Inhibited function of alveolar macrophages
Cough with sputum production -
ANSWER -Distended neck veins
Which condition should the nurse understand
Wheezing occurs in the pathophysiology of emphysema?
(Select all that apply.)
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, COPD NCLEX Questions and Answers Rated A
low-salt diet.
Excessive mucus produced
Decrease in cilia function A 6-year-old child is diagnosed with chronic
obstructive pulmonary disease (COPD). Which
Fluid buildup in the lungs risk factor should the nurse expect to find in the
child's history?
Loss of elastic recoil of the lungs
Secondhand cigarette smoke
Enlargement of the alveoli - ANSWER -
Loss of elastic recoil of the lungs Exposure to air pollution
Enlargement of the alveoli Inherited genetic abnormality
Repeated bouts of colds and flu -
The nurse is teaching coughing techniques to a ANSWER -Inherited genetic abnormality
client with chronic obstructive pulmonary
disease. Which technique should the nurse
include? The nurse is caring for a client with chronic
obstructive pulmonary disease (COPD) who has
Cough twice, the first time to loosen mucus and shortness of breath, a respiratory rate of 28
the second time to expel secretions. breaths/min, and an O2 saturation of 92%. Which
intervention is contraindicated in this client?
Limit fluid intake to decrease pulmonary
secretions. Performing percussion, vibration, and postural
drainage
Inhale deeply through the mouth prior to huff
coughing. Applying oxygen
Utilize oxygen therapy as needed. - Administering bronchodilators
ANSWER -Cough twice, the first time to
loosen mucus and the second time to expel Putting the client in supine recumbent position -
secretions. ANSWER -Putting the client in supine
recumbent position
The nurse is discussing dietary changes for a
client with chronic obstructive pulmonary The nurse is teaching a client with chronic
disease. Which advice should the nurse include? obstructive pulmonary disease (COPD) about the
benefits of an exercise regimen. Which
Follow a high-carbohydrate diet. information should the nurse include? (Select all
that apply.)
Restrict fluids.
Dyspnea and fatigue may improve with exercise.
Increase dairy products.
An exercise regimen can improve the ability to
Follow a low-salt diet. - ANSWER -Follow a perform activities of daily living (ADLs).
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