COPD NCLEX Questions and answers with complete top solutions

COPD NCLEX Questions and answers with complete top solutions A nurse is teaching a client about chronic obstructive pulmonary disease​ (COPD). Which information should the nurse​ include? (Select all that​ apply.) COPD exacerbations cause shortness of breath and increased sputum production. After a​ flare-up, the lung tissue returns to normal. COPD is a respiratory disorder that has components of chronic bronchitis and emphysema. COPD is a curable disease. Intermittent​ flare-ups of the symptoms are expected. COPD exacerbations cause shortness of breath and increased sputum production. COPD is a respiratory disorder that has components of chronic bronchitis and emphysema. Intermittent​ flare-ups of the symptoms are expected. The nurse is assessing a client who has chronic bronchitis. Which symptom should the nurse expect to​ find? (Select all that​ apply.) Distended neck veins Barrel chest Wheezing Diminished breath sounds Cough with sputum production Distended neck veins Wheezing Cough with sputum production The nurse is assessing a client diagnosed with emphysema. Which clinical manifestation should the nurse expect to​ find? (Select all that​ apply.) Barrel chest Diminished breath sounds Cough with copious amounts of sputum Hypercapnia noted within laboratory results Use of accessory muscles when breathing Barrel chest Diminished breath sounds Use of accessory muscles when breathing The nurse is describing the effects of smoking. Which effect should be​ included? (Select all that​ apply.) Constriction of smooth muscle Destruction of airways Inhibited function of alveolar macrophages Atrophy of​ mucus-secreting glands Enhanced ciliary movement Constriction of smooth muscle Destruction of airways Inhibited function of alveolar macrophages Which condition should the nurse understand occurs in the pathophysiology of​ emphysema? (Select all that​ apply.) Excessive mucus produced Decrease in cilia function Fluid buildup in the lungs Loss of elastic recoil of the lungs Enlargement of the alveoli Loss of elastic recoil of the lungs Enlargement of the alveoli The nurse is teaching coughing techniques to a client with chronic obstructive pulmonary disease. Which technique should the nurse​ include? Cough​ twice, the first time to loosen mucus and the second time to expel secretions. Limit fluid intake to decrease pulmonary secretions. Inhale deeply through the mouth prior to huff coughing. Utilize oxygen therapy as needed. Cough​ twice, the first time to loosen mucus and the second time to expel secretions. The nurse is discussing dietary changes for a client with chronic obstructive pulmonary disease. Which advice should the nurse​ include? Follow a​ high-carbohydrate diet. Restrict fluids. Increase dairy products. Follow a​ low-salt diet. Follow a​ low-salt diet. A​ 6-year-old child is diagnosed with chronic obstructive pulmonary disease​ (COPD). Which risk factor should the nurse expect to find in the​ child's history? Secondhand cigarette smoke Exposure to air pollution Inherited genetic abnormality Repeated bouts of colds and flu Inherited genetic abnormality The nurse is caring for a client with chronic obstructive pulmonary disease​ (COPD) who has shortness of​ breath, a respiratory rate of 28​ breaths/min, and an O2 saturation of​ 92%. Which intervention is contraindicated in this​ client? Performing​ percussion, vibration, and postural drainage Applying oxygen Administering bronchodilators Putting the client in supine recumbent position Putting the client in supine recumbent position The nurse is teaching a client with chronic obstructive pulmonary disease​ (COPD) about the benefits of an exercise regimen. Which information should the nurse​ include? (Select all that​ apply.) Dyspnea and fatigue may improve with exercise. An exercise regimen can improve the ability to perform activities of daily living​ (ADLs). Exercise can prevent the condition from worsening. Inhale and exhale rapidly to maintain oxygenation while exercising. Regular exercise improves exercise tolerance and muscle strength. Dyspnea and fatigue may improve with exercise. An exercise regimen can improve the ability to perform activities of daily living​ (ADLs). Exercise can prevent the condition from worsening. Regular exercise improves exercise tolerance and muscle strength. The nurse is discussing tests to evaluate the extent of chronic obstructive pulmonary disease​ (COPD). Which test should the nurse​ include? (Select all that​ apply.) ​Ventilation-perfusion testing Pulmonary function tests Lung biopsy Bronchoscopy Arterial blood gas analysis Ventilation-perfusion testing Pulmonary function tests Arterial blood gas analysis The nurse is planning a collaborative care conference for a client recently diagnosed with chronic obstructive pulmonary disease. Which team member should the nurse​ invite? (Select all that​ apply.) Nutritionist Physical therapist Respiratory therapist Billing specialist Occupational therapist Nutritionist Physical therapist Respiratory therapist Occupational therapist The nurse is teaching a client with chronic obstructive pulmonary disease​ (COPD) about the purpose of using a bronchodilator. Which explanation should the nurse​ include? Has long duration of affect Exhibits​ anti-inflammatory properties Strengthens the bronchial muscle contraction Improves airflow and reduces air trapping Improves airflow and reduces air trapping The nurse is leading a support group for clients and families with chronic obstructive pulmonary disease​ (COPD). Which item should be discussed as a method to prevent COPD​ exacerbations? (Select all that​ apply.) Restricting smoking in home environment Use of cough suppressants Use of cool mist humidifiers Yearly flu vaccine Pneumococcal vaccine Restricting smoking in home environment Use of cool mist humidifiers Yearly flu vaccine Pneumococcal vaccine A client with​ end-stage chronic obstructive pulmonary disease​ (COPD) asks the nurse about lung surgery. Which is the best response by the​ nurse? ​"Lung reduction surgery is experimental but may be an​ option." ​"No surgery is possible when you have​ COPD." ​"Because you cannot tolerate high levels of​ oxygen, surgery is​ impossible." ​"Lung transplants are only done for​ children." ​"Lung reduction surgery is experimental but may be an​ option." The nurse is completing a health history of a client who has an exacerbation of chronic obstructive pulmonary disease. Which should the nurse​ obtain? Peripheral pulses Current medications Breath sounds Percussion tone Current medications The nurse is teaching a client with chronic obstructive pulmonary disease​ (COPD) about types of irritants that should be avoided. Which irritant should the nurse​ include? (Select all that​ apply.) Pets Air pollution ​Warm, humid air Smoke Dust Pets Air pollution Smoke Dust The nurse reviews the arterial blood gas​ (ABG) results of a client with​ end-stage chronic obstructive pulmonary disease​ (COPD). Which finding should the nurse​ expect? Hypercapnia with hypoxia Hypercapnia with normal oxygenation Low CO2 with hypoxia Normal CO2 with hypoxia Hypercapnia with hypoxia The nurse gave discharge instructions to a client who has chronic obstructive pulmonary disease​ (COPD). Which action by the client indicates that the teaching was​ effective? Maintains adequate fluid intake by taking at least 5 quarts of fluid daily Eats a least two large meals per day Maintains oxygen saturation of at least​ 95% Wears an identification band and carries a list of medications Wears an identification band and carries a list of medications The client with chronic obstructive pulmonary disease has severe​ hypercapnia, hypoxemia,​ lethargy, and cyanotic nail beds. Which treatment should the nurse expect to be​ ordered? Percussion and postural drainage Endotracheal intubation Respiratory treatment with bronchodilators High flow oxygen administration Endotracheal intubation