NURS 3366 - Module One Assignment
Study online at https://quizlet.com/_bmkzqc
1. A 55-year-old man with emphysema who has smoked 2 packs of cigarettes
per day for 40 years is hospitalized for acute onset of cough with bloody
sputum. After a few days of testing and treatment, the patient's nurse reads a
physician's note on the chart: "I have told the patient that the etiologies of his
presenting problem are: 1) exacerbation of his chronic emphysema and 2) the
new diagnosis of lung cancer. The onset of both was contributed to by his long
standing smoking." The patient asks the nurse for more information about his
illness. Which explanation, by the nurse, indicates a full understanding of the
patient's situation?
a. "You have a disease process that was iatrogenically caused by cigarette
smoking."
b. "You have a sudden onset of a chronic lung disease that was brought on by
lung cancer."
c. "The coughing up of blood is caused by a worsening of a disease you've had
for a long time, plus a new problem-- lung cancer."
d. "These diseases have been creeping up on you for probably 20 years; it just
goes to show that you should never have taken up smoking.": c. "The coughing up of
blood is caused by a worsening of a disease you've had for a long time, plus a new problem-- lung cancer."
2. A 55-year-old man with emphysema who has smoked 2 packs of cigarettes
per day for 40 years is hospitalized for acute onset of cough with bloody
sputum. After a few days of testing and treatment, the patient's nurse reads a
physician's note on the chart: "I have told the patient that the etiologies of his
presenting problem are: 1) exacerbation of his chronic emphysema and 2) the
new diagnosis of lung cancer. The onset of both was contributed to by his long
standing smoking." The patient asks the nurse for more information about his
illness. Based on all the information you have on the patient, which statement
is most likely correct?
a. The patient has a poor prognosis because of the comorbidities of lung cancer
and cigarette smoking.
b. Lung cancer was a sequela of the bloody sputum.
1/8
, NURS 3366 - Module One Assignment
Study online at https://quizlet.com/_bmkzqc
c. A precipitating factor for the acute hospitalization was overexertion when the
patient started an exercise class.
d. Heavy cigarette smoking was a risk factor in the patient's developing emphy-
sema and lung cancer.: d. Heavy cigarette smoking was a risk factor in the patient's developing emphysema
and lung cancer.
3. An 80-year-old patient has experienced massive blood loss following an acci-
dent. His vital signs are: BP 80/50 (normal ~ 120/80), heart rate/HR 120 (norm =
60-100), respiratory rate/RR 20 (norm = 12 to 20), temperature/T 98.6° (norm ~
98.6°). In assessing this patient, the nurse understands that the abnormal HR
is:
a. Probably the etiology for the patient's low BP.
b. Due to the patient's heart compensating for low blood volume by pumping
faster.
c. The normal compensatory response of shunting blood volume to the periph-
ery.
d. Due to multiple risk factors.: b. Due to the patient's heart compensating for low blood volume by
pumping faster.
4. An 80-year-old patient has experienced massive blood loss following an acci-
dent. His vital signs are: BP 80/50 (normal ~ 120/80), heart rate/HR 120 (norm
= 60-100), respiratory rate/RR 20 (norm = 12 to 20), temperature/T 98.6° (norm
~ 98.6°). The patient would also most likely have all of the following EXCEPT:
a. S&S of cool feet and hands from the body's compensatory response to blood
loss.
b. S&S of feeling faint and weak from blood loss.
c. A risk factor of shock.
d. A more guarded (ie, "poorer") prognosis because of his age.: c. A risk factor of shock.
5. A young, otherwise healthy patient is admitted to the hospital with a diagno-
sis of heart failure of unknown cause. The etiology of heart failure would be
termed:
2/8
Study online at https://quizlet.com/_bmkzqc
1. A 55-year-old man with emphysema who has smoked 2 packs of cigarettes
per day for 40 years is hospitalized for acute onset of cough with bloody
sputum. After a few days of testing and treatment, the patient's nurse reads a
physician's note on the chart: "I have told the patient that the etiologies of his
presenting problem are: 1) exacerbation of his chronic emphysema and 2) the
new diagnosis of lung cancer. The onset of both was contributed to by his long
standing smoking." The patient asks the nurse for more information about his
illness. Which explanation, by the nurse, indicates a full understanding of the
patient's situation?
a. "You have a disease process that was iatrogenically caused by cigarette
smoking."
b. "You have a sudden onset of a chronic lung disease that was brought on by
lung cancer."
c. "The coughing up of blood is caused by a worsening of a disease you've had
for a long time, plus a new problem-- lung cancer."
d. "These diseases have been creeping up on you for probably 20 years; it just
goes to show that you should never have taken up smoking.": c. "The coughing up of
blood is caused by a worsening of a disease you've had for a long time, plus a new problem-- lung cancer."
2. A 55-year-old man with emphysema who has smoked 2 packs of cigarettes
per day for 40 years is hospitalized for acute onset of cough with bloody
sputum. After a few days of testing and treatment, the patient's nurse reads a
physician's note on the chart: "I have told the patient that the etiologies of his
presenting problem are: 1) exacerbation of his chronic emphysema and 2) the
new diagnosis of lung cancer. The onset of both was contributed to by his long
standing smoking." The patient asks the nurse for more information about his
illness. Based on all the information you have on the patient, which statement
is most likely correct?
a. The patient has a poor prognosis because of the comorbidities of lung cancer
and cigarette smoking.
b. Lung cancer was a sequela of the bloody sputum.
1/8
, NURS 3366 - Module One Assignment
Study online at https://quizlet.com/_bmkzqc
c. A precipitating factor for the acute hospitalization was overexertion when the
patient started an exercise class.
d. Heavy cigarette smoking was a risk factor in the patient's developing emphy-
sema and lung cancer.: d. Heavy cigarette smoking was a risk factor in the patient's developing emphysema
and lung cancer.
3. An 80-year-old patient has experienced massive blood loss following an acci-
dent. His vital signs are: BP 80/50 (normal ~ 120/80), heart rate/HR 120 (norm =
60-100), respiratory rate/RR 20 (norm = 12 to 20), temperature/T 98.6° (norm ~
98.6°). In assessing this patient, the nurse understands that the abnormal HR
is:
a. Probably the etiology for the patient's low BP.
b. Due to the patient's heart compensating for low blood volume by pumping
faster.
c. The normal compensatory response of shunting blood volume to the periph-
ery.
d. Due to multiple risk factors.: b. Due to the patient's heart compensating for low blood volume by
pumping faster.
4. An 80-year-old patient has experienced massive blood loss following an acci-
dent. His vital signs are: BP 80/50 (normal ~ 120/80), heart rate/HR 120 (norm
= 60-100), respiratory rate/RR 20 (norm = 12 to 20), temperature/T 98.6° (norm
~ 98.6°). The patient would also most likely have all of the following EXCEPT:
a. S&S of cool feet and hands from the body's compensatory response to blood
loss.
b. S&S of feeling faint and weak from blood loss.
c. A risk factor of shock.
d. A more guarded (ie, "poorer") prognosis because of his age.: c. A risk factor of shock.
5. A young, otherwise healthy patient is admitted to the hospital with a diagno-
sis of heart failure of unknown cause. The etiology of heart failure would be
termed:
2/8
