PN 140 FINAL EXAM

A patient who has a diagnosis of chronic bronchitis is experiencing an
acute exacerbation. Assessments include increasing dyspnea and a
cough producing thick, purulent mucus. Which class of medications
should the healthcare provider to administer first?
A
Leukotriene inhibitor
B
Beta-2 agonist
C
Non-steroidal anti-inflammatory agent
D
Mucolytic - ANSWER B Beta-2 agonist

For a patient who is in the late stages of chronic bronchitis, which of the
following would indicate the patient has developed cor pulmonale?
A
Night sweats
B
Hepatomegaly
C
Hypocapnia
D
Venous stasis ulcers - ANSWER B Hepatomegaly

The healthcare provider is assessing a patient with a diagnosis of
chronic bronchitis. Which of these physical findings represents the
effects of air trapping in this patient?

A
The sternum is prominently protruding from the chest.

B
There are indentations in the intercostal spaces during inspiration.

,C
Asymmetrical expansion of the thorax is noted during inspiration.

D
The width of the chest is equal to the depth of the chest. - ANSWER D
The width of the chest is equal to the depth of the chest.

A patient who has a diagnosis of chronic bronchitis is experiencing an
acute exacerbation and is progressing to respiratory failure. When
assessing the patient, which of these will be expected?

A
Bradycardia

B
Altered level of consciousness

C
Weak, thready pulse

D
Hypotension - ANSWER B Altered level of consciousness

The healthcare provider is assessing a patient with a 20 year history of
smoking and a chronic cough. Which description of the patient's cough
best supports a diagnosis of chronic bronchitis?
A
"Usually my cough occurs in the evening."
B
"My cough is brassy and hoarse."
C
"I sound like a barking seal when I cough."
D
"I cough up a lot of thick mucus." - ANSWER D "I cough up a lot of thick
mucus."

,A patient who has a diagnosis of chronic bronchitis is receiving albuterol
(Proventil) via nebulizer to treat an acute exacerbation. Which
assessment noted by the healthcare provider is an indication the patient
is experiencing an side effect of this medication?
A
Urinary incontinence
B
Sedation
C
Tachycardia
D
Hypoglycemia - ANSWER C Tachycardia

A patient who has a history of chronic bronchitis is admitted to the
medical unit. The healthcare provider notes the red blood cell count is
elevated. Which of these is the likely contributing factor to this lab result
in this patient?

A
Hypercapnia

B
Chronic hypoxia

C
Insensible water loss

D
Decreased fluid intake - ANSWER B Chronic hypoxia

A patient who has chronic bronchitis will be receiving oxygen therapy at
home. The teaching plan for this patient should include which of these
instructions?
Select all that apply:

A
"Be careful around open flames because liquefied oxygen is highly
flammable."

, B
"Do not allow smoking in your home while you are receiving oxygen
therapy."
C
"Your body may forget to breathe if you turn the oxygen up too high."
D
"Oxygen can be addictive so it should be used only when needed."
E
"Be sure to wash the nasal cannula prongs twice each week to decrease
infection risk." - ANSWER B,C,E

The healthcare provider is teaching a patient strategies to manage
chronic bronchitis. Which of these will be included in the teaching?
Select all that apply:

A
"You should decrease fluid intake to control the amount of edema."
B
"Here's the address of a nearby smoking cessation support group."
C
"It's important for you to avoid being around people who are sick."
D
"Limiting your physical activity is very important."
E
"I'll show you how to use a spacer when you take your medication." -
ANSWER B,C,E

The healthcare provider is caring for a patient experiencing an acute
exacerbation of chronic bronchitis. The patient is coughing
uncontrollably and is using accessory muscles to breathe. Which of
these interventions will support the patient's respiratory status?
Select all that apply:
A
Administer cough suppressant
B
Administer a corticosteroid
C
Provide humidified oxygen via face mask