NUR 317 NCLEX questions for ASTHMA and COPD med surg

NUR 317 NCLEX questions for ASTHMA and COPD med surg I Leave the first rating Students also studied Terms in this set (78) Save

Med Surg Lewis Chapter 47: Acute K...

99 terms robbi_hitchcock Preview Test II Sample Questions 64 terms Alicia88555Preview Normal Lab Values 37 terms Alicia88555Preview Ch. 46- 30 terms BB1 Which of the following are characteristics of pulmonary emphysema?Select All That Apply

• decreased surface area of alveoli
• chronic thickening of bronchial walls
• decreased respiratory rate
• hypercapnia
• arterial blood gases (ABGs) show chronic respiratory

acidosis

• increased eosinophils

A, D, E

chronic thickening of bronchial walls is chronic bronchitis There will be INCREASED RR increased eosinophils is seen in asthma not emphysema Which are characteristics of asthma?Select All That Apply

• narrowed airway lumen due to inflammation
• increased eosinophils
• decreased breathing cycle
• intermittent bronchospasm
• loss of elastic recoil
• stimulation of disease process by allergies

A, B, D, F

Will have INCREASED breathing sytle loss of elastic recoil is emphysema not asthma

The nurse is caring for an older adult patient with a chronic respiratory disorder. Which interventions are best to use in caring for this patient?Select All That Apply

• provide rest periods between activities such as

ambulation, meals, bathing

• place the patient in a supine position after meals to

allow for rest

• schedule drug administration around routine activities

to increase adherence to drug therapy

• arrange chairs in strategic locations to allow the

patient to walk and rest

• teach the patient to avoid getting the pneumococcal

vaccine

• encourage the patient to have an annual flu vaccination

A, C, D, F

High fowlers is the best position for respiratory issues They DO need the pneumococcal vacccine The nurse is caring for an older adult pt with a hx of chronic asthma. which problem related to aging can influence the care and treatment of this patient?

• asthma usually resolves with age, so the condition is

less severe in oder adult patients

• it is more difficult to teach older adult patients about

asthma than to teach younger patients

• with aging, the beta-adrenergic drugs do not work as

quickly or strongly

• older adult patients have difficulty manipulating

handheld inhalers C Asthma is a chronic condition A pt with COPD is likely to have which findings on assessment?Select All That Apply

• increased AP diameter of chest
• sitting in a chair leaning forward with elbows on knees
• unintentional weight gain
• decreased appetite
• unexplained weight loss

A, B, D, E

Will have weight LOSS not gain The nurse teaches a pt with asthma to monitor for which problem while exercising?

• increased peak expiratory flow rates
• wheezing from bronchospasm
• swelling in the feet and ankles
• respiratory muscle fatigue

B An older adult patient experiences an asthma attack that is severe enough to warrant the use of a rescue drug.Which medication is best to use for the acute symptoms?

• Omalizumab (Xolair)
• Fluticasone (Flovent)
• Salmeterol (Serevent)
• Albuterol (Proventil)

D Albuterol (Proventil) The other three meds are for asthma prevention not an acute attack

Which are the main purposes of asthma treatment?Select All That Apply

• avoid secondhand smoke
• improve airflow
• relieve symptoms
• improve exercise tolerance
• prevent asthma episodes

B, C, E

For a pt who is a nonsmoker, which classic assessment finding of chronic airflow limitation is particularly important in diagnosing asthma?

• cyanosis
• dyspnea
• audible wheezing
• tachypnea

C A patient who is allergic to dogs experiences a sudden asthma attack. Which assessment findings does the nurse expect for this pt?

• slow, deep, pursed-lip breathing
• breathlessness and difficulty completing sentences
• clubbing of the fingers and cyanosis of the nailbeds
• bradycardia and irregular pulse

B slow, deep, pursed-lip breathing is the method that the nurse should teach the pt to use to help improve the issue Clubbing is more COPD Will have TACHYcardia not bradycardia A patient is experiencing an asthma attack and shows an increased respiratory effort. Which ABG value is more associated with the early phase of the attack?

• PaCO2 of 60 mm Hg
• PaCO2 of 30 mm Hg
• pH of 7.40
• PaCO2 of 98 mm Hg

B Normal PaCO2 is 35-45 mm Hg Early in the attack, arterial CO2 level (PaCO2) is decreased as the pt increases the breathing rate and depth so PaCO2 is low, the correct answer A patient who has well controlled asthma has what kind of airway changes?

• chronic, leading to hyperplasia
• temporary and reversible
• open alveoli
• permanent and irreversible

B What are the goals of drug therapy in the treatment of asthma?Select All That Apply

• drugs are used to stop an attack once it has started
• weekly drugs are used to reduce the asthma response
• combination drugs are avoided in asthma treatment
• some pts only require drug therapy during an asthma

episode

• drugs are used to change airway responsiveness

A, D, E

DAILY drugs are used to reduce asthma response not weekly Combo drugs are often used

A pt with chronic bronchitis often shows signs of hypoxia.Which clinical manifestation is the priority to look out for in this patient?

• chronic, nonproductive dry, cough
• clubbing of fingers
• large amounts of thick mucus
• barrel chest

C A pt has chronic bronchitis. The nurse plans interventions for inadequate oxygenation based on which set of clinical manifestations?

• chronic cough, thin secretions, and chronic infection
• respiratory alkalosis, decreased PaCO2, and increased

PaO2

• areas of chest tenderness and sputum production

(often with hemoptysis)

• large amounts of thick secretions and repeated

infections D A pt has COPD with chronic difficult breathing. In planning this pts care, what condition must the nurse acknowledge is present in this pt?

• decreased need for calories and protein requirements

since dyspnea causes activity intolerance

• COPD has no effect on calorie and protein needs,

meal tolerance or appetite

• increased metabolism and the need for additional

calories and protein supplements

• anabolic state, which creates conditions for building

body strength and muscle mass C The nurse is obtaining a hx for a pt with chronic airflow limitation (CAL), she knows that which risk factors are potential triggers or causes of the disease process?Select All That Apply

• cigarette smoking
• occupational and air pollution
• genetic tendencies
• smokeless tobacco
• occupation

A, B, C, E

Which statement is correct in the relationship of smoking cessation to the pathophysiology of COPD?

• smoking cessation completely reverses the damage to

the lungs

• smoking cessation slows the rate of disease

progression

• smoking cessation is an important therapy for asthma

but not for COPD

• smoking cessation reverses the effects on the airways

but not the lungs B lung damage in COPD cannot be reversed