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Chapter 28: Obstructive Pulmonary Diseases Lewis: Medical-Surgical Nursing, 10th Edition Exam Practice Questions and Answers $12.49   Add to cart

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Chapter 28: Obstructive Pulmonary Diseases Lewis: Medical-Surgical Nursing, 10th Edition Exam Practice Questions and Answers

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Chapter 28: Obstructive Pulmonary Diseases Lewis: Medical-Surgical Nursing, 10th Edition Exam Practice Questions and Answers The nurse teaches a patient with *chronic bronchitis* about a new prescription for *Advair Diskus (combined fluticasone and salmeterol)*. Which action by the patient wou...

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  • October 23, 2024
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  • Lewis Medical-Surgical Nursing
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Chapter 28: Obstructive Pulmonary
Diseases Lewis: Medical-Surgical
Nursing, 10th Edition Exam Practice
Questions and Answers

The nurse teaches a patient with *chronic bronchitis* about a new prescription for *Advair Diskus

(combined fluticasone and salmeterol)*. Which action by the patient would indicate to the nurse that

teaching about medication administration has been successful?


a. The patient shakes the device before use.


b. The patient rapidly inhales the medication.


c. The patient attaches a spacer to the Diskus.


d. The patient performs huff coughing after inhalation. - Ans:✔✔-b. The patient *rapidly inhales* the

medication.




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The patient should inhale the medication rapidly. Otherwise the dry particles will stick to the tongue and

oral mucosa and not get inhaled into the lungs. Advair Diskus is a dry powder inhaler; shaking is not

recommended. Spacers are not used with dry powder inhalers.


The nurse teaches a patient how to administer *formoterol (Perforomist)* through a *nebulizer*. Which

action by the patient indicates good understanding of the teaching?


a. The patient attaches a spacer before using the inhaler.


b. The patient coughs vigorously after using the inhaler.


c. The patient removes the facial mask when misting stops.


d. The patient activates the inhaler at the onset of expiration. - Ans:✔✔-c. The patient removes the facial

mask when misting stops.




A *nebulizer* is used to administer aerosolized medication. A *mist* is seen when the medication is

aerosolized, and when all of the medication has been used, the misting stops.


A patient is scheduled for *spirometry*. Which action should the nurse take to prepare the patient for

this procedure?


a. Give the rescue medication immediately before testing.


b. Administer oral corticosteroids 2 hours before the procedure.
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c. Withhold bronchodilators for 6 to 12 hours before the examination.


d. Ensure that the patient has been NPO for several hours before the test. - Ans:✔✔-c. Withhold

bronchodilators for 6 to 12 hours before the examination.




*Bronchodilators* are *held before spirometry* so that a baseline assessment of airway function can be

determined


Which information will the nurse include in the asthma teaching plan for a patient being discharged?


a. Use the inhaled corticosteroid when shortness of breath occurs.


b. Inhale slowly and deeply when using the dry powder inhaler (DPI).


c. Hold your breath for 5 seconds after using the bronchodilator inhaler.


d. Tremors are an expected side effect of rapidly acting bronchodilators. - Ans:✔✔-d. Tremors are an

expected side effect of rapidly acting bronchodilators.




*Tremors* are a common side effect of *short-acting 2-adrenergic (SABA)* medications and not a reason

to avoid using the SABA inhaler.




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