Evolve NCLEX Review Questions- Chapter 29 questions with correct answers
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Course
NCLEX RN
Institution
NCLEX RN
During an assessment of a 45-year-old patient with asthma, the nurse notes wheezing and dyspnea. The nurse interprets that these symptoms are related to what pathophysiologic change?
a.Laryngospasm
b.Pulmonary edema
c.Narrowing of the airway
d.Overdistention of the alveoli Correct Answer-C. Nar...
Evolve NCLEX Review Questions- Chapter 29
questions with correct answers
During an assessment of a 45-year-old patient with asthma, the nurse
notes wheezing and dyspnea. The nurse interprets that these symptoms
are related to what pathophysiologic change?
a.Laryngospasm
b.Pulmonary edema
c.Narrowing of the airway
d.Overdistention of the alveoli Correct Answer-C. Narrowing of the
airway
Narrowing of the airway by persistent but variable inflammation leads to
reduced airflow, making it difficult for the patient to breathe and
producing the characteristic wheezing.
Laryngospasm, pulmonary edema, and overdistention of the alveoli do
not produce wheezing.
A 45-year-old man with asthma is brought to the emergency department
by automobile. He is short of breath and appears frightened. During the
initial nursing assessment, which clinical manifestation might be present
as an early manifestation during an exacerbation of asthma?
a.Anxiety
b.Cyanosis
c.Bradycardia
d.Hypercapnia Correct Answer-A. Anxiety
An early manifestation during an asthma attack is anxiety because the
patient is acutely aware of the inability to get sufficient air to breathe.
,He will be hypoxic early on with decreased PaCO2 and increased pH as
he is hyperventilating. If cyanosis occurs, it is a later sign. The pulse and
blood pressure will be increased.
The nurse is assigned to care for a patient who has anxiety and an
exacerbation of asthma. What is the primary reason for the nurse to
carefully inspect the chest wall of this patient?
a.Allow time to calm the patient.
b.Observe for signs of diaphoresis.
c. Evaluate the use of intercostal muscles.
d. Monitor the patient for bilateral chest expansion. Correct Answer-C.
Evaluate the use of intercostal muscles.
The nurse physically inspects the chest wall to evaluate the use of
intercostal (accessory) muscles, which gives an indication of the degree
of respiratory distress experienced by the patient. The other options may
also occur, but they are not the primary reason for inspecting the chest
wall of this patient.
Which position is most appropriate for the nurse to place a patient
experiencing an asthma exacerbation?
a.Supine
b.Lithotomy
c.High Fowler's
d. Reverse Trendelenburg Correct Answer-C. High Fowler's
The patient experiencing an asthma attack should be placed in high
Fowler's position and may need to lean forward to allow for optimal
chest expansion and enlist the aid of gravity during inspiration. The
, supine, lithotomy, and reverse Trendelenburg positions will not
facilitation ventilation.
The nurse is caring for a patient with an acute exacerbation of asthma.
Following initial treatment, what finding indicates to the nurse that the
patient's respiratory status is improving?
a.Wheezing becomes louder.
b.Cough remains nonproductive.
c.Vesicular breath sounds decrease.
d.Aerosol bronchodilators stimulate coughing. Correct Answer-A.
Wheezing becomes louder.
The primary problem during an exacerbation of asthma is narrowing of
the airway and subsequent diminished air exchange. As the airways
begin to dilate, wheezing gets louder because of better air exchange.
Vesicular breath sounds will increase with improved respiratory status.
After a severe asthma exacerbation, the cough may be productive and
stringy. Coughing after aerosol bronchodilators may indicate a problem
with the inhaler or its use.
The nurse identifies the nursing diagnosis of activity intolerance for a
patient with asthma. In patients with asthma, the nurse assesses for
which etiologic factor for this nursing diagnosis?
a.Work of breathing
b.Fear of suffocation
c.Effects of medications
d.Anxiety and restlessness Correct Answer-A. Work of breathing
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