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Nur1130 Respiratory Questions Unit 2 Test With Solution
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Nur1130 Respiratory Questions Unit 2Test With Solution
When instructing clients on how to decrease the risk of COPD, the nurse
should emphasize which of the following?
A.Participate regularly in aerobic exercises.
B.Maintain a high-protein diet.
C.Avoid exposure to people with known respiratory infections.
D.Abstain from cigarette smoking. - ANSWER D
>>Cigarette smoking is the primary cause of COPD. Other risk factors include
exposure to environmental pollutants and chronic asthma. Participating in an
aerobic exercise program, although beneficial, will not decrease the risk of
COPD. Insufficient protein intake and exposure to people with respiratory
infections do not increase the risk of COPD.
The nurse teaches a client with COPD to assess for signs and symptoms of
right-sided heart failure. Which of the following signs and symptoms should
be included in the teaching plan?
A.Clubbing of nail beds.
B.Hypertension.
C.Peripheral edema.
D.Increase appetite. - ANSWER C
>>Right-sided heart failure is a complication of COPD that occurs because of
,pulmonary hypertension. Signs and symptoms of right-sided heart failure
include peripheral edema, jugular venous distention, and weight gain due to
increased fluid volume. Clubbing of nail beds is associated with conditions of
chronic hypoxemia. Hypertensions is associated with left-sided heart failure.
Clients with heart failure have decreased appetites.
The nurse is caring for a client hospitalized with acute exacerbation of
chronic obstructive pulmonary disease. Which findings would the nurse
expect to note on assessment of this client? select all that apply.
1. A low arterial pco2 level
2.A hyperinflated chest noted on the chest x-ray
3.Decreased oxygen saturation with mild exercise
4.A widened diaphragm noted on the chest x-ray
5.Pulmonary function tests that demonstrate increased vital capacity -
ANSWER 2,3
Clinical manifestations of chronic obstructive pulmonary disease include
hypoxemia, hypercapnia, dyspnea on exertion and at rest, oxygen
desaturation with exercise and the use of accessory muscles of respiration.
Chest x ray reveal a hyperinflated chest and a flattened diaphragm if the
disease is advanced. Pulmonary function tests will demonstrate decreased
vital capacity.
A patient is newly diagnosed with COPD due to chronic bronchitis. You're
providing education to the patient about this disease process. Which
statement by the patient indicates they understood your teaching about this
condition?
,A. "If I stop smoking, it will cure my condition."
B. "Complications from this condition can lead to pulmonary hypertension
and right-sided heart failure."
C. "I'm at risk for low levels of red blood cells due to hypoxia and may
require blood transfusions during acute illnesses."
D. "My respiratory system is stimulated to breathe due to high carbon
dioxide levels rather than low oxygen levels. - ANSWER B
Chronic bronchitis is one type of COPD (chronic obstructive pulmonary
disease). The inflamed bronchial tubes produce a lot of mucus. This leads to
coughing and difficulty breathing pulmonary hypertension and right-sided
heart failure. In cases of chronic bronchitis, however, the bronchial tubes are
constantly irritated and inflamed. For a person to be diagnosed with chronic
(rather than acute) bronchitis their mucus-filled cough must last three
months of the year for two years in a row. Breathing in air pollution, fumes,
or dust over a long period of time may also cause it.
The nurse reviews discharge instructions with a client who has advanced
chronic obstructive pulmonary disease. Which client statement indicates
appropriate understanding? Select all that apply.
A."I need to take iron to prevent anemia."
B."I should report an increase in sputum."
C."I will eat a low-calorie diet."
D."I will get a pneumoccocal vaccine."
, E."I will use albuterol if I am short of breath." - ANSWER B,D,E
The home care nurse is making an initial visit to a client just discharged after
admission for severe exacerbation of chronic obstructive pulmonary disease
(COPD). The nurse observes wall-to-wall stacks of old newspapers and
magazines in every room, with pathways that just allow passage from one
room to another. What is the priority nursing action?
A.Call the mobile community mental health crisis unit.
B.Contact a service to remove the newspapers and magazines.
C.Reconcile the client's discharge medications.
D.Teach the safe use of oxygen. - ANSWER D
A 58 year old client with a 40-year history if smoking one to two packs of
cigarettes a day has a chronic cough producing thick sputum, peripheral
edema, and cyanotic nail beds. Based on this information, he most likely has
which if the following conditons?
A.Asthma
B.Emphysema
C.Chronic bronchitis
D.Adult respiratory distress syndrome - ANSWER C
>>Because of the client's smoking history and his symptoms he most likely
has chronic bronchitis. Clients with asthma and emphysema tend to not have
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