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Chapter 28: Obstructive Pulmonary Diseases Lewis: Medical-Surgical Nursing, 10th Edition Exam Questions And Correct Answers $11.49   Add to cart

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

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Chapter 28: Obstructive Pulmonary Diseases Lewis: Medical-Surgical Nursing, 10th Edition Exam Questions And Correct 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 woul...

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  • October 18, 2024
  • 24
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Medical Surgical nursing
  • Medical Surgical nursing
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©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM


Chapter 28: Obstructive Pulmonary Diseases
Lewis: Medical-Surgical Nursing, 10th
Edition Exam Questions And Correct
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. - answer✔b. The patient *rapidly

inhales* the medication.




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.

, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
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. - answer✔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.

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. - answer✔c. Withhold

bronchodilators for 6 to 12 hours before the examination.

, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
*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. - answer✔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.

The emergency department nurse is evaluating the effectiveness of therapy for a patient who has

received treatment during an asthma attack. Which assessment finding is the best indicator that

the therapy has been effective?

a. No wheezes are audible.

b. O2 saturation is >90%.

c. Accessory muscle use has decreased.

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