COPD
A nurse is assessing a client who has COPD. The nurse should expect the clients chest to be which of the following shapes?
A. Pigeon B. Funnel C. Barrel
Barrel
A nurse is admitting a client who is having an exacerbation of his asthma. When reviewing the orders, which following medications requires clarification?
A. Propranolol B. Theophylline C. Montelukast
Propranolol / Beta Blockers
A nurse is caring for a client who has a chest tube in place to a closed chest drainage system. Which of the following findings should indicate to the nurse that the client's lung has re-expanded?
A. Oxygen saturation of 95%
B. No fluctuations in the water seal chamber
C. No reports of pleuritic chest pain
No fluctuations in the water seal chamber
A nurse is teaching a client who is obese and has obstructive sleep apnea how to decrease the number of nightly apneic episodes. Which of the following client statements indicates an understanding?
A. I'll use a humidifier to run
B. It might help if i sleep on my back
C. If i lose about 30 pounds, i might stop having apneic episodes
If i lose about 30 pounds, i might stop having apneic episodes
A nurse is assessing a client immediately after the provider removed the client's endotracheal tube. Which of the following findings should the nurse report to the provider?
A. Stridor
B. Copious Oral Secretions
C. Hoarseness
Stridor
A nurse is developing a plan of care for a client who has COPD. The nurse should include which of the following interventions in the plan?
A. Have the client use the early morning hours for exercise and activity
B. Provide the client with a low -protein diet
C. Instruct the client to use pursed-lip breathing
Instruct the client to use pursed lip breathing
A nurse sees a client who has an acute asthma exacerbation. Which of the following medications should reduce the symptoms?
A. Cromolyn via metered-dose inhaler
B. Montelukast orally
C. Albuterol via jet nebulizer
Albuterol via jet nebulizer
A nurse is caring for a client who has a disposable three-chamber chest tube in place. Which of the following findings should indicate to the nurse that the client is experiencing a complication?
A. Continuous bubbling in the water-seal chamber
B. Occasional bubbling in the water seal chamber
C. Constant Bubbling in the suction control chamber
Continuous bubbling in the water seal chamber
A nurse is giving a presentation at a community center about chronic bronchitis. Which of the following information should the nurse include as effective for preventing this disorder?
A. Regular moderate exercise
B. Smoking cessation
C. Maintain healthy BMI
Smoking Cessation
A nurse is monitoring an older adult client immediately following a bronchoscopy. The nurse's priority is to monitor the client for which of the following?
A. Auscultating breath sounds
B. Confirming gag reflex
C. Measure blood pressure
Confirming the gag reflex
A nurse is performing an assessment of a client who has COPD with emphysema. The client reports that he has a frequent productive cough and is short of breath. The nurse should anticipate which of the following assessment findings?
A. Respiratory Alkalosis
B. Increased anteroposterior diameter of the chest
C. petechiae on chest
Increased anteroposterior diameter of the chest
A nurse is caring for a client who has asthma and is taking fluticasone. The nurse should monitor the client for which of the following adverse effects?
A. Oral Candidiasis. B. Hypoglycemia C. Hypertension
Oral Candidiasis
A nurse is caring for a client who has a newly inserted chest drainage system with a water seal. Which of the following actions should the nurse take?
A. Clamp the tube when the client is ambulating.
B. Coil the tubes to prevent kinking
C. Keep the collection device below the level of the client's chest
Keep the collection device below the level of the client's chest.
A nurse in an urgent care center is caring for a client who is having an acute asthma exacerbation. Which of the following actions is the nurse’s highest priority
A. Initiate oxygen therapy
B. Position client in high fowlers
C. Administer a nebulizer beta-adrenergic
Administer a nebulizer beta-adrenergic
A nurse is teaching a client who will undergo a bronchoscopy procedure. The provider will use a rigid scope and general anesthesia. The nurse should explain that the client’s neck will be in which of the following positions?
A. hyperextended position
B. extended position
C. flexed position
Hyperextended Position
A peak expiratory flow rate for a student who has asthma is in the yellow zone of his asthma action plan. The nurse should conclude that ? (Select all that apply.)
A. The students asthma is not well controlled
B. The student should use their quick relief inhaler
C. The nurse should obtain a secondary expiratory flow rate
D. The clients peak flow is 50-80% of his best flow
ALL
The following are combo drug therapy for TB (SATA)
A. Rifampin
B. Isoniazid
C. Montelukast
D. Pyrazinamide
Rifampin
Isoniazid
Pyrazinamide
A nurse is assessing a client who has a pneumothorax with a chest tube in place. For which of the following findings should the nurse notify the provider?
A. Movement of the trachea toward the unaffected side
B. Bubbling of the water in the water seal chamber with exhalation
C. Eyelets are not visible
Movement of the trachea toward the unaffected side
A nurse is preparing for the admission of client who has suspected active tuberculosis. Which of the following precautions should the nurse plan to implement to safely care for this client?
A. Have staff and visitors wear gowns, masks, and gloves while in the client's room.
B. Place the client in a private room with a special ventilation system.
C. Assign the client to a room with other clients who require droplet precautions
Place the client in a private room with a special ventilation system.
A nurse is preparing an adolescent client who has pneumonia for percussion, vibration, and postural drainage. Prior to the procedure, which of the following nursing actions should the nurse complete first?
A. Auscultate lungs
B. Assess pulse and respirations
C. Instruct to slowly exhale with pursed lips
Auscultate lungs
A nurse is providing dietary teaching for a client who has chronic obstructive pulmonary disease. Which of the following instructions should the nurse include?
A. Eat 3 large meals a day
B. Limit water intake with meals
C. Reduce protein intake
Limit water intake with meals
Metered-dose inhaler (MDI) order the sequence
A. Wait 60 second between each puff
B Place lips firmly around mouthpiece
C. Inhale deeply and then exhale
D. Breathe in deeply over 2 to 3 seconds while pushing down on the canister.
E. Exhale slowly through pursed lip
F. hold breath for 10 seconds
C. Inhale deeply and then exhale completely
B. Place her lips firmly around the mouthpiece.
D. Breathe in deeply over 2 to 3 seconds while pushing down on the canister.
F. Hold her breath for 10 seconds.
E. Exhale slowly through pursed lips.
A. Wait 60 seconds between each puff.
A nurse is applying wrist restraints to a client who is confused and attempting to pull out a chest tube. Which of the following actions should the nurse taking when using restraints?
A. Ensure that 1 finger breadth of space is between the client’s wrists and the restraint
B. Remove the restraint to check integrity of the skin every 4 hr.
C.Tie the restraint using a quick release knot.
Tie the restraint using a quick release knot.
A nurse is assessing a client who has pulmonary tuberculosis. Which of the following findings should the nurse expect?
A. Lethargy
B. High-grade fever
C. Dry Cough
A. Lethargy
A nurse is reviewing a new prescription for montelukast. Which of the following statements indicates an understanding of the medication?
A. Ill rinse my mouth after taking med
B. ill use a spacer device when I inhale this med
C. I'll take this med once a day in the evening.
I'll take this med once a day in the evening.