Chronic lower respiratory tract disorders
A patient with TB asks how to protect family members from the disease. Which discharge instruction given by the nurse is most informative?
“You should always cover your mouth and nose if coughing or sneezing.”
Which assessment made by a nurse indicates that respiratory arrest is imminent in a patient with asthma?
Absence of wheezing
What should a nurse expect when assessing the CBC results of a patient with chronic bronchitis?
Increased red blood cells (RBCs)
What nursing action should be implemented to help combat anorexia in a patient with COPD?
Perform oral hygiene before meals.
What should the initial action of a nurse be when providing first aid to a person with spontaneous epistaxis?
Have the person sit down and lean forward
A nurse is providing education to a patient taking rifampin as a result of an exposure to TB. What side effect of this drug should the nurse include?
Body fluids to become red-orange
A patient with COPD is observed to have extreme shortness of breath when ambulating. Which nursing intervention is most inappropriate?
Bunch all nursing activities and treatments close together
A patient with COPD delightedly tells the nurse that he has quit smoking and is using chewing tobacco. What is the most appropriate nursing intervention?
Warn him of the dangers of oral cancer.
A nurse uses a picture to demonstrate the bullae and blebs associated with emphysema. How do blebs differ from bullae? (Select all that apply.)
They are in the lung parenchyma
They can rupture, causing the lungs to collapse
What is true regarding bacterial pharyngitis that is untrue for viral pharyngitis?
Has an abrupt onset
A patient with asthma asks the purpose of learning how to use a peak expiratory flow rate (PEFR) device. What is the nurse’s best response regarding PEFR?
Measures expired air to evaluate ventilation
A nurse recognizes that a patient diagnosed with COPD has a rising level of partial pressure of carbon dioxide (CO2) in arterial blood (PaCO2). How should the nurse interpret this assessment?
Respiratory acidosis has begun
A newly diagnosed patient with non–small cell lung carcinoma (NSCLC) is anxious about upcoming surgery. Which intervention by the nurse would be most helpful?
Support the patient in preparation for surgery
A nurse cautions a group of individuals with COPD that using O2 at levels greater than 1 to 3 L/min can cause the loss of their _____.
hypoxic drive
Which is the best candidate for a tonsillectomy?
A 23-year-old patient with a peritonsillar abscess
A nurse is assigned to care for a patient with the diagnosis of centriacinar (centrilobar) emphysema. What is a characteristic of this type of emphysema?
Enlarged and broken down bronchioles with intact alveoli
A patient with COPD asks a nurse if nicotine patches are very effective for smoking cessation. What is the best response by the nurse?
“No. Only about 25% are successful.”
A nurse documents and reports the presence of foul, bulky stool in a patient with cystic fibrosis (CF). What does this finding indicate about the patient?
Is not adequately digesting food
A patient complains of morning headaches, a feeling of fullness in her head, and a pain similar to that of a toothache under her eye. What should the nurse recognize that these symptoms indicate?
Sinusitis
What is best for a nurse to offer when encouraging a new patient after a tonsillectomy to increase fluids?
Flavored popsicles to suck
A 25-year-old patient with cystic fibrosis (CF) tells the home health nurse that he wants to take a nice vacation. What is the best suggestion for the nurse to make?
New York in November
A patient with cystic fibrosis (CF) furiously refuses any more manual chest physiotherapeutic treatment. Which alternative is appropriate for the nurse to suggest?
Flutter mucus device
What should a patient who had the BCG (Bacillus Calmette-Guérin) vaccine 2 years ago anticipate?
False-positive result from TB skin tests
A patient complains that he wants an antibiotic medication for his cold. What is the best response by the nurse?
“Antibiotics are not effective with viral infections.”
What are the most common causes of laryngitis?
Smoking and highly seasoned foods