Emphysema By Rnpedia.com

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Emphysema By Rnpedia.com
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  • 1. 
    Nurse Murphy administers albuterol (Proventil), as prescribed, to a client with emphysema. Which finding indicates that the drug is producing a therapeutic effect?
    • A. 

      Respiratory rate of 22 breaths/minute

    • B. 

      Dilated and reactive pupils

    • C. 

      Urine output of 40 ml/hour

    • D. 

      Heart rate of 100 beats/minute


  • 2. 
    The nurse in charge is teaching a client with emphysema how to perform pursed-lip breathing. The client asks the nurse to explain the purpose of this breathing technique. Which explanation should the nurse provide?
    • A. 

      It helps prevent early airway collapse.

    • B. 

      It increases inspiratory muscle strength.

    • C. 

      It decreases use of accessory breathing muscles.

    • D. 

      It prolongs the inspiratory phase of respiration.


  • 3. 
    Which of the following actions is most appropriate for the nurse to take when the patient demonstrates subcutaneous emphysema along the suture line or chest dressing 2 hours after chest surgery?
    • A. 

      Record the observation.

    • B. 

      Apply a compression dressing to the area.

    • C. 

      Measure the patient’s pulse oximetry.

    • D. 

      Report the finding to the physician immediately.


  • 4. 
    Which of the following types of lung cancer is the most prevalent carcinoma of the lung for both men and women?
    • A. 

      Adenocarcinoma

    • B. 

      Large cell carcinoma

    • C. 

      Squamous cell carcinoma

    • D. 

      Small cell carcinoma


  • 5. 
    Emphysema is described as:
    • A. 

      A disease of the airways characterized by destruction of the walls of overdistended alveoli.

    • B. 

      A disease that results in a common clinical outcome of reversible airflow obstruction.

    • C. 

      The presence of cough and sputum production for at least a combined total of two or three months in each of two consecutive years.

    • D. 

      Chronic dilatation of a bronchus or bronchi


  • 6. 
    Which of the following is the most important risk factor for development of Chronic Obstructive Pulmonary Disease?
    • A. 

      Cigarette smoking

    • B. 

      Occupational exposure

    • C. 

      Air pollution

    • D. 

      Genetic abnormalities


  • 7. 
    Of the following oxygen administration devices, which has the advantage of providing high oxygen concentration?
    • A. 

      Non-rebreather mask

    • B. 

      Venturi mask

    • C. 

      Catheter

    • D. 

      Face tent


  • 8. 
    Emphysema is not linked to which of the following terms?  
    • A. 

      Blue Bloater

    • B. 

      Dyspnea

    • C. 

      Liver cirrhosis

    • D. 

      Tachycardia


  • 9. 
    A nurse is caring for a male client with emphysema who is receiving oxygen. The nurse assesses the oxygen flow rate to ensure that it does not exceed:
    • A. 

      1 L/min

    • B. 

      2 L/min

    • C. 

      6 L/min

    • D. 

      10 L/min


  • 10. 
    A nurse is assessing a male client with chronic airflow limitations and notes that the client has a “barrel chest.” The nurse interprets that this client has which of the following forms of chronic airflow limitations?
    • A. 

      Emphysema

    • B. 

      Bronchial asthma

    • C. 

      Chronic obstructive bronchitis

    • D. 

      Bronchial asthma and bronchitis


  • 11. 
    Mr. Vasquez 56-year-old client with a 40-year history of smoking one to two packs of cigarettes per day has a chronic cough producing thick sputum, peripheral edema and cyanotic nail beds. Based on this information, he most likely has which of the following conditions?
    • A. 

      Adult respiratory distress syndrome (ARDS)

    • B. 

      Asthma

    • C. 

      Chronic obstructive bronchitis

    • D. 

      Emphysema


  • 12. 
    A male client with emphysema becomes restless and confused. What step should nurse Jasmine take next?
    • A. 

      Encourage the client to perform pursed lip breathing.

    • B. 

      Check the client’s temperature.

    • C. 

      Assess the client’s potassium level.

    • D. 

      Increase the client’s oxygen flow rate.


  • 13. 
    Emphysema can be cured.
    • A. 

      True

    • B. 

      False


  • 14. 
    Once diagnosed with emphysema, the disease state is constant.
    • A. 

      True

    • B. 

      False


  • 15. 
    Air flows through the trachea into the left and right bronchi upon inspiration.
    • A. 

      True

    • B. 

      False


  • 16. 
    A person with emphysema will not exhibit noticeable symptoms.
    • A. 

      True

    • B. 

      False


  • 17. 
    The inhalation of environmental air pollutants in the #1 cause of emphysema cases.
    • A. 

      True

    • B. 

      False


  • 18. 
    A lung transplant is the only way to slow the progression of emphysema.
    • A. 

      True

    • B. 

      False


  • 19. 
    Carbon monoxide is the waste product expelled from the body when you breathe out.
    • A. 

      True

    • B. 

      False


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