Med Surg Exam 3 - Chapter 29
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- 1.A patient is concerned that he may have Asthma. Of the symptoms that he relates to the nurse, which ones suggest asthma or risk factors for asthma (select all that apply)?
- A.
Allergic rhinitis
- B.
Prolonged inhalation
- C.
History of skin allergies
- D.
Cough, especially at night
- E.
Gastric reflux or heartburn
- 2.In evaluating an asthmatic patient's knowledge of self-care, the nurse recognizes that additional instruction is needed when the patient says,
- A.
"I use my corticosteroid inhaler when I feel short of breath."
- B.
"I get a flu shot eery year and see my health care provider if I have an upper respiratory infection."
- C.
"I use my inhaler before I visit my aunt who has a cat, but I only visit for a few minutes because of my allergies."
- D.
"I walk 30 minutes every day but sometimes I have to use my bronchodilator inhaler before walking to prevent me from getting short of breath."
- 3.A plan of care for the patient with COPD could include (select all that apply)
- A.
Exercise such as walking
- B.
High flow rate of O2 administration
- C.
Low-dose chronic oral corticosteroid therapy
- D.
Use of peak flow meter to monitor the progression of COPD
- E.
Breathing exercises such as pursed-lip breathing that focus on exhalation
- 4.The effects of cigarette soking on the respiratory system include
- A.
Hypertrophy of capillaries causing hemoptysis
- B.
Hyperplasia of goblet cells and increased production of mucus
- C.
Proliferation of alveolar macrophages thus increasing chance of infection
- D.
Increased proliferation of cilia and decreased clearance of mucus
- 5.The major advantage of a Venturi mask is that it can
- A.
Deliver up to 80% O2
- B.
Provide continuous 100% humidity
- C.
Deliver a precise concentration of O2
- D.
Be used while a patient eats and sleeps
- 6.Which of the following guidelines would be a part of teaching patients how to use a metered dose-inhaler (MDI)?
- A.
After activating the MDI, breathe in as quickly as you can.
- B.
Estimate the amount of remaining medicine in the MDI by floating the canister in water.
- C.
Disassemble the plastic canister from the inhaler and rinse both pieces under running water every week.
- D.
To determine how long the canister will last, divide the total number of puffs in the canister y the puffs needed per day
- 7.Which of the following treatments in CF would the nurse expect to implement as collaborative management of patients with CF (select all that apply)?
- A.
Sperm banking
- B.
IV corticosteroids on a chronic basis
- C.
Airway clearance techniques (e.g., Acapella)
- D.
GoLYTELY given PRN for severe constipation
- E.
Inhaled tobramycin to combat Pseudomonas infection
- 8.A patient who has bronchiectasis asks the nurse, "What conditions would warrant a call to the clinic?"
- A.
Blood clots in the sputum
- B.
Sticky sputum on a hot day
- C.
Increased shortness of breath after eating a large meal
- D.
Production of large amounts of sputum on a daily basis
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