Med Surg Exam 3 - Chapter 29

8 Questions | By Christytuong | Updated: Mar 22, 2022 | Attempts: 368

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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