Med Surg Exam 3 - Chapter 29

8 Questions | Total Attempts: 235

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Med Surg Exam 3 - Chapter 29

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Questions and Answers
  • 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. 

      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