Exam 6 Ch27

21問 • 3年前

問題一覧

1. A nurse assesses several clients who have a history of respiratory disorders. Which client would the nurse assess first?

d. A 27-year-old client with a heart rate of 120 beats/min

2. A nurse cares for a client with arthritis who reports frequent asthma attacks. What action would the nurse take first?

b. Ask about medications the client is currently taking.

3. After teaching a client who is prescribed a long-acting beta2 agonist medication, a nurse assesses the client’s understanding. Which statement indicates that the client comprehends the teaching?

c. “I will take this medication every morning to help prevent an acute attack.”

4. After teaching a client how to perform diaphragmatic breathing, the nurse assesses the client’s understanding. Which action demonstrates that the client correctly understands the teaching?

b. The client places his or her hands on the abdomen.

5. A nurse cares for a client who has developed esophagitis after undergoing radiation therapy for lung cancer. Which diet selection would the nurse provide for this client?

c. Omelet, soft whole-wheat bread

6. After teaching a client who is prescribed salmeterol, the nurse assesses the client’s understanding. Which statement by the client indicates a need for additional teaching?

c. “I will use the drug when I have an asthma attack.”

7. A nurse cares for a client with chronic obstructive pulmonary disease (COPD). The client states that going out with friends is no longer enjoyable. How would the nurse respond?

c. “I’d like to hear about thoughts and feelings causing you to limit social activities.”

8. A nurse is teaching a client who has cystic fibrosis (CF). Which statement would the nurse include in this client’s teaching?

c. “Eat a well-balanced, nutritious diet.”

9. While assessing a client who is 12 hours postoperative after a thoracotomy for lung cancer, a nurse notices that the chest tube is dislodged. Which action by the nurse is best?

b. Cover the insertion site with sterile gauze.

10. A nurse assesses a client who is prescribed fluticasone and notes oral lesions. What action would the nurse take?

a. Encourage oral rinsing after fluticasone administration.

11. A nurse cares for a client who is infected with Burkholderia cepacia. What action would the nurse take first when admitting this client to a pulmonary care unit?

c. Keep the client separated from other clients with cystic fibrosis.

12. A nurse cares for a client who had a chest tube placed 6 hours ago and refuses to take deep breaths because of the pain. What action would the nurse take?

d. Administer pain medication and encourage the client to take deep breaths.

13. The nurse is caring for a client who has cystic fibrosis (CF). The client asks for information about gene therapy. What response by the nurse is best?

c. “There is a good treatment for the most common genetic defect in CF.”

14. A nurse cares for a client with a 40-year smoking history who is experiencing distended neck veins and dependent edema. Which physiologic process would the nurse correlate with this client’s history and clinical signs and symptoms?

a. Increased pulmonary pressure creating a higher workload on the right side of the heart

15. A nurse cares for a client with chronic obstructive pulmonary disease (COPD) who appears thin and disheveled. Which question would the nurse ask first?

c. “Do you experience shortness of breath with basic activities?”

16. A clinic nurse is reviewing care measures with a client who has asthma, Step 3. What statement by the client indicates the need to review the information?

b. “I will always use the spacer with my dry powder inhaler.”

17. A pulmonary nurse cares for clients who have chronic obstructive pulmonary disease (COPD). Which client would the nurse assess first?

b. A 52 year old in a tripod position using accessory muscles to breathe

18. A nurse cares for a client who has a pleural chest tube. What action would the nurse take to ensure safe use of this equipment?

d. Keep padded clamps at the bedside for use if the drainage system is interrupted.

19. A nurse cares for a client who tests positive for alpha1-antitrypsin (AAT) deficiency. The client asks, “What does this mean?” How would the nurse respond?

c. “Your risk for chronic obstructive pulmonary disease is higher, especially if you smoke.”

20. A nurse cares for a client who has a family history of cystic fibrosis. The client asks, “Will my children have cystic fibrosis?” How would the nurse respond?

c. “Since you have a family history of cystic fibrosis, I would encourage you and your partner to be tested.”

21. A nurse administers medications to a client who has asthma. Which medication classification is paired correctly with its physiologic action?

b. Cholinergic antagonist—causes bronchodilation by inhibiting the parasympathetic nervous system.

NUR 170 exam 4

V Farris · 50問 · 3年前

NUR 170 exam 4