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Ch 31 review

1) with asthma and realizes that his breath sounds result from:
A)
B)
C)
D)

increased thickness of respiratory secretions


use of accessory muscles of respiration
tachypnea and tachycardia
MOVEMENT OF AIR THROUGH NARROW AIRWAYS

2) The nurse is caring for an asthmatic patient with a nursing diagnosis of impaired gas
exchange related to air trapping. Which intervention would be appropriate?
A) TEACH PURSED-LIP BREATHING
B) administer oxygen at 8 liters per minute

C) position flat in bed with small pillow


D) offer small frequent meals

3) Which characteristic of COPD puts the patient at risk for the nursing diagnosis of
imbalanced nutrition less than body requirements?
A) Increased metabolism C) chronic constipation
b) anxiety
D) EXCESSIVE RESPIRATORY EFFORT
4) Which nursing intervention will enhance the nutritional status of a patient with COPD?
A) OFFER SMALL FREQUENT MEALS
B) Encourage extra liquids with meals

C) assist patient to exercise before meals


D) supply information about nutrition

5) Which assessment made by the nurse would indicate an improvement in the asthmatic
patients condition?
A) Blood pressure of 100/70
C) pulse 110 per minute
B) RESPIRATION 16 PER MINUTE
D) urine output 30cc per hour
6) The nurse advises the parent of a child who is in status asthmaticus that if not corrected
the results could be:
A)
B)
C)
D)

PNEUMOTHORAX, SEVERE HYPOXEMIA, RESPIRATORY ARREST


Hypertension, CVA, cardiac arrest
respiratory alkalosis, pneumonia, death
Lung abscess , cor pulmonale, respiratory failure

7) In assessing for major source of infection in a COPD patient, the nurse focuses on:
A) STASIS OF RESPIRATORY SECRETIONS
C) episodes of postural hypotension
B) Low body weight
D) delayed antigen- antibody response
8) The signs and symptoms for which a nurse caring for a TB patient should be aware are:
A)
B)
C)
D)

Low grade fever, wheezing and fine hand tremors


Exertional dyspnea, cyanosis, and ankle edema
LOW GRADE FEVER, NIGHT SWEATS, AND COUGH
Chest pain, enlarged lymph nodes, and blurred vision

Ch 31 review
9) The first intervention to assist the patient experiencing dyspnea is to:
A) Record vital signs
B) RAISE HEAD OF THE BED

C) Turn to right side


D) Notify charge nurse or physician

10) When asked by a tubercular patient how long he will have to take his TB medications, the
nurses best response would be:
A)
B)
C)
D)

Generally about 2 weeks


DEPENDING ON THE DRUG IT MAY BE AS LONG AS 2 YEARS
TB drugs are usually taken throughout the life span
People ask that frequently, it depends on

11) Which instruction given by the nurse would be informative to a tubercular patient who
asks how to protect the members of his family from his disease?
A)
B)
C)
D)

your family will need to take treatments to prevent infection


you will need to wear a mask at home to protect your family members
YOU SHOULD COVER YOUR MOUTH AND NOSE WHEN COUGHING OR SNEEZING
you should avoid intimate contact with everyone

12) Patient with a history of smoking 2 packs of cigarettes a day for the past 20 years says he
is not alarmed by his cough, he says, I get this cough and spit up mucous every winter.
The nurse recognizes these symptoms as being suggestive of:
A) CHRONIC BRONCHITIS
B) Emphysema

C) Sarcoidosis
D) Infused interstitial fibrosis

13) An asthma patient asks, What is the purpose of learning to use a PEFR. The nurses
best response is that the PEFR:
A)
B)
C)
D)

Dilates the bronchi to relieve dyspnea


MEASURES EXPIRED AIR TO EVALUATE VENTILATION
Soothes inflamed rhonci, reducing spasms
Liquefies sputum for easier expectoration

14) When the nurse reads the diagnosis of centrilobular emphysema patient, the nurse
recognizes that this type of emphysema is characterized by:
***NOTE: only one choice listed; cant clarify if its the correct answer since I dont have the
other choices****
A)
B)
C)
D)

No significant smoking history in the patient

..
.

15) respiratory arrest in asthmatic patient..


answer: absence of wheezing
16) Assist patient only to promote independence.carcinoma= prep patient for surgery