Quiz 5 Chronic Respiratory

Question 1

Question:

Answer 1

Keep them out of the hospital

Question 2

A client with asthma.

Answer 2

You should tell the family to remove the items that trigger an attack

Question 3

What is the abnormal -

Answer 3

1:1

Question 4

Nurse is conducting family planning with a couple -

Answer 4

Each child has a 50% chance of being a carrier

Question 5

When developing a nursing care plan for a child with cystic fibrosis, which of the problems should be addressed?

Answer 5

The malabsorption of fat soluble vitamins

Question 6

Which characteristics should the nurse expect in the stool of a child who has cystic fibrosis?

Answer 6

Foul smelling and fatty stools

Question 7

Which of the following is typical of progressive emphysema?

Answer 7

Residual lung volume increases

Question 8

What is the cause of chronic bronchitis?

Answer 8

Chronic irritation, inflammation, and (?) infections of the larger airways

Question 9

A mutated gene for cystic fibrosis is located on the:

Answer 9

7th Chromosome

Question 10

A client with COPD is receiving care at a primary providers care clinic with worsening symptoms of emphysema. The provider orders an out pt chest xray to determine if there are any changes in lung obstruction. Which best describes what will show on the chest xray?

Answer 10

A flattened diaphragm

Question 11

A client who is in the hospital for exacerbation of emphysema symptoms. The nurse notes shortness of breath and tachypnea. Which client action is most appropriate in response to this?

Answer 11

Check the clients oxygenation status by pulse oximetry

Question 12

Client with emphysema has gained more than 5lbs in less than a week. Even though his oral intake has been (?) the clients weight gain can reflect which associated complication of COPD?

Answer 12

Cor pulmonapathy

Question 13

A nurse is teaching a client about a metered dose inhaler (MDI). Which action indicates a client needs additional teaching?

Answer 13

A client waits 15 seconds before using the inhaler a second time

Question 14

You are providing discharge instructions to a client with COPD. Which of the following instructions provided by the nurse is not an effective strategy to improve activity (?) COPD?

Answer 14

Refrain from exercising

Question 15

The following eating habits can help ease the symptoms of COPD… EXCEPT:

Answer 15

Eat and drink in only designated meal times

Question 16

58 y/o client has a 40 year history of smoking 2 packs of cigarettes’ a day. Is at chronic risk for producing sputum, peripheral emphysema, cyanotic nailbeds. Based on this information he has probably which of the following?

Answer 16

Chronic bronchitis

Question 17

What is the initial step in the management of emphysema?

Answer 17

Cessation of smoking

Question 18

Which clinical manifestations are associated with pulmonary hypertension?

Answer 18

Dyspnea upon exertion
Peripheral edema
JVD
Fatigue

Question 19

Which assessment finding of a client with COPD indicates to the nurse that a respiratory problem is chronic?

Answer 19

Clubbing of fingers

Question 20

The nurse is caring for a client with chronic airway disease. Which of the following is associated d/o has changes that are reversible?

Answer 20

Asthma