Chapter 28: Obstructive Pulmonary Diseases

Multiple Choice

1. Question: The nurse teaches a patient with chronic bronchitis about a new prescription for Advair Diskus (combined fluticasone and salmeterol). Which action by the patient would indicate to the nurse that teaching about medication administration has been successful?
2. Question: The nurse teaches a patient how to administer formoterol (Perforomist) through a nebulizer. Which action by the patient indicates good understanding of the teaching?
3. Question: A patient is scheduled for pulmonary function testing. Which action should the nurse take to prepare the patient for this procedure?
4. Question: Which information will the nurse include in the asthma teaching plan for a patient being discharged?
5. Question: The emergency department nurse is evaluating the effectiveness of therapy for a patient who has received treatment during an asthma attack. Which assessment finding is the best indicator that the therapy has been effective?
6. Question: A patient seen in the asthma clinic has recorded daily peak flows that are 75% of the baseline. Which action will the nurse plan to take next?
7. Question: The nurse teaches a patient who has asthma about peak flow meter use. Which action by the patient indicates that teaching was successful?
8. Question: A young adult patient who denies any history of smoking is seen in the clinic with a new diagnosis of chronic obstructive pulmonary disease (COPD). It is most appropriate for the nurse to teach the patient about
9. Question: The nurse is caring for a patient with chronic obstructive pulmonary disease (COPD). Which information obtained from the patient would prompt the nurse to consult with the health care provider before administering the prescribed theophylline?
10. Question: A patient with chronic obstructive pulmonary disease (COPD) has a nursing diagnosis of impaired breathing pattern related to anxiety. Which nursing action is most appropriate to include in the plan of care?
11. Question: A patient with chronic obstructive pulmonary disease (COPD) has a nursing diagnosis of imbalanced nutrition: less than body requirements. Which intervention would be most appropriate for the nurse to include in the plan of care?
12. Question: The nurse interviews a patient with a new diagnosis of chronic obstructive pulmonary disease (COPD). Which information is most helpful in confirming a diagnosis of chronic bronchitis?
13. Question: The nurse teaches a patient about pursed lip breathing. Which action by the patient would indicate to the nurse that further teaching is needed?
14. Question: Which finding by the nurse for a patient with a nursing diagnosis of impaired gas exchange will be most useful in evaluating the effectiveness of treatment?
15. Question: The nurse is caring for a patient with cor pulmonale. The nurse should monitor the patient for which expected finding?
16. Question: The nurse is admitting a patient diagnosed with an acute exacerbation of chronic obstructive pulmonary disease (COPD).What is the best way for the nurse to determine the appropriate oxygen flow rate?
17. Question: A patient hospitalized with chronic obstructive pulmonary disease (COPD) is being discharged home on oxygen therapy. Which instruction should the nurse include in the discharge teaching?
18. Question: patient is receiving 35% oxygen via a Venturi mask. To ensure the correct amount of oxygen delivery, which action by the nurse is most important?
19. Question: Postural drainage with percussion and vibration is ordered twice daily for a patient with chronic bronchitis. Which intervention should the nurse include in the plan of care?
20. Question: The nurse develops a teaching plan to help increase activity tolerance at home for an older adult with severe chronic obstructive pulmonary disease (COPD). Which instructions would be most appropriate for the nurse to include in the plan of care?
21. Question: A patient with severe chronic obstructive pulmonary disease (COPD) tells the nurse, I wish I were dead! Im just a burden on everybody. Based on this information, which nursing diagnosis is most appropriate?
22. Question: A patient with chronic obstructive pulmonary disease (COPD) has poor gas exchange. Which action by the nurse would be most appropriate?
23. Question: A 55-year-old patient with increasing dyspnea is being evaluated for a possible diagnosis of chronic obstructive pulmonary disease (COPD). When teaching a patient about pulmonary function testing (PFT) for this condition, what is the most important question the nurse should ask?
24. Question: A young adult patient with cystic fibrosis (CF) is admitted to the hospital with increased dyspnea. Which intervention should the nurse include in the plan of care?
25. Question: A patient in the clinic with cystic fibrosis (CF) reports increased sweating and weakness during the summer months. Which action by the nurse would be most appropriate?
26. Question: A young adult female patient with cystic fibrosis (CF) tells the nurse that she is not sure about getting married and having children some day. Which initial response by the nurse is best?
27. Question: A patient with chronic obstructive pulmonary disease (COPD) has rhonchi throughout the lung fields and a chronic, nonproductive cough. Which nursing intervention will be most effective?
28. Question: The nurse provides dietary teaching for a patient with chronic obstructive pulmonary disease (COPD) who has a low body mass index (BMI). Which patient statement indicates that the teaching has been effective?
29. Question: Which instruction should the nurse include in an exercise teaching plan for a patient with chronic obstructive pulmonary disease (COPD)?
30. Question: The nurse completes an admission assessment on a patient with asthma. Which information given by patient is most indicative of a need for a change in therapy?
31. Question: The nurse takes an admission history on a patient with possible asthma who has new-onset wheezing and shortness of breath. Which information may indicate a need for a change in therapy?
32. Question: A patient newly diagnosed with asthma is being discharged. The nurse anticipates including which topic in the discharge teaching?
33. Question: A patient with cystic fibrosis (CF) has blood glucose levels that are consistently between 180 to 250 mg/dL. Which nursing action will the nurse plan to implement?
34. Question: The nurse assesses a patient with a history of asthma. Which assessment finding indicates that the nurse should take immediate action?
35. Question: A patient who is experiencing an asthma attack develops bradycardia and a decrease in wheezing. Which action should the nurse take first?
36. Question: A patient who is experiencing an acute asthma attack is admitted to the emergency department. Which assessment should the nurse complete first?
37. Question: Which assessment finding in a patient who has received omalizumab (Xolair) is most important to report immediately to the health care provider?
38. Question: The nurse in the emergency department receives arterial blood gas results for four recently admitted patients with obstructive pulmonary disease. Which patient will require the most rapid action by the nurse?
39. Question: Which nursing action for a patient with chronic obstructive pulmonary disease (COPD) could the nurse delegate to experienced unlicensed assistive personnel (UAP)?
40. vThe clinic nurse makes a follow-up telephone call to a patient with asthma. The patient reports having a baseline peak flow reading of 600 L/minute and the current peak flow is 420 L/minute. Which action should the nurse takefirst?
41. Question: The nurse reviews the medication administration record (MAR) for a patient having an acute asthma attack Which medication should the nurse administer first?
42. Question: The nurse receives a change-of-shift report on the following patients with chronic obstructive pulmonary disease (COPD). Which patient should the nurse assess first?
43. Question: Which finding in a patient hospitalized with bronchiectasis is most important to report to the health care provider?