Exam 28: Chronic Lower Respiratory Tract Disorders

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A nurse recognizes that a patient diagnosed with COPD has a rising level of partial pressure of carbon dioxide (CO2)in arterial blood (PaCO2).How should the nurse interpret this assessment?

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C

What is a characteristic of chronic obstructive pulmonary disease that places a patient at risk for poor nutrition?

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D

A patient with TB asks the nurse how long he will have to take his TB medications.What is the nurse's best response?

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B

Which walking program would be the most effective for the nurse to recommend as part of a progressive walking program for an obese patient with COPD?

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A young patient with acquired immunodeficiency syndrome (AIDS)reports debilitating night sweats.Why should the home health nurse suggest that the patient visit the clinic?

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A patient with COPD is observed to have extreme shortness of breath when ambulating.Which nursing intervention is most inappropriate?

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A nurse is providing education to a patient taking rifampin as a result of an exposure to TB.What side effect of this drug should the nurse include?

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A patient with TB asks how to protect family members from the disease.Which discharge instruction given by the nurse is most informative?

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A nurse is assigned to care for a patient with the diagnosis of centriacinar (centrilobar)emphysema.What is a characteristic of this type of emphysema?

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What is the result of status asthmaticus that is not corrected?

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Which nursing intervention enhances the nutritional status of a patient with COPD?

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What should a nurse expect when assessing the CBC results of a patient with chronic bronchitis?

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What should a patient who had the BCG (Bacillus Calmette-Guérin)vaccine 2 years ago anticipate?

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A patient with cystic fibrosis (CF)furiously refuses any more manual chest physiotherapeutic treatment.Which alternative is appropriate for the nurse to suggest?

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A nurse documents and reports the presence of foul, bulky stool in a patient with cystic fibrosis (CF).What does this finding indicate about the patient?

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What should a nurse focus on when assessing for major sources of infection in a patient with COPD?

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A patient with COPD delightedly tells the nurse that he has quit smoking and is using chewing tobacco.What is the most appropriate nursing intervention?

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A patient with asthma asks the purpose of learning how to use a peak expiratory flow rate (PEFR)device.What is the nurse's best response regarding PEFR?

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A nurse explains to a family how the asthma attack progresses by using a progressive list of pathologic events._____ (Place the options in the correct sequence.Do not separate answers with a space or punctuation.Example: ABCD.)

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A nurse is caring for a patient with asthma and assesses signs and symptoms of inadequate oxygenation.Which intervention is the most appropriate?

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