Exam 29: Nursing Management: Obstructive Pulmonary Diseases

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?

The nurse teaches a patient who has asthma about peak flow meter use.Which action by the patient indicates that teaching was successful?

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

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?

A patient is scheduled for pulmonary function testing.Which action should the nurse take to prepare the patient for this procedure?

Which information will the nurse include in the asthma teaching plan for a patient being discharged?

The nurse assesses a patient with a history of asthma.Which assessment finding indicates that the nurse should take immediate action?

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?

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?

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?

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?

A patient with chronic obstructive pulmonary disease (COPD)has poor gas exchange.Which action by the nurse would be most appropriate?

The nurse teaches a patient how to administer formoterol (Perforomist)through a nebulizer.Which action by the patient indicates good understanding of the teaching?

A patient with asthma has a personal best peak expiratory flow rate (PEFR)of 400 L/minute.When explaining the asthma action plan,the nurse will teach the patient that a change in therapy is needed when the PEFR is less than ___ L/minute

The nurse is caring for a patient with cor pulmonale.The nurse should monitor the patient for which expected finding?

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?

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?

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?

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?

A patient who is experiencing an asthma attack develops bradycardia and a decrease in wheezing.Which action should the nurse take first?