Exam 29: Nursing Management: Obstructive Pulmonary Diseases

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?

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?

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?

The nurse reviews the medication administration record (MAR)for a patient having an acute asthma attack.Which medication should the nurse administer first?

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?

Which assessment finding in a patient who has received omalizumab (Xolair)is most important to report immediately to the health care provider?

The 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 take first?

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?

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?

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?

A 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?

A patient with severe chronic obstructive pulmonary disease (COPD)tells the nurse,"I wish I were dead! I'm just a burden on everybody." Based on this information,which nursing diagnosis is most appropriate?

A patient who is experiencing an acute asthma attack is admitted to the emergency department.Which assessment should the nurse complete first?

Which instruction should the nurse include in an exercise teaching plan for a patient with chronic obstructive pulmonary disease (COPD)?

A patient newly diagnosed with asthma is being discharged.The nurse anticipates including which topic in the discharge teaching?

Which finding in a patient hospitalized with bronchiectasis is most important to report to the health care provider?

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?

The nurse teaches a patient about pursed lip breathing.Which action by the patient would indicate to the nurse that further teaching is needed?

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?

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?