Exam 28: Obstructive Pulmonary Diseases

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

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

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?

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

The nurse is admitting a patient diagnosed with an acute exacerbation of chronic obstructive pulmonary disease (COPD). How should the nurse determine the appropriate O₂ flow rate?

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 flow rates that are 75% of the baseline. Which action will the nurse plan to take next?

A young adult female patient with cystic fibrosis (CF)tells the nurse that she is considering getting married and wondering about having children. Which initial response by the nurse is best?

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

A patient is receiving 35% O₂ via a Venturi mask. To ensure the correct amount of O₂ delivery,which action by the nurse is important?

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?

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?

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

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 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 in the emergency department receives arterial blood gas results for four recently admitted patients with obstructive pulmonary disease. The results for which patient will require the most rapid action by the nurse?

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?

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?

A patient with chronic obstructive pulmonary disease (COPD)has coarse crackles throughout the lung fields and a chronic,nonproductive cough. Which nursing intervention will be most effective?

A patient with asthma has a personal best peak expiratory flow rate (PEFR)of 400 L/min. 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