Exam 28: Obstructive Pulmonary Diseases

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?

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). The nurse should plan to teach the patient about

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

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/min,and the current peak flow is 420 L/min. Which action should the nurse take first?

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

The nurse completes an admission assessment on a patient with asthma. Which information given by patient is indicates a need for a change in therapy?

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?

A patient hospitalized with chronic obstructive pulmonary disease (COPD)is being discharged home on O₂ therapy. Which instruction should the nurse include in the discharge teaching?

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

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

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

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

The home health nurse is visiting a patient with chronic obstructive pulmonary disease (COPD). Which nursing action is appropriate to implement for a nursing diagnosis of impaired breathing pattern related to anxiety?

The nurse interviews a patient with a new diagnosis of chronic obstructive pulmonary disease (COPD). Which information is most specific in confirming a diagnosis of chronic bronchitis?

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

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 patient with chronic obstructive pulmonary disease (COPD)has poor gas exchange. Which action by the nurse would support the patient's ventilation?

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