Exam 29: Nursing Management: Obstructive Pulmonary Diseases

All of these orders are received for a patient having an acute asthma attack. Which one will the nurse administer first?

The nurse makes a diagnosis of impaired gas exchange for a patient with COPD in acute respiratory distress, based on the assessment finding of

The nurse identifies the nursing diagnosis of imbalanced nutrition: less than body requirements for a patient with COPD. An appropriate intervention for this problem is to

A patient who is experiencing an acute asthma attack is admitted to the emergency department. The nurse's first action should be to

A patient with an acute exacerbation of COPD has the following ABG analysis: pH 7.32, PaO₂ 58 mm Hg, PaCO₂ 55 mm Hg, and SaO₂ 86%. The nurse recognizes these values as evidence of

When preparing a patient with possible asthma for pulmonary function testing, the nurse will teach the patient to

When teaching the patient with COPD about exercise, which information should the nurse include?

A 32-year-old patient is seen in the clinic for dyspnea associated with the diagnosis of emphysema. The patient denies any history of smoking. The nurse will anticipate teaching the patient about

The nurse identifies the nursing diagnosis of activity intolerance for a patient with asthma. A common etiologic factor for this nursing diagnosis in patients with asthma is

A patient with COPD tells the nurse, "At home, I only have to use an albuterol (Proventil) inhaler. Why did the doctor add an ipratropium (Atrovent) inhaler while I'm in the hospital? The appropriate response by the nurse is

The nurse has received a change-of-shift report about these patients with COPD. Which patient should the nurse assess first?

Which statement by the COPD patient indicates that the nurse's teaching about nutrition has been effective?

A patient is receiving 35% oxygen via a Venturi mask. To ensure the correct amount of oxygen delivery, it is most important that the nurse

When taking an admission history of a patient with possible asthma who has new-onset wheezing and shortness of breath, the nurse will be most concerned about which information?

A patient with a history of asthma is admitted to the hospital in acute respiratory distress. During assessment of the patient, the nurse would notify the health care provider immediately about

A patient with COPD asks the home health nurse about home oxygen use. The nurse should teach the patient that long-term home O₂ therapy

When developing a teaching plan to help increase activity tolerance at home for a 70-year-old with severe COPD, the nurse should teach the patient that an appropriate exercise goal is to

The health care provider has prescribed triamcinolone (Azmacort) metered-dose inhaler (MDI) two puffs every 8 hours and pirbuterol (Maxair) MDI 2 puffs four times a day for a patient with asthma. In teaching the patient about the use of the inhalers, the best instruction by the nurse is

A patient is seen in the clinic with COPD. Which information given by the patient would help most in confirming a diagnosis of chronic bronchitis?

A 26-year-old patient has had CF since birth and has severe lung changes and cor pulmonale as a result of the disease. An appropriate expected outcome is that the patient will