Exam 29: Nursing Management: Obstructive Pulmonary Diseases

The nurse has completed patient teaching about the administration of salmeterol (Serevent) using a metered-dose inhaler (MDI). Which action by the patient indicates good understanding of the teaching?

A patient seen in the asthma clinic has recorded daily peak flows that are 85% of the baseline. Which action will the nurse plan to take?

Which information about a newly admitted patient with chronic obstructive pulmonary disease ( COPD ) indicates that the nurse should consult with the health care provider before administering the prescribed theophylline?

After the nurse has finished teaching a patient about pursed lip breathing, which patient action indicates that more teaching is needed?

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

A patient with chronic obstructive pulmonary disease ( COPD ) has a nursing diagnosis of imbalanced nutrition: less than body requirements. An appropriate intervention for this problem is to

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?

Which diagnostic test will the nurse plan to discuss with a 54-year-old patient with progressively increasing dyspnea who is being evaluated for a possible diagnosis of chronic obstructive pulmonary disease ( COPD )?

The following medications are prescribed by the health care provider for a patient having an acute asthma attack. Which one will the nurse administer first?

When a hospitalized patient with chronic obstructive pulmonary disease ( COPD ) is receiving oxygen, the best action by the nurse is to

Which topic will the nurse include in medication teaching for a patient with newly-diagnosed persistent asthma?

Postural drainage with percussion and vibration is ordered twice daily for a patient with chronic bronchitis. The nurse will plan to

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

Which information will the nurse include in teaching a patient with chronic obstructive pulmonary disease ( COPD ) who has a new prescription for home oxygen therapy?

Which of these nursing actions included in the care plan for a patient with chronic obstructive pulmonary disease ( COPD ) should the nurse delegate to experienced nursing assistive personnel ( NAP )?

When the nurse is interviewing a patient with a new diagnosis of chronic obstructive pulmonary disease ( COPD ), which information will help most in confirming a diagnosis of chronic bronchitis?

When the nurse takes an admission history for 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 with chronic bronchitis who has a new prescription for Advair Diskus (combined fluticasone and salmeterol) asks the nurse the purpose of using two drugs. The nurse explains that

A patient with asthma who has a baseline peak flow reading of 600 mL calls the nurse, stating that the current peak flow is 420 mL. Which action should the nurse take first?

When the nurse is evaluating the effectiveness of therapy for a patient who has received treatment during an asthma attack, which finding is the best indicator that the therapy has been effective?