Exam 61: Management of Clients with Lower Airway and Pulmonary Vessel

The nurse working with a depressed client who has COPD realizes that many factors negatively affect the client's quality of life, including (Select all that apply)

In assessing a client for emphysema, the nurse would know that a physical finding commonly associated with this condition is

A nurse evaluates that goals for self-care teaching have been met when the client with asthma states

A client experiencing severe chest pain from a pulmonary embolism has been medicated for pain but appears anxious and restless. The additional nursing measure that most likely would assist the client in dealing with fear is

A client receives a beta-adrenergic bronchodilator and supplemental oxygen when entering the ED for treatment of asthma, but the client's condition remains unchanged. The nurse would anticipate that the client will

A client is being worked up for possible pulmonary hypertension. The nurse prepares the client for the definitive diagnostic test for this condition, which is

The ambulatory care nurse would arrange for periodic monitoring of blood levels for a client with COPD who is beginning to use

A client has a history of recurring respiratory tract infections and presents today with cough and purulent sputum. The client also complains of longstanding fatigue and weakness. The nurse would assess the client further for

The nurse performing a brief physical assessment of an anxious client with asthma would carefully inspect the chest wall primarily to

The nurse is assessing the lab work of a client with a pulmonary embolism. The client's INR is 5.8. The most appropriate action by the nurse is to

Important health promotion measures the nurse should encourage the client with COPD to consider are

After providing instructions to a client with newly diagnosed COPD who is learning to take a steroid medication by inhaler, the nurse would determine that proper technique has been learned when the client

When counseling a client with asthma who has been advised to make several major life changes, the nurse should encourage the client to consider each suggestion carefully because

The nurse would prepare a client with emphysema who has a ruptured emphysematous bleb for

A client who experienced a pulmonary embolus is receiving heparin therapy. The client will now also start receiving sodium warfarin (Coumadin). When the client asks the nurse why both medications are being given, the best response by the nurse is

A client with COPD is in the hospital. When planning care, which diagnosis takes priority?

A nurse is drawing a blood sample from a client's central line and the client suddenly becomes dyspneic and complains of chest pain. The priority action by the nurse is to

A nurse caring for an elderly client with COPD alters care knowing that in the older population (Select all that apply)

A nurse is conducting community wellness seminars and teaches that a primary prevention activity for chronic obstructive pulmonary disease (COPD) is

A client with COPD has severe shortness of breath at rest and arterial oxygen tension (PaO₂) of 35 mm Hg. When oxygen via nasal cannula is prescribed, the nurse would assess the client cautiously because