Question 1

Which nursing action for a patient with chronic obstructive pulmonary disease (COPD)could the nurse delegate to experienced unlicensed assistive personnel (UAP)?

Accepted Answer

A)  Obtain oxygen saturation using pulse oximetry. 
B)  Monitor for increased oxygen need with exercise. 
C)  Teach the patient about safe use of oxygen at home. 
D)  Adjust oxygen to keep saturation in prescribed parameters.

Question 2

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?

Accepted Answer

A)  No wheezes are audible. 
B)  Oxygen saturation is >90%. 
C)  Accessory muscle use has decreased. 
D)  Respiratory rate is 16 breaths/minute.

Question 3

The nurse is admitting a patient diagnosed with an acute exacerbation of chronic obstructive pulmonary disease (COPD).What is the best way for the nurse to determine the appropriate oxygen flow rate?

Accepted Answer

A)  Minimize oxygen use to avoid oxygen dependency. 
B)  Maintain the pulse oximetry level at 90% or greater. 
C)  Administer oxygen according to the patient's level of dyspnea. 
D)  Avoid administration of oxygen at a rate of more than 2 L/minute.

Question 4

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

Accepted Answer

A)  The patient uses albuterol (Proventil) before any aerobic exercise. 
B)  The patient says that the asthma symptoms are worse every spring. 
C)  The patient's heart rate increases after using the albuterol (Proventil) inhaler. 
D)  The patient's only medications are albuterol (Proventil) and salmeterol (Serevent).

Exam 29: Nursing Management: Obstructive Pulmonary Diseases

Which nursing action for a patient with chronic obstructive pulmonary disease (COPD) could the nurse delegate to experienced unlicensed assistive personnel (UAP) ?

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?

The nurse is admitting a patient diagnosed with an acute exacerbation of chronic obstructive pulmonary disease (COPD) .What is the best way for the nurse to determine the appropriate oxygen flow rate?

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