A nurse is caring for a client hospitalized with acute exacerbation of COPD. Which of the following would the nurse expect to note on assessment of this client? A. Increased oxygen saturation with exercise. B. Hypocapnia C. A hyperinflated chest on x-ray film. D. A widened diaphragm noted on chest x-ray… Read More »
A 69-year-old client appears thin and cachectic. He’s short of breath at rest and his dyspnea increases with the slightest exertion. His breath sounds are diminished even with deep inspiration. These signs and symptoms fit which of the following conditions? A. ARDS B. Asthma C. Chronic obstructive bronchitis D. Emphysema … Read More »
An oxygenated delivery system is prescribed for a client with COPD to deliver a precise oxygen concentration. Which of the following types of oxygen delivery systems would the nurse anticipate to be prescribed? A. Venturi mask B. Aerosol mask C. Face tent D. Tracheostomy collar Correct Answer:… Read More »
A client with emphysema should receive only 1 to 3 L/minute of oxygen if needed, or he may lose his hypoxic drive. Which of the following statements is correct about hypoxic drive? A. The client doesn’t notice he needs to breathe. B. The client breathes only when his oxygen levels climb above a certain point.… Read More »
Theophylline (Theo-Dur) tablets are prescribed for a client with chronic airflow limitation, and the nurse instructs the client about the medication. Which statement by the client indicates a need for further teaching? A. “I will take the medication on an empty stomach.” B. “I will take the medication with food.” C. “I… Read More »
Teaching for a client with chronic obstructive pulmonary disease (COPD) should include which of the following topics? A. How to have his wife learn to listen to his lungs with a stethoscope from Wal-Mart. B. How to increase his oxygen therapy. C. How to treat respiratory infections without going to the physician.… Read More »
A nurse is caring for a client with emphysema. The client is receiving oxygen. The nurse assesses the oxygen flow rate to ensure that it does not exceed: A. 1 L/min B. 2 L/min C. 6 L/min D. 10 L/min Correct Answer: B. 2 L/min One to… Read More »
Which of the following respiratory disorders is most common in the first 24 to 48 hours after surgery? A. Atelectasis B. Bronchitis C. Pneumonia D. Pneumothorax Correct Answer: A. Atelectasis Atelectasis develops when there’s interference with the normal negative pressure that promotes lung expansion. Clients in the… Read More »
The nurse reviews the ABG values of a client. The results indicate respiratory acidosis. Which of the following values would indicate that this acid-base imbalance exists? A. pH of 7.48 B. PCO2 of 32 mm Hg C. pH of 7.30 D. HCO3- of 20 mEq/L Correct Answer:… Read More »
Which of the following measures can reduce or prevent the incidence of atelectasis in a postoperative client? A. Chest physiotherapy B. Mechanical ventilation C. Reducing oxygen requirements D. Use of an incentive spirometer. Correct Answer: D. Use of an incentive spirometer. Using an incentive spirometer requires the… Read More »