Exam 26: Coordinating Care for Patients With Lower Airway Disorders

Which statement by the patient regarding the treatment for cystic fibrosis indicates the need for further teaching?

The nurse develops the nursing diagnosis "Impaired Gas Exchange related to decreased lung elasticity and hyperinflation of the alveoli secondary to exposure to inhaled pollutants." For which disorder is the nursing diagnosis most relevant?

The nurse teaches a patient how to implement pursed-lip breathing. Which patient statement indicates a need for additional instruction?

The nurse correlates which data from a patient's history to a diagnosis of bronchitis?

The nurse monitors for which therapeutic effect when administering leukotriene receptor antagonists to patients diagnosed with asthma?

Patients with asthma initially develop respiratory alkalosis. Which arterial blood gas value is consistent with this acid-base disorder?

In providing care to a patient admitted with an acute asthma exacerbation, the nurse prepares which "rescue" medication for administration first?

The nurse monitors for which gastrointestinal clinical manifestations in the patient diagnosed with cystic fibrosis?

The nurse develops the nursing diagnosis "Ineffective Airway Clearance related to increased mucus production secondary to chronic inflammation of small airways." For which disorder is this nursing diagnosis most relevant?

The community health nurse is preparing an educational program for local residents. Which information does the nurse include about chronic obstructive pulmonary disease (COPD)? Select all that apply.

The nurse is providing care to a patient admitted after experiencing an acute asthma attack. Which assessment findings indicate the need for an immediate intervention?

The nurse is caring for a patient newly diagnosed with asthma. Which assessment data indicate the need for an immediate intervention?

A patient diagnosed with chronic obstructive pulmonary disease (COPD) has a pulse oximetry reading of 93%, increased red blood and white blood cell count, temperature of 101°F, pulse 100 bpm, respirations 35 bpm, and a chest x-ray examination that showed a flattened diaphragm with infiltrates. Based on this data, which prescription does the nurse question for this patient?

The nurse develops the nursing diagnosis "Ineffective Airway Clearance related to intermittent, reversible airway obstruction secondary to bronchoconstriction and airway inflammation." For which disorder is this nursing diagnosis most relevant?

In reviewing teaching about use of the peak flow meter in a patient with asthma, which statements by the patient indicate understanding of correct use? Select all that apply.

The nurse provides education to a patient who is prescribed an aerochamber for the treatment of asthma. Which patient statement indicates the need for additional teaching?

Which clinical manifestation in the patient with chronic obstructive pulmonary disease (COPD) is more indicative of emphysema?

The nurse is providing care to a patient diagnosed with emphysema. Which clinical manifestation does the nurse correlate with this diagnosis?

Which systems should the nurse anticipate will be affected when planning care for a patient diagnosed with cystic fibrosis? Select all that apply.

Although all of these patients do not currently smoke cigarettes, the nurse recognizes that which patient is at greatest risk factor for the development of lung cancer?