Deck 20: Respiratory Function

Question 1

An older patient with severe peripheral arterial disease wishes to quit smoking.The nurse provide education to this patient on which of the following?

A)"Cold turkey" method
B)Gradual reduction
C)Nicotine patches
D)Bupropion hydrochloride

Answer 1

Bupropion hydrochloride

Question 2

The nurse is caring for an older adult who has been prescribed inhaled corticosteroids for asthma.What does the nurse teach about this medication? (Select all that apply. )

A)Taken just before retiring for the night
B)Reserved for acute attacks only
C)Used in increasing doses as needed
D)How to use and rinse the inhaler
E)There are few side effects to worry about.

Answer 2

Used in increasing doses as needed
How to use and rinse the inhaler

Question 3

An older adult patient who has tuberculosis is being treated with the drugs isoniazid 300 mg daily,rifampin 600 mg daily,and pyrazinamide 1,500 mg daily.What information is the priority for the nurse to give the patient?

A)Wear tinted glasses when out in the sun.
B)Minimize contact with children younger than 3 years old.
C)Avoid alcohol while on the drug therapy.
D)Eat and drink dairy sparingly.

Answer 3

Avoid alcohol while on the drug therapy.

Question 4

The nurse is preparing information for the caregivers of a patient with chronic respiratory issues.The nurse will make the greatest impact on their ability to provide quality care while maintaining the patient's emotional well-being by including what information?

A)Suggestions regarding proper nutrition and exercise
B)An explanation on how to preserve the patient's sense of autonomy
C)Encouragement for the primary caregiver to take care of themselves
D)Referrals to pulmonary rehabilitation or support groups

Question 5

To minimize an older adult's risk for developing postsurgical atelectasis,the nurse does which of the following? (Select all that apply. )

A)Regularly assesses and medicates for pain.
B)Teaches effective deep-breathing techniques.
C)Provides oxygen via nasal cannula.
D)Encourages the patient to drink all fluids on meal trays.
E)Assesses lung sounds frequently.

Question 6

The nurse is evaluating the effectiveness of an older patient's self-management of asthma.What does the nurse assess as the priority? (Select all that apply. )

A)How many times a week a rescue inhaler treatment is needed
B)How well the patient is able to avoid the known triggers
C)Whether the patient experience frequent respiratory infections
D)Whether the patient requires rest periods during the day
E)Whether the patient believes he or she has the support of family and friends

Question 7

Because the older adult is not as likely to exhibit the typical signs of ineffective gas exchange,the nurse would assess which patient further?

A)An afebrile patient with a nonproductive cough
B)Irritability in a usually pleasant patient
C)Pale nail beds in a patient of color
D)Has an elevated white blood cell (WBC)

Question 8

The nurse encouraging an older patient to start pulmonary rehabilitation shares the benefits of the program,including which of the following? (Select all that apply. )

A)Socialization
B)Decreased cardiac risks
C)Nutrition counseling
D)Weight management
E)Sports participation

Question 9

A frail,older patient is in the emergency department in severe respiratory distress.The patient has had repeated hospitalizations for the same thing.After stabilizing the patient,which action by the nurse is most appropriate?

A)Determine what the patient's end-of-life wishes are.
B)Assess the family caregiver for compliance with treatment.
C)Administer intravenous (IV)fluids at a rapid rate.
D)Prepare to vaccinate the patient against pneumonia.

Question 10

The nurse caring for patients using continuous positive airway pressure (CPAP)knows what about treatment effectiveness?

A)Effectiveness depends on compliance.
B)It's too expensive for many older adults.
C)It is rarely effective for sleep apnea.
D)Complicated settings make it hard to use.

Question 11

The nurse best maximizes an older adult's potential to avoid developing a postsurgical respiratory infection with which intervention?

A)Walking the patient to the bathroom instead of using the bedside commode
B)Encouraging compliance with prescribed antibiotic therapy
C)Evaluating the patient's ability to effectively cough and deep breathe
D)Offering fluids every hour while the patient is awake

Question 12

The nurse gives priority to assessing an older patient who presents with symptoms of acute respiratory distress for which other condition?

A)Substernal chest pain
B)A history of panic attacks
C)Any known allergies
D)Bruising on the chest

Question 13

An older adult with chronic obstructive pulmonary disease (COPD)asks why he should quit smoking now.What response by the nurse is best?

A)"It will keep your disease from getting worse."
B)"There are many benefits to quitting even now."
C)"It will decrease the risk of getting cancer too."
D)"You're right;there really isn't a reason to quit."

Question 14

An older patient is hospitalized on the general medical floor with pneumonia secondary to influenza and is prescribed antibiotics.What assessment finding would indicate a higher level of care is needed for this patient?

A)Spreading infiltrates on chest x-ray
B)Creatinine 3.2 mg/dL
C)White blood cell count 18,000/mm³
D)Positive sputum cultures for pneumococcus

Question 15

The nurse is coordinating care for a newly admitted older adult.The patient is diagnosed with hypertension,asthma,atrial fibrillation,mild osteoarthritis,and glaucoma.Before administering the patient's corticosteroid medication,the nurse is especially interested in which of the following? (Select all that apply. )

A)The name of the patient's hypertension medication
B)What the patient uses to manage arthritic pain
C)Whether the patient feels the asthma is well controlled
D)Whether the patient takes low-dose aspirin regularly
E)Whether the patient has ever had glaucoma-related surgery

Question 16

When teaching older adult asthmatic patients,the nurse stresses the importance of which of the following? (Select all that apply. )

A)Being alert for the early signs of breathing problems
B)Fostering an effective relationship with your health care provider
C)Identifying and avoid personal triggers
D)Incorporating regular rest periods into your daily routine
E)Increasing vitamin C consumption,especially during winter months

Question 17

An older adult's pulmonary function studies indicate that his vital capacity is reduced and his residual volume is increased.Where does the nurse know these changes will manifest?

A)Ineffective cough reflex
B)Shallow breathing
C)Slow respiratory rate
D)Frequent respiratory infections

Question 18

A patient has been taught about nutrition related to COPD.Which menu selection may indicate a need for further teaching?

A)Bagel and cream cheese
B)Broiled chicken breast
C)Beans and peas
D)Tofu stir-fry

Question 19

An 80-year-old patient is concerned about contracting pneumonia.What information is the most important for the nurse to share with the patient?

A)Early recognition of the symptoms
B)Being vaccinated per government guidelines
C)Minimizing contact with the public during the winter months
D)Supplementing one's daily diet with vitamin C

Question 20

A patient has a pulmonary embolism and asks the nurse to explain the purpose of the heparin infusion.What response by the nurse is best?

A)"It helps dissolve the clot in your lungs."
B)"It keeps you from getting septic."
C)"It prevents the clot from getting bigger."
D)"It prevents clots from forming in your heart."