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Asthma & COPD Review

Total questions: 15

Worksheet time: 8mins

Name
Class
Date
1.

An elderly client with pneumonia may appear with which of the following symptoms first?

a)

Altered mental status and dehydration

b)

fever and chills

c)

Hemoptysis and dyspnea

d)

Pleuritic chest pain and cough

2.

A 7-year-old client is brought to the E.R. He’s tachypneic and afebrile and has a respiratory rate of 36 breaths/minute and a nonproductive cough. He recently had a cold. From his history, the client may have which of the following?

a)

Bronchial pneumonia

b)

Acute asthma

c)

COPD

d)

Emphysema

3.

Which of the following assessment findings would help confirm a diagnosis of asthma in a client suspected of having the disorder?

a)

Cicumoral cyanosis

b)

Increased forced expiratory volume

c)

Inspiratory and expiratory wheeze

d)

Normal breath sounds

4.

A client with acute asthma showing inspiratory and expiratory wheezes and a decreased expiratory volume should be treated with which of the following classes of medication right away?

a)

Beta-adrenergic blockers

b)

Bronchodilators

c)

Inhaled steroids

d)

Oral steroids

5.

A 19-year-old comes into the emergency department with acute asthma. His respiratory rate is 44 breaths/minute, and he appears to be in acute respiratory distress. Which of the following actions should be taken first?

a)

Take a full medication history

b)

Give a bronchodilator by nebulizer

c)

Apply a cardiac monitor to the client

d)

Provide emotional support to the client

6.

A 58-year-old client with a 40-year history of smoking one to two packs of cigarettes a day has a chronic cough producing thick sputum, peripheral edema, and cyanotic nail beds. Based on this information, he most likely has which of the following conditions?

a)

ARDS

b)

Asthma

c)

COPD

d)

Emphysema

7.

A 66-year-old client has marked dyspnea at rest, is thin, and uses accessory muscles to breathe. He’s tachypneic, with a prolonged expiratory phase. He has no cough. He leans forward with his arms braced on his knees to support his chest and shoulders for breathing. This client has symptoms of which of the following respiratory disorders?

a)

ARDS

b)

Asthma

c)

COPD

d)

Emphysema

8.

It’s highly recommended that clients with asthma, chronic bronchitis, and emphysema have Pneumovax and flu vaccinations for which of the following reasons?

a)

All clients are recommended to have these vaccines

b)

These vaccines produce bronchodilation and improve oxygenation

c)

These vaccines help reduce the tachypnea these clients experience

d)

Respiratory infections can cause severe hypoxia and possibly death in these clients.

9.

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)

Pneumothroax

10.

Which of the following measures can reduce or prevent the incidence of atelectasis in a post-operative client?

a)

Chest physiotherapy

b)

Mechanical Ventilation

c)

Reducing oxygen requirements

d)

Use of an incentive spirometer

11.

Emergency treatment of a client in status asthmaticus includes which of the following medications?

a)

Inhaled beta-adrenergic agents

b)

Inhaled corticosteroids

c)

IV beta-adrenergic agents

d)

Oral corticosteroids

12.

Emergency treatment for a client with impending anaphylaxis secondary to hypersensitivity to a drug should include which of the following actions first?

a)

Administering oxygen

b)

Inserting and IV

c)

Obtaining a CBC

d)

Taking vital signs

13.

Following the initial care of a client with asthma and impending anaphylaxis from hypersensitivity to a drug, the nurse should take which of the following steps next?

a)

Administer beta-adrenergic blockers

b)

Administer bronchodilators

c)

Obtain serum electrolyte levels

d)

Have the client lie flat in the bed

14.

A client’s ABG results are as follows: pH: 7.16; PaCO2 80 mm Hg; PaO2 46 mm Hg; HCO3- 24 mEq/L; SaO2 81%. This ABG result represents which of the following conditions?

a)

Metabolic acidosis

b)

Metabolic alkalosis

c)

Respiratory acidosis

d)

Respiratory alkalosis

15.

A nurse instructs a client to use the pursed lip method of breathing. The client asks the nurse about the purpose of this type of breathing. The nurse responds, knowing that the primary purpose of pursed lip breathing is:

a)

Promote oxygen intake

b)

Strengthen the diaphragm

c)

Strengthen the intercostal muscles

d)

Promote carbon dioxide elimination