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WorksheetsAH Week 2
Total questions: 10
Worksheet time: 8mins
A patient is scheduled for pulmonary function testing. Which action should the nurse take to prepare the patient for this procedure?
Give the rescue medication immediately before testing.
Administer oral corticosteroids 2 hours before the procedure
Withhold bronchodilators for 6 to 12 hours before the examination.
Ensure that the patient has been NPO for several hours before the test.
The nurse admits a patient who has a diagnosis of an acute asthma attack. Which statement indicates that the patient may need teaching regarding medication use?
“I have not had any acute asthma attacks during the last year.”
“I became short of breath an hour before coming to the hospital.”
“I’ve been taking Tylenol 650 mg every 6 hours for chest-wall pain.”
“I’ve been using my albuterol inhaler more frequently over the last 4 days.”
Which action is appropriate for the nurse to delegate to unlicensed assistive personnel (UAP)?
Listen to a patient’s lung sounds for wheezes or rhonchi.
Label specimens obtained during percutaneous lung biopsy.
Instruct a patient about how to use home spirometry testing.
Measure induration at the site of a patient’s intradermal skin test.
Which information will the nurse include in the asthma teaching plan for a patient being discharged?
Use the inhaled corticosteroid when shortness of breath occurs.
Inhale slowly and deeply when using the dry powder inhaler (DPI).
Hold your breath for 5 seconds after using the bronchodilator inhaler.
Tremors are an expected side effect of rapidly acting bronchodilators.
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?
No wheezes are audible.
Oxygen saturation is >90%.
Accessory muscle use has decreased.
Respiratory rate is 16 breaths/minute.
A young adult patient who denies any history of smoking is seen in the clinic with a new diagnosis of chronic obstructive pulmonary disease (COPD). It is most appropriate for the nurse to teach the patient about:
α1-antitrypsin testing.
use of the nicotine patch.
continuous pulse oximetry.
effects of leukotriene modifiers.
A patient with chronic obstructive pulmonary disease (COPD) has a nursing diagnosis of impaired breathing pattern related to anxiety. Which nursing action is most appropriate to include in the plan of care?
Titrate oxygen to keep saturation at least 90%.
Discuss a high-protein, high-calorie diet with the patient.
Suggest the use of over-the-counter sedative medications.
Teach the patient how to effectively use pursed lip breathing.
. A patient with chronic obstructive pulmonary disease (COPD) has a nursing diagnosis of imbalanced nutrition: less than body requirements. Which intervention would be most appropriate for the nurse to include in the plan of care?
Encourage increased intake of whole grains.
Increase the patient’s intake of fruits and fruit juices.
Offer high-calorie snacks between meals and at bedtime.
Assist the patient in choosing foods with high vegetable and mineral content.
The nurse interviews a patient with a new diagnosis of chronic obstructive pulmonary disease (COPD). Which information is most helpful in confirming a diagnosis of chronic bronchitis?
The patient tells the nurse about a family history of bronchitis.
The patient’s history indicates a 30 pack-year cigarette history.
The patient complains about a productive cough every winter for 3 months.
The patient denies having any respiratory problems until the last 12 months.
The nurse receives a change-of-shift report on the following patients with chronic obstructive pulmonary disease (COPD). Which patient should the nurse assess first?
A patient with loud expiratory wheezes
A patient with a respiratory rate of 38/minute
A patient who has a cough productive of thick, green mucus
A patient with jugular venous distention and peripheral edema
