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Worksheets290 Exam 2 Review
Total questions: 14
Worksheet time: 12mins
The nurse is caring for a client hospitalized with acute exacerbation of chronic obstructive pulmonary disease. Which findings would the nurse expect to note on assessment of this client? Select all that apply.
A low arterial PCO2 level
A hyperinflated chest noted on the chest x-ray
Decreased oxygen saturation with mild exercise
Pulmonary function tests that demonstrate in-
creased vital capacity
Pulmonary function tests that demonstrate increased vital capacity
The nurse is instructing a hospitalized client with a diagnosis of emphysema about measures that will enhance the effectiveness of breathing during dyspneic periods. Which position would the nurse instruct the client to assume?
Sitting up in bed
Side-lying in bed
Sitting in a recliner chair
Sitting up and leaning on an overbed table
You are the nurse educating a patient on how to use incentive spirometry (IS). You know that there is a need for further teaching when a client makes which statement about IS?
"I should try and use this about 10 times per hour"
"I need to exhale into the mouthpiece to measure how well my lungs are working."
"Hopefully this thing will help prevent pneumonia"
"I know that this is used to help expand my lungs"
You are the nurse in an outpatient clinic, and a patient presents with fever, headache, and malaise. You suspect that which of the following interventions should be performed. Select all that apply.
Teaching the patient about how to prevent the spread of infection.
Informing the patient that they have a cold.
Rapid influenza test.
Advising the patient to stay home and rest.
Which of the following are characteristic manifestations of a cold? Select all that apply.
Fever
Nasal congestion
Sore throat
Headache
Gradual onset
Which of the following are possible causes of atelectasis? Select all that apply
Anesthesia
Post-op pain
Immobility
Early ambulation
Hospital-Acquired Pneumonia (HAP) is defined as a pneumonia that occurs
12 hours or more after hospital admission and was not present a the time of admission
24 hours or more after hospital admission and was not present a the time of admission
36 hours or more after hospital admission and was not present a the time of admission
48 hours or more after hospital admission and was not present a the time of admission
The nurse is caring for a patient admitted for exacerbation of chronic obstructive pulmonary disease. The patient develops severe dyspnea at rest, with an increase in respiratory rate from 26 to 44 breaths/min. Which action by the nurse would be the most appropriate?
Have the patient perform huff coughing.
Perform chest physiotherapy for 5 minutes.
Teach the patient to use pursed-lip breathing.
Instruct the patient in diaphragmatic breathing.
The nurse teaches pursed-lip breathing to a patient who is newly diagnosed with chronic obstructive pulmonary disease (COPD). The nurse reinforces that this technique will assist respiration by which mechanism?
Loosening secretions so that they may be coughed up more easily
Promoting maximal inhalation for better oxygenation of the lungs
Preventing bronchial collapse and air trapping in the lungs during exhalation
Increasing the respiratory rate and giving the patient control of respiratory patterns
The nurse evaluates that nursing interventions to promote airway clearance in a patient admitted with chronic obstructive pulmonary disease (COPD) are successful based on which finding?
Absence of dyspnea
Improved mental status
Effective and productive coughing
PaO2 within normal range for the patient
When planning teaching for the patient with COPD, the nurse understands the manifestations of the disease are related to what process?
An overproduction of antiprotenase a1-antityripsin
Hyperinflation of alveoli and destruction of alveolar walls
Hypertrophy and hyperplasia of goblet cells in the bronchi
Collapse and hypoventilation of the terminal respiratory unit
The nurse is preparing a room for a client diagnosed with influenza A. Which personal protective equipment should be readily available?
N95 masks
Contact gown and gloves
Shoe covers
Surgical mask
Antiviral medicine:
helps prevent flu infections.
reduces the severity of symptoms and the length of time you are sick.
should not be taken by people with chronic illnesses such as diabetes.
should not be taken often because side effects are common.
Which of the following is the most effective method of preventing the spread of the flu?
handwashing
wearing masks
sanitizing surfaces
antibiotics
