HH IV Med Surg. TEST #1 - Practice Questions With
Complete Solutions
The nurse identifies the nursing diagnosis of activity intolerance
for a client with asthma. Which of the following etiological
factors should the nurse assess in the client?
a) Work of breathing
b) Fear of suffocation
c) Effects of medications
d) Anxiety and restlessness
a)
The nurse is caring for a client in the emergency department
admitted with an exacerbation of asthma. The client has received
a β-adrenergic bronchodilator and supplemental oxygen with no
improvement in symptoms. Which of the following actions
should the nurse anticipate next?
a) Intravenous fluids
b) Biofeedback therapy
c) Systemic corticosteroids
d) Pulmonary function testing
c)
The nurse is caring for a client with an acute exacerbation
of chronic obstructive pulmonary disease (COPD) who needs to
,receive precise amounts of oxygen. Which of the following
types of equipment should the nurse prepare to use?
a) Oxygen tent
b) Venturi mask
c) Nasal cannula
d) Partial non-rebreather mask
b)
The nurse is teaching a client with asthma about the appropriate
use of a peak flowmeter. Which of the following instructions
should the nurse include in the teaching plan?
a) Use the flowmeter each morning after taking medications to
evaluate their effectiveness.
b) Keep a record of the peak flowmeter numbers if symptoms of
asthma are getting worse.
c) Increase the doses of the long-term control medication if the
peak flow numbers decrease.
d) Empty the lungs and then inhale quickly through the
mouthpiece to measure how fast air can be inhaled.
b)
The nurse determines that a client is experiencing common
adverse effects from the inhaled corticosteroid beclomethasone.
Which of the following symptoms is the basis for this
determination?
a) Hypertension and pulmonary edema
,b) Oropharyngeal candidiasis and hoarseness
c) Elevation of blood glucose and calcium levels
d) Adrenocortical dysfunction and hyperglycemia
b)
The nurse is teaching a client about the use of a spacer device
when taking inhaled medications. Which of the following client
statements indicates that the teaching has been effective?
a) "I will pay less for medication because it will last longer."
b) "More of the medication will get down into my lungs to help
my breathing."
c) "Now I will not need to breathe in as deeply when taking the
inhaler medications."
d) "This device will make it so much easier and faster to take my
inhaled medications."
b)
The nurse is caring for a client with COPD and she rexpresses
concerns related to sexual intercourse. Which of the following
information should the nurse provide to the client?
a) Abstain from intercourse but not intimacy
b) Assume the dominant position during intercourse
c) Increase the time spent in foreplay
d) Use slow pursed-lip breathing during intercourse
d)
, The nurse is caring for a client who is prescribed salbutamol.
Which of the following client vital signs indicates that the client
is not experiencing any adverse effects from this medication?
a) Pulse rate of 76
b) Respiratory rate of 18
c) Temperature of 36.9° C (98.4°C)
d) Oxygen saturation of 96%
a)
The nurse is caring for a client who has a prescription for each
of the following inhalers. Which of the following medications
should the nurse administer to the client at the onset of an
asthma attack?
a) Salbutamol
b) Salmeterol
c) Beclomethasone
d) Ipratropium bromide
a)
The nurse, who has administered a first dose of oral prednisone
to a client with asthma, writes on the care plan to begin
monitoring which of the following client parameters?
a) Apical pulse
b) Bowel sounds
c) Intake and output
d) Deep tendon reflexes
Complete Solutions
The nurse identifies the nursing diagnosis of activity intolerance
for a client with asthma. Which of the following etiological
factors should the nurse assess in the client?
a) Work of breathing
b) Fear of suffocation
c) Effects of medications
d) Anxiety and restlessness
a)
The nurse is caring for a client in the emergency department
admitted with an exacerbation of asthma. The client has received
a β-adrenergic bronchodilator and supplemental oxygen with no
improvement in symptoms. Which of the following actions
should the nurse anticipate next?
a) Intravenous fluids
b) Biofeedback therapy
c) Systemic corticosteroids
d) Pulmonary function testing
c)
The nurse is caring for a client with an acute exacerbation
of chronic obstructive pulmonary disease (COPD) who needs to
,receive precise amounts of oxygen. Which of the following
types of equipment should the nurse prepare to use?
a) Oxygen tent
b) Venturi mask
c) Nasal cannula
d) Partial non-rebreather mask
b)
The nurse is teaching a client with asthma about the appropriate
use of a peak flowmeter. Which of the following instructions
should the nurse include in the teaching plan?
a) Use the flowmeter each morning after taking medications to
evaluate their effectiveness.
b) Keep a record of the peak flowmeter numbers if symptoms of
asthma are getting worse.
c) Increase the doses of the long-term control medication if the
peak flow numbers decrease.
d) Empty the lungs and then inhale quickly through the
mouthpiece to measure how fast air can be inhaled.
b)
The nurse determines that a client is experiencing common
adverse effects from the inhaled corticosteroid beclomethasone.
Which of the following symptoms is the basis for this
determination?
a) Hypertension and pulmonary edema
,b) Oropharyngeal candidiasis and hoarseness
c) Elevation of blood glucose and calcium levels
d) Adrenocortical dysfunction and hyperglycemia
b)
The nurse is teaching a client about the use of a spacer device
when taking inhaled medications. Which of the following client
statements indicates that the teaching has been effective?
a) "I will pay less for medication because it will last longer."
b) "More of the medication will get down into my lungs to help
my breathing."
c) "Now I will not need to breathe in as deeply when taking the
inhaler medications."
d) "This device will make it so much easier and faster to take my
inhaled medications."
b)
The nurse is caring for a client with COPD and she rexpresses
concerns related to sexual intercourse. Which of the following
information should the nurse provide to the client?
a) Abstain from intercourse but not intimacy
b) Assume the dominant position during intercourse
c) Increase the time spent in foreplay
d) Use slow pursed-lip breathing during intercourse
d)
, The nurse is caring for a client who is prescribed salbutamol.
Which of the following client vital signs indicates that the client
is not experiencing any adverse effects from this medication?
a) Pulse rate of 76
b) Respiratory rate of 18
c) Temperature of 36.9° C (98.4°C)
d) Oxygen saturation of 96%
a)
The nurse is caring for a client who has a prescription for each
of the following inhalers. Which of the following medications
should the nurse administer to the client at the onset of an
asthma attack?
a) Salbutamol
b) Salmeterol
c) Beclomethasone
d) Ipratropium bromide
a)
The nurse, who has administered a first dose of oral prednisone
to a client with asthma, writes on the care plan to begin
monitoring which of the following client parameters?
a) Apical pulse
b) Bowel sounds
c) Intake and output
d) Deep tendon reflexes
