NP3 Exam 1 UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
Priority intervention for a client post bronchoscopy (looks at lungs and air passages) -
CORRECT ANSWER -gag reflex return before eating/drinking
-maintain patent airway
-assess bleeding
How to use inhaler? - CORRECT ANSWER Shake, exhale, hold upright, breath deeply
and quickly, hold breath 5-10 seconds
Who has a "barrel chest"? - CORRECT ANSWER COPD (emphysema), chronic
prolonged asthma
What is the expected outcome of a client recovering from an URI? - CORRECT
ANSWER -should report decrease or no nasal discharge and obstruction
-daily fluids should be increased to >1 L every 24 hours (liquifies excretion)
-temp below 100 F, no chills or diaphoresis
-Productive cough w/ chest pain indicates a pulmonary infection, not a URI
Who is highest priority to get influenza vaccine? - CORRECT ANSWER Elderly/
chronically ill
Client w/ COPD too tired from breathing to eat, which ND provides nutritional interventions?
- CORRECT ANSWER Imbalanced nutrition: less than body requirements r/t fatigue.
interventions- assess dietary habits and recent food intake, promote well balanced meals,
assess socioeconomic status
COPD assessment findings - CORRECT ANSWER Hyperresonance, fatigue, dyspnea,
muscle retractions, prolonged expiratory breathing, wt loss, anorexia, barrel chest, nail
clubbing, tripod, pursed lip breathing
, Why teach pursed lip breathing to emphysema pts? - CORRECT ANSWER Prolongs
exhalation, prevents air trapping in alveoli which promotes c02 elimination
Priority goal for COPD pt - CORRECT ANSWER O2 88-92%, maintain patent airway,
promote effective gas exchange, improve breathing patterns, promote breathing techniques
Left-sided heart failure (respiratory) - CORRECT ANSWER Dyspnea, crackles,
orthopnea, weakness, increase HR, nocturnal dyspnea, weight gain, nagging cough
Right-sided heart failure (cardio) - CORRECT ANSWER Swelling in
legs/feet/abdomen, wt gain, pitting edema, JVD, lethargic, irregular heart rhythm, nausea,
increased abdominal girth (d/t fluid build up)
Diet for COPD - CORRECT ANSWER Increase protein/carbs, decrease dairy, eat
smaller meals more often, decrease fluids w meals, rest 30 mins before, use bronchodilator
before eating
Question to ask female before chest radiograph? - CORRECT ANSWER U got a baby
in that bitch?
Why use steroids for asthma? - CORRECT ANSWER Decreases
inflammation/swelling of airways, helps prevent bronchospasm
If pt is cyanotic - CORRECT ANSWER Give oxygen
What blood gasses cause cardiac arrhythmias in a client experiences chronic respiratory
distress? - CORRECT ANSWER Low o2, high co2
Most reliable way to assess respiratory status? - CORRECT ANSWER O2 stats, resp
rate, observe chest (rising/falling), auscultate breath sounds?
QUESTIONS AND CORRECT ANSWERS
Priority intervention for a client post bronchoscopy (looks at lungs and air passages) -
CORRECT ANSWER -gag reflex return before eating/drinking
-maintain patent airway
-assess bleeding
How to use inhaler? - CORRECT ANSWER Shake, exhale, hold upright, breath deeply
and quickly, hold breath 5-10 seconds
Who has a "barrel chest"? - CORRECT ANSWER COPD (emphysema), chronic
prolonged asthma
What is the expected outcome of a client recovering from an URI? - CORRECT
ANSWER -should report decrease or no nasal discharge and obstruction
-daily fluids should be increased to >1 L every 24 hours (liquifies excretion)
-temp below 100 F, no chills or diaphoresis
-Productive cough w/ chest pain indicates a pulmonary infection, not a URI
Who is highest priority to get influenza vaccine? - CORRECT ANSWER Elderly/
chronically ill
Client w/ COPD too tired from breathing to eat, which ND provides nutritional interventions?
- CORRECT ANSWER Imbalanced nutrition: less than body requirements r/t fatigue.
interventions- assess dietary habits and recent food intake, promote well balanced meals,
assess socioeconomic status
COPD assessment findings - CORRECT ANSWER Hyperresonance, fatigue, dyspnea,
muscle retractions, prolonged expiratory breathing, wt loss, anorexia, barrel chest, nail
clubbing, tripod, pursed lip breathing
, Why teach pursed lip breathing to emphysema pts? - CORRECT ANSWER Prolongs
exhalation, prevents air trapping in alveoli which promotes c02 elimination
Priority goal for COPD pt - CORRECT ANSWER O2 88-92%, maintain patent airway,
promote effective gas exchange, improve breathing patterns, promote breathing techniques
Left-sided heart failure (respiratory) - CORRECT ANSWER Dyspnea, crackles,
orthopnea, weakness, increase HR, nocturnal dyspnea, weight gain, nagging cough
Right-sided heart failure (cardio) - CORRECT ANSWER Swelling in
legs/feet/abdomen, wt gain, pitting edema, JVD, lethargic, irregular heart rhythm, nausea,
increased abdominal girth (d/t fluid build up)
Diet for COPD - CORRECT ANSWER Increase protein/carbs, decrease dairy, eat
smaller meals more often, decrease fluids w meals, rest 30 mins before, use bronchodilator
before eating
Question to ask female before chest radiograph? - CORRECT ANSWER U got a baby
in that bitch?
Why use steroids for asthma? - CORRECT ANSWER Decreases
inflammation/swelling of airways, helps prevent bronchospasm
If pt is cyanotic - CORRECT ANSWER Give oxygen
What blood gasses cause cardiac arrhythmias in a client experiences chronic respiratory
distress? - CORRECT ANSWER Low o2, high co2
Most reliable way to assess respiratory status? - CORRECT ANSWER O2 stats, resp
rate, observe chest (rising/falling), auscultate breath sounds?
