Chapter 28: Obstructive Pulmonary Diseases
Lewis: Medical-Surgical Nursing, 10th Edition
2025/2026 Verified Answers.
.
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). The nurse should plan to
teach the patient about
a. a1-antitrypsin testing.
c. use of the nicotine patch.
b. leukotriene modifiers.
d. continuous pulse oximetry. - correct answer>>a. a1-antitrypsin testing
When *COPD* occurs in *young* patients, especially without a smoking history, a
genetic deficiency in *a1-antitrypsin* should be suspected.
The nurse is caring for a patient with *chronic obstructive pulmonary disease (COPD)*.
Which information obtained from the patient would prompt the nurse to consult with
the health care provider before administering the prescribed *theophylline*? a. The
patient reports a recent 15-lb weight gain.
b. The patient denies shortness of breath at present.
c. The patient takes cimetidine (Tagamet HB) daily. d. The patient complains of
coughing up green mucus. - correct answer>>c. The patient takes cimetidine
(Tagamet HB)
*Cimetidine interferes* with the metabolism of *theophylline*, and concomitant
administration may lead rapidly to *theophylline toxicity*.
, The home health nurse is visiting a patient with *chronic obstructive pulmonary disease
(COPD)*. Which nursing action is appropriate to implement for a nursing diagnosis of
*impaired breathing pattern related to anxiety*?
a. Titrate O2 to keep saturation at least 90%.
b. Teach the patient how to use pursed-lip breathing.
c. Discuss a high-protein, high-calorie diet with the patient.
d. Suggest the use of over-the-counter sedative medications. - correct answer>>b.
Teach the patient how to 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? a. Encourage increased intake
of whole grains.
b. Increase the patient's intake of fruits and fruit juices.
c. Offer high-calorie protein snacks between meals and at bedtime.
d. Assist the patient in choosing foods with high vegetable content. - correct answer>>c.
Offer high-calorie protein snacks between meals and at bedtime.
Eating small amounts more frequently (as occurs with snacking) will increase caloric
intake by decreasing the fatigue and feelings of fullness associated with large meals.
The nurse interviews a patient with a new diagnosis of chronic obstructive pulmonary
disease (COPD). Which information is *most* specific in confirming a diagnosis of
*chronic bronchitis*?
a. The patient tells the nurse about a family history of bronchitis.
b. The patient indicates a 30 pack-year cigarette smoking history.
c. The patient reports a productive cough for 3 months every winter.
d. The patient denies having respiratory problems until the past 12 months. - correct
answer>>c. The patient reports a productive cough for 3 months every winter.
A diagnosis of *chronic bronchitis* is based on a history of having a *productive cough
for 3 months* for at least *2 consecutive years*.
The nurse teaches a patient about *pursed-lip breathing*. Which action by the patient
would indicate to the nurse that further teaching is needed? a. The patient inhales
slowly through the nose.
Lewis: Medical-Surgical Nursing, 10th Edition
2025/2026 Verified Answers.
.
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). The nurse should plan to
teach the patient about
a. a1-antitrypsin testing.
c. use of the nicotine patch.
b. leukotriene modifiers.
d. continuous pulse oximetry. - correct answer>>a. a1-antitrypsin testing
When *COPD* occurs in *young* patients, especially without a smoking history, a
genetic deficiency in *a1-antitrypsin* should be suspected.
The nurse is caring for a patient with *chronic obstructive pulmonary disease (COPD)*.
Which information obtained from the patient would prompt the nurse to consult with
the health care provider before administering the prescribed *theophylline*? a. The
patient reports a recent 15-lb weight gain.
b. The patient denies shortness of breath at present.
c. The patient takes cimetidine (Tagamet HB) daily. d. The patient complains of
coughing up green mucus. - correct answer>>c. The patient takes cimetidine
(Tagamet HB)
*Cimetidine interferes* with the metabolism of *theophylline*, and concomitant
administration may lead rapidly to *theophylline toxicity*.
, The home health nurse is visiting a patient with *chronic obstructive pulmonary disease
(COPD)*. Which nursing action is appropriate to implement for a nursing diagnosis of
*impaired breathing pattern related to anxiety*?
a. Titrate O2 to keep saturation at least 90%.
b. Teach the patient how to use pursed-lip breathing.
c. Discuss a high-protein, high-calorie diet with the patient.
d. Suggest the use of over-the-counter sedative medications. - correct answer>>b.
Teach the patient how to 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? a. Encourage increased intake
of whole grains.
b. Increase the patient's intake of fruits and fruit juices.
c. Offer high-calorie protein snacks between meals and at bedtime.
d. Assist the patient in choosing foods with high vegetable content. - correct answer>>c.
Offer high-calorie protein snacks between meals and at bedtime.
Eating small amounts more frequently (as occurs with snacking) will increase caloric
intake by decreasing the fatigue and feelings of fullness associated with large meals.
The nurse interviews a patient with a new diagnosis of chronic obstructive pulmonary
disease (COPD). Which information is *most* specific in confirming a diagnosis of
*chronic bronchitis*?
a. The patient tells the nurse about a family history of bronchitis.
b. The patient indicates a 30 pack-year cigarette smoking history.
c. The patient reports a productive cough for 3 months every winter.
d. The patient denies having respiratory problems until the past 12 months. - correct
answer>>c. The patient reports a productive cough for 3 months every winter.
A diagnosis of *chronic bronchitis* is based on a history of having a *productive cough
for 3 months* for at least *2 consecutive years*.
The nurse teaches a patient about *pursed-lip breathing*. Which action by the patient
would indicate to the nurse that further teaching is needed? a. The patient inhales
slowly through the nose.
