lOMoARcPSD|3013804
Chapter 27 notes
Care Management (Keiser
University)
, lOMoARcPSD|3013804
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
Chapter 27: Concepts of Care for Patients With Noninfectious Lower Respiratory
Problems
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A nurse assesses several clients who have a history of respiratory disorders. Which
client would the nurse assess first?
a.
A 66-year-old client with a barrel chest and clubbed fingernails
b.
A 48-year-old client with an oxygen saturation level of 92% at rest
c.
A 35-year-old client who reports orthopnea in bed
d.
A 27-year-old client with a heart rate of 120 beats/min
ANS: D
Tachycardia can indicate hypoxemia as the body tries to circulate the oxygen that is
available. A barrel chest is not an emergency finding. Likewise, a pulse oximetry level of
92% is not considered an acute finding. Orthopnea at night in bed is breathlessness when
lying down but is not an acute finding at this moment.
DIF: Applying TOP: Integrated Process: Nursing Process: Assessment
KEY: Respiratory distress, Nursing assessment
MSC: Client Needs Category: Safe and Effective Care Environment: Management of Care
2. A nurse cares for a client with arthritis who reports frequent asthma attacks. What action
would the nurse take first?
a.
Review the client’s pulmon ar y f un c tio n t es t r e su lts.
b. G R isAcurrently
Ask about medications the client D E Staking.
L AB . C O M
c.
Assess how frequently the client uses a bronchodilator.
d.
Consult the primary health care provider and request arterial blood gases.
ANS: B
Aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs) can trigger asthma in
some people. This results from increased production of leukotriene when aspirin or NSAIDs
suppress other inflammatory pathways and is a likely culprit given the client’s history.
Reviewing pulmonary function test results will not address the immediate problem of
frequent asthma attacks. This is a good time to review response to bronchodilators, but
assessing triggers is more important. Questioning the client about the use of bronchodilators
will address interventions for the attacks but not their cause. Reviewing arterial blood gas
results would not be of use in a client between attacks because many clients are
asymptomatic when not having attacks.
DIF: Applying TOP: Integrated Process: Nursing Process: Assessment
KEY: Respiratory distress, Adverse medication effects
MSC: Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies
3. After teaching a client who is prescribed a long-acting beta2 agonist medication, a nurse
assesses the client’s understanding. Which statement indicates that the client comprehends
the teaching?
a.
“I will carry this medication with me at all times in case I need it.”
b.
“I will take this medication when I start to experience an asthma attack.”
Chapter 27 notes
Care Management (Keiser
University)
, lOMoARcPSD|3013804
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
Chapter 27: Concepts of Care for Patients With Noninfectious Lower Respiratory
Problems
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A nurse assesses several clients who have a history of respiratory disorders. Which
client would the nurse assess first?
a.
A 66-year-old client with a barrel chest and clubbed fingernails
b.
A 48-year-old client with an oxygen saturation level of 92% at rest
c.
A 35-year-old client who reports orthopnea in bed
d.
A 27-year-old client with a heart rate of 120 beats/min
ANS: D
Tachycardia can indicate hypoxemia as the body tries to circulate the oxygen that is
available. A barrel chest is not an emergency finding. Likewise, a pulse oximetry level of
92% is not considered an acute finding. Orthopnea at night in bed is breathlessness when
lying down but is not an acute finding at this moment.
DIF: Applying TOP: Integrated Process: Nursing Process: Assessment
KEY: Respiratory distress, Nursing assessment
MSC: Client Needs Category: Safe and Effective Care Environment: Management of Care
2. A nurse cares for a client with arthritis who reports frequent asthma attacks. What action
would the nurse take first?
a.
Review the client’s pulmon ar y f un c tio n t es t r e su lts.
b. G R isAcurrently
Ask about medications the client D E Staking.
L AB . C O M
c.
Assess how frequently the client uses a bronchodilator.
d.
Consult the primary health care provider and request arterial blood gases.
ANS: B
Aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs) can trigger asthma in
some people. This results from increased production of leukotriene when aspirin or NSAIDs
suppress other inflammatory pathways and is a likely culprit given the client’s history.
Reviewing pulmonary function test results will not address the immediate problem of
frequent asthma attacks. This is a good time to review response to bronchodilators, but
assessing triggers is more important. Questioning the client about the use of bronchodilators
will address interventions for the attacks but not their cause. Reviewing arterial blood gas
results would not be of use in a client between attacks because many clients are
asymptomatic when not having attacks.
DIF: Applying TOP: Integrated Process: Nursing Process: Assessment
KEY: Respiratory distress, Adverse medication effects
MSC: Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies
3. After teaching a client who is prescribed a long-acting beta2 agonist medication, a nurse
assesses the client’s understanding. Which statement indicates that the client comprehends
the teaching?
a.
“I will carry this medication with me at all times in case I need it.”
b.
“I will take this medication when I start to experience an asthma attack.”
