Med Surge Success Book
CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)
PG. 213 - 215
25. The nurse is assessing the client with COPD. Which health promotion
information is most important for the nurse to obtain?
1. Number of years the client has smoked.
2. Risk factors for complications.
3. Ability to administer inhaled medication.
4. Willingness to modify lifestyle.
26. The client diagnosed with an exacerbation of COPD is in respiratory distress.
Which intervention should the nurse implement first?
1. Assist the client into a sitting position at 90 degrees.
2. Administer oxygen at six (6) LPM via nasal cannula.
3. Monitor vital signs with the client sitting upright.
4. Notify the health-care provider about the client’s status.
27. The nurse is assessing the client diagnosed with COPD. Which data require
immediate intervention by the nurse?
1. Large amounts of thick white sputum.
2. Oxygen flowmeter set on eight (8) liters.
3. Use of accessory muscles during inspiration.
4. Presence of a barrel chest and dyspnea.
28. The nurse is caring for the client diagnosed with COPD. Which outcome requires a
revision in the plan of care?
1. The client has no signs of respiratory distress.
2. The client shows an improved respiratory pattern.
3. The client demonstrates intolerance to activity.
4. The client participates in establishing goals.
29. The nurse is caring for the client diagnosed with end-stage COPD. Which data warrant
immediate intervention by the nurse?
1. The client’s pulse oximeter reading is 92%.
2. The client’s arterial blood gas level is 74.
3. The client has SOB when walking to the bathroom.
4. The client’s sputum is rusty colored.
30. Which statement made by the client diagnosed with chronic bronchitis indicates to
the nurse more teaching is required?
1. “I should contact my health-care provider if my sputum changes color or amount.”
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, Med Surge Success Book
2. “I will take my bronchodilator regularly to prevent having bronchospasms.”
3. “This metered-dose inhaler gives a precise amount of medication with each
dose.”
4. “I need to return to the HCP to have my blood drawn with my annual
physical.”
31. Which client problems are appropriate for the nurse to include in the plan of care for
the client diagnosed with COPD? Select all that apply.
1. Impaired gas exchange.
2. Inability to tolerate temperature extremes.
3. Activity intolerance.
4. Inability to cope with changes in roles. 5. Alteration in nutrition.
32. Which outcome is appropriate for the client problem “ineffective gas exchange” for
the client recently diagnosed with COPD?
1. The client demonstrates the correct way to pursed-lip breathe.
2. The client lists three (3) signs/symptoms to report to the HCP.
3. The client will drink at least 2,500 mL of water daily.
4. The client will be able to ambulate 100 feet with dyspnea.
33. The nurse observes the unlicensed assistive personnel (UAP) removing the nasal
cannula from the client diagnosed with COPD while ambulating the client to the
bathroom. Which action should the nurse implement?
1. Praise the UAP since this prevents the client from tripping on the oxygen tubing. 2.
Place the oxygen back on the client while sitting in the bathroom and say nothing.
3. Explain to the UAP in front of the client oxygen must be left in place at all times. 4.
Discuss the UAP’s action with the charge nurse so appropriate action can be taken.
34. Which clinical manifestation should the nurse expect to assess in the client recently
diagnosed with COPD?
1. Clubbing of the client’s fingers.
2. Infrequent respiratory infections.
3. Chronic sputum production.
4. Nonproductive hacking cough.
35. Which statement made by the client indicates the nurse’s discharge teaching is
effective for the client diagnosed with COPD?
1. “I need to get an influenza vaccine each year, even when there is a shortage.”
2. “I need to get a vaccine for pneumonia each year with my influenza shot.”
3. “If I reduce my cigarettes to six (6) a day, I won’t have difficulty breathing.”
4. “I need to restrict my drinking liquids to keep from having so much phlegm.”
This study source was downloaded by 100000869267694 from CourseHero.com on 08-02-2023 16:20:42 GMT -05:00
https://www.coursehero.com/file/22375599/COPD-Questions/
CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)
PG. 213 - 215
25. The nurse is assessing the client with COPD. Which health promotion
information is most important for the nurse to obtain?
1. Number of years the client has smoked.
2. Risk factors for complications.
3. Ability to administer inhaled medication.
4. Willingness to modify lifestyle.
26. The client diagnosed with an exacerbation of COPD is in respiratory distress.
Which intervention should the nurse implement first?
1. Assist the client into a sitting position at 90 degrees.
2. Administer oxygen at six (6) LPM via nasal cannula.
3. Monitor vital signs with the client sitting upright.
4. Notify the health-care provider about the client’s status.
27. The nurse is assessing the client diagnosed with COPD. Which data require
immediate intervention by the nurse?
1. Large amounts of thick white sputum.
2. Oxygen flowmeter set on eight (8) liters.
3. Use of accessory muscles during inspiration.
4. Presence of a barrel chest and dyspnea.
28. The nurse is caring for the client diagnosed with COPD. Which outcome requires a
revision in the plan of care?
1. The client has no signs of respiratory distress.
2. The client shows an improved respiratory pattern.
3. The client demonstrates intolerance to activity.
4. The client participates in establishing goals.
29. The nurse is caring for the client diagnosed with end-stage COPD. Which data warrant
immediate intervention by the nurse?
1. The client’s pulse oximeter reading is 92%.
2. The client’s arterial blood gas level is 74.
3. The client has SOB when walking to the bathroom.
4. The client’s sputum is rusty colored.
30. Which statement made by the client diagnosed with chronic bronchitis indicates to
the nurse more teaching is required?
1. “I should contact my health-care provider if my sputum changes color or amount.”
This study source was downloaded by 100000869267694 from CourseHero.com on 08-02-2023 16:20:42 GMT -05:00
https://www.coursehero.com/file/22375599/COPD-Questions/
, Med Surge Success Book
2. “I will take my bronchodilator regularly to prevent having bronchospasms.”
3. “This metered-dose inhaler gives a precise amount of medication with each
dose.”
4. “I need to return to the HCP to have my blood drawn with my annual
physical.”
31. Which client problems are appropriate for the nurse to include in the plan of care for
the client diagnosed with COPD? Select all that apply.
1. Impaired gas exchange.
2. Inability to tolerate temperature extremes.
3. Activity intolerance.
4. Inability to cope with changes in roles. 5. Alteration in nutrition.
32. Which outcome is appropriate for the client problem “ineffective gas exchange” for
the client recently diagnosed with COPD?
1. The client demonstrates the correct way to pursed-lip breathe.
2. The client lists three (3) signs/symptoms to report to the HCP.
3. The client will drink at least 2,500 mL of water daily.
4. The client will be able to ambulate 100 feet with dyspnea.
33. The nurse observes the unlicensed assistive personnel (UAP) removing the nasal
cannula from the client diagnosed with COPD while ambulating the client to the
bathroom. Which action should the nurse implement?
1. Praise the UAP since this prevents the client from tripping on the oxygen tubing. 2.
Place the oxygen back on the client while sitting in the bathroom and say nothing.
3. Explain to the UAP in front of the client oxygen must be left in place at all times. 4.
Discuss the UAP’s action with the charge nurse so appropriate action can be taken.
34. Which clinical manifestation should the nurse expect to assess in the client recently
diagnosed with COPD?
1. Clubbing of the client’s fingers.
2. Infrequent respiratory infections.
3. Chronic sputum production.
4. Nonproductive hacking cough.
35. Which statement made by the client indicates the nurse’s discharge teaching is
effective for the client diagnosed with COPD?
1. “I need to get an influenza vaccine each year, even when there is a shortage.”
2. “I need to get a vaccine for pneumonia each year with my influenza shot.”
3. “If I reduce my cigarettes to six (6) a day, I won’t have difficulty breathing.”
4. “I need to restrict my drinking liquids to keep from having so much phlegm.”
This study source was downloaded by 100000869267694 from CourseHero.com on 08-02-2023 16:20:42 GMT -05:00
https://www.coursehero.com/file/22375599/COPD-Questions/
