Adult Health Chapter 27 vocab and NCLEX
questions
Which action will the nurse teach an older client with a respiratory problem to make as an
accommodation to promote adequate gas exchange?
1. Notify your primary health care provider at the first sign of respiratory infection.
2. If you must walk any distance in cool weather move quickly to keep warm.
3. Replace at least one meal each day with a high-calorie liquid food supplement.
4. Avoid any nonessential physical activity or exercise.
3. Replace at least one meal each day with a high-calorie liquid food supplement.
How will the nurse categorize the level of asthma control for a client who reports usually waking at night
with wheezing once weekly and needing to use the prescribed reliever inhaler to stop the episode?
1. Minimally controlled
2. Partly controlled
3. Controlled
4. Uncontrolled
2. Partly controlled
What is the priority action for the nurse to take when a client comes to the emergency department with
extremely labored breathing and a history of asthma that is unresponsive to prescribed inhalers?
1. Establishing IV access to give emergency medications.
2. Asking the client how long he or she has had asthma and what triggered this attack
3. Preparing the client for intubation
4. Placing the client in a high-Fowler position, and starting oxygen
,4. Placing the client in a high-Fowler position, and starting oxygen
Which statement made by a client prescribed a reliever drug inhaler for asthma indicates to the nurse
correct understanding of this therapy?
1. "If I forget a dose, I will use the inhaler as soon as I remember it."
2. "At night, I will be sure to store the inhaler in a cool, dry place."
3. "I will keep this inhaler with me at all times."
4. "Reliever drugs are needed to prevent asthma attacks."
3. "I will keep this inhaler with me at all times."
Which assessment findings in a client with asthma indicate to the nurse that the client's asthma
condition is deteriorating and progressing toward respiratory failure?
1. Audible wheezing with use of accessory muscles on inhalation
2. Crackles, rhonchi, and productive cough with yellow sputum
3. Tachypnea, thick and tenacious sputum, and hemoptysis
4. Respiratory alkalosis; slow, shallow respiratory rate
1. Audible wheezing with use of accessory muscles on inhalation
Which outcome indicates to the nurse that oxygen therapy for the client with chronic obstructive
pulmonary disease (COPD) who has hypoxemia and hypercarbia is effective?
1. PCO2 is within normal range.
2. Finger clubbing has resolved.
3. Client reports decreased distress.
4. SpO2 is between 88% and 90%.
4. SpO2 is between 88% and 90%.
, Which action will the nurse teach a client with chronic bronchitis to use to mobilize secretions?
1. Drinking at least 2 L of fluid daily
2. Avoiding triggers that cause coughing
3. Elevating the head of the bed 45 degrees
4. Assuming the tripod position as often as possible
1. Drinking at least 2 L of fluid daily
Which action is most important for a nurse to take to prevent complications for a client with a history of
chronic obstructive pulmonary disease (COPD) is admitted for a surgical procedure that is unrelated to
the respiratory system?
1. Assessing the client’s respiratory system every 8 hours
2. Instructing the client to use a tissue when coughing or sneezing
3. Monitoring for signs and symptoms of pneumonia
4. Ensuring the client remains in bed for a full 24 hours after surgery
3. Monitoring for signs and symptoms of pneumonia
Which point is most important to prevent harm for the nurse to teach a client with chronic obstructive
pulmonary disease (COPD) who is being discharged on home oxygen therapy?
1. Correct performance when setting up the oxygen delivery system
2. Understanding the signs and symptoms of hypoxemia
questions
Which action will the nurse teach an older client with a respiratory problem to make as an
accommodation to promote adequate gas exchange?
1. Notify your primary health care provider at the first sign of respiratory infection.
2. If you must walk any distance in cool weather move quickly to keep warm.
3. Replace at least one meal each day with a high-calorie liquid food supplement.
4. Avoid any nonessential physical activity or exercise.
3. Replace at least one meal each day with a high-calorie liquid food supplement.
How will the nurse categorize the level of asthma control for a client who reports usually waking at night
with wheezing once weekly and needing to use the prescribed reliever inhaler to stop the episode?
1. Minimally controlled
2. Partly controlled
3. Controlled
4. Uncontrolled
2. Partly controlled
What is the priority action for the nurse to take when a client comes to the emergency department with
extremely labored breathing and a history of asthma that is unresponsive to prescribed inhalers?
1. Establishing IV access to give emergency medications.
2. Asking the client how long he or she has had asthma and what triggered this attack
3. Preparing the client for intubation
4. Placing the client in a high-Fowler position, and starting oxygen
,4. Placing the client in a high-Fowler position, and starting oxygen
Which statement made by a client prescribed a reliever drug inhaler for asthma indicates to the nurse
correct understanding of this therapy?
1. "If I forget a dose, I will use the inhaler as soon as I remember it."
2. "At night, I will be sure to store the inhaler in a cool, dry place."
3. "I will keep this inhaler with me at all times."
4. "Reliever drugs are needed to prevent asthma attacks."
3. "I will keep this inhaler with me at all times."
Which assessment findings in a client with asthma indicate to the nurse that the client's asthma
condition is deteriorating and progressing toward respiratory failure?
1. Audible wheezing with use of accessory muscles on inhalation
2. Crackles, rhonchi, and productive cough with yellow sputum
3. Tachypnea, thick and tenacious sputum, and hemoptysis
4. Respiratory alkalosis; slow, shallow respiratory rate
1. Audible wheezing with use of accessory muscles on inhalation
Which outcome indicates to the nurse that oxygen therapy for the client with chronic obstructive
pulmonary disease (COPD) who has hypoxemia and hypercarbia is effective?
1. PCO2 is within normal range.
2. Finger clubbing has resolved.
3. Client reports decreased distress.
4. SpO2 is between 88% and 90%.
4. SpO2 is between 88% and 90%.
, Which action will the nurse teach a client with chronic bronchitis to use to mobilize secretions?
1. Drinking at least 2 L of fluid daily
2. Avoiding triggers that cause coughing
3. Elevating the head of the bed 45 degrees
4. Assuming the tripod position as often as possible
1. Drinking at least 2 L of fluid daily
Which action is most important for a nurse to take to prevent complications for a client with a history of
chronic obstructive pulmonary disease (COPD) is admitted for a surgical procedure that is unrelated to
the respiratory system?
1. Assessing the client’s respiratory system every 8 hours
2. Instructing the client to use a tissue when coughing or sneezing
3. Monitoring for signs and symptoms of pneumonia
4. Ensuring the client remains in bed for a full 24 hours after surgery
3. Monitoring for signs and symptoms of pneumonia
Which point is most important to prevent harm for the nurse to teach a client with chronic obstructive
pulmonary disease (COPD) who is being discharged on home oxygen therapy?
1. Correct performance when setting up the oxygen delivery system
2. Understanding the signs and symptoms of hypoxemia
