©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Respiratory questions unit 2 nur1130 with
complete solutions
When instructing clients on how to decrease the risk of COPD, the nurse should emphasize which of the
following?
A.Participate regularly in aerobic exercises.
B.Maintain a high-protein diet.
C.Avoid exposure to people with known respiratory infections.
D.Abstain from cigarette smoking. - Ans:✔✔-D
>>Cigarette smoking is the primary cause of COPD. Other risk factors include exposure to environmental
pollutants and chronic asthma. Participating in an aerobic exercise program, although beneficial, will not
decrease the risk of COPD. Insufficient protein intake and exposure to people with respiratory infections
do not increase the risk of COPD.
The nurse teaches a client with COPD to assess for signs and symptoms of right-sided heart failure.
Which of the following signs and symptoms should be included in the teaching plan?
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FIRST PUBLISH OCTOBER 2024
A.Clubbing of nail beds.
B.Hypertension.
C.Peripheral edema.
D.Increase appetite. - Ans:✔✔-C
>>Right-sided heart failure is a complication of COPD that occurs because of pulmonary hypertension.
Signs and symptoms of right-sided heart failure include peripheral edema, jugular venous distention, and
weight gain due to increased fluid volume. Clubbing of nail beds is associated with conditions of chronic
hypoxemia. Hypertensions is associated with left-sided heart failure. Clients with heart failure have
decreased appetites.
The nurse is caring for a client hospitalized with acute exacerbation of chronic obstructive pulmonary
disease. Which findings would the nurse expect to note on assessment of this client? select all that
apply.
1. A low arterial pco2 level
2.A hyperinflated chest noted on the chest x-ray
3.Decreased oxygen saturation with mild exercise
4.A widened diaphragm noted on the chest x-ray
5.Pulmonary function tests that demonstrate increased vital capacity - Ans:✔✔-2,3
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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Clinical manifestations of chronic obstructive pulmonary disease include hypoxemia, hypercapnia,
dyspnea on exertion and at rest, oxygen desaturation with exercise and the use of accessory muscles of
respiration. Chest x ray reveal a hyperinflated chest and a flattened diaphragm if the disease is advanced.
Pulmonary function tests will demonstrate decreased vital capacity.
A patient is newly diagnosed with COPD due to chronic bronchitis. You're providing education to the
patient about this disease process. Which statement by the patient indicates they understood your
teaching about this condition?
A. "If I stop smoking, it will cure my condition."
B. "Complications from this condition can lead to pulmonary hypertension and right-sided heart failure."
C. "I'm at risk for low levels of red blood cells due to hypoxia and may require blood transfusions during
acute illnesses."
D. "My respiratory system is stimulated to breathe due to high carbon dioxide levels rather than low
oxygen levels. - Ans:✔✔-B
Chronic bronchitis is one type of COPD (chronic obstructive pulmonary disease). The inflamed bronchial
tubes produce a lot of mucus. This leads to coughing and difficulty breathing pulmonary hypertension
and right-sided heart failure. In cases of chronic bronchitis, however, the bronchial tubes are constantly
irritated and inflamed. For a person to be diagnosed with chronic (rather than acute) bronchitis their
Page 3/43
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
mucus-filled cough must last three months of the year for two years in a row. Breathing in air pollution,
fumes, or dust over a long period of time may also cause it.
The nurse reviews discharge instructions with a client who has advanced chronic obstructive pulmonary
disease. Which client statement indicates appropriate understanding? Select all that apply.
A."I need to take iron to prevent anemia."
B."I should report an increase in sputum."
C."I will eat a low-calorie diet."
D."I will get a pneumoccocal vaccine."
E."I will use albuterol if I am short of breath." - Ans:✔✔-B,D,E
The home care nurse is making an initial visit to a client just discharged after admission for severe
exacerbation of chronic obstructive pulmonary disease (COPD). The nurse observes wall-to-wall stacks of
old newspapers and magazines in every room, with pathways that just allow passage from one room to
another. What is the priority nursing action?
A.Call the mobile community mental health crisis unit.
B.Contact a service to remove the newspapers and magazines.
C.Reconcile the client's discharge medications.
Page 4/43
FIRST PUBLISH OCTOBER 2024
Respiratory questions unit 2 nur1130 with
complete solutions
When instructing clients on how to decrease the risk of COPD, the nurse should emphasize which of the
following?
A.Participate regularly in aerobic exercises.
B.Maintain a high-protein diet.
C.Avoid exposure to people with known respiratory infections.
D.Abstain from cigarette smoking. - Ans:✔✔-D
>>Cigarette smoking is the primary cause of COPD. Other risk factors include exposure to environmental
pollutants and chronic asthma. Participating in an aerobic exercise program, although beneficial, will not
decrease the risk of COPD. Insufficient protein intake and exposure to people with respiratory infections
do not increase the risk of COPD.
The nurse teaches a client with COPD to assess for signs and symptoms of right-sided heart failure.
Which of the following signs and symptoms should be included in the teaching plan?
Page 1/43
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
A.Clubbing of nail beds.
B.Hypertension.
C.Peripheral edema.
D.Increase appetite. - Ans:✔✔-C
>>Right-sided heart failure is a complication of COPD that occurs because of pulmonary hypertension.
Signs and symptoms of right-sided heart failure include peripheral edema, jugular venous distention, and
weight gain due to increased fluid volume. Clubbing of nail beds is associated with conditions of chronic
hypoxemia. Hypertensions is associated with left-sided heart failure. Clients with heart failure have
decreased appetites.
The nurse is caring for a client hospitalized with acute exacerbation of chronic obstructive pulmonary
disease. Which findings would the nurse expect to note on assessment of this client? select all that
apply.
1. A low arterial pco2 level
2.A hyperinflated chest noted on the chest x-ray
3.Decreased oxygen saturation with mild exercise
4.A widened diaphragm noted on the chest x-ray
5.Pulmonary function tests that demonstrate increased vital capacity - Ans:✔✔-2,3
Page 2/43
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Clinical manifestations of chronic obstructive pulmonary disease include hypoxemia, hypercapnia,
dyspnea on exertion and at rest, oxygen desaturation with exercise and the use of accessory muscles of
respiration. Chest x ray reveal a hyperinflated chest and a flattened diaphragm if the disease is advanced.
Pulmonary function tests will demonstrate decreased vital capacity.
A patient is newly diagnosed with COPD due to chronic bronchitis. You're providing education to the
patient about this disease process. Which statement by the patient indicates they understood your
teaching about this condition?
A. "If I stop smoking, it will cure my condition."
B. "Complications from this condition can lead to pulmonary hypertension and right-sided heart failure."
C. "I'm at risk for low levels of red blood cells due to hypoxia and may require blood transfusions during
acute illnesses."
D. "My respiratory system is stimulated to breathe due to high carbon dioxide levels rather than low
oxygen levels. - Ans:✔✔-B
Chronic bronchitis is one type of COPD (chronic obstructive pulmonary disease). The inflamed bronchial
tubes produce a lot of mucus. This leads to coughing and difficulty breathing pulmonary hypertension
and right-sided heart failure. In cases of chronic bronchitis, however, the bronchial tubes are constantly
irritated and inflamed. For a person to be diagnosed with chronic (rather than acute) bronchitis their
Page 3/43
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
mucus-filled cough must last three months of the year for two years in a row. Breathing in air pollution,
fumes, or dust over a long period of time may also cause it.
The nurse reviews discharge instructions with a client who has advanced chronic obstructive pulmonary
disease. Which client statement indicates appropriate understanding? Select all that apply.
A."I need to take iron to prevent anemia."
B."I should report an increase in sputum."
C."I will eat a low-calorie diet."
D."I will get a pneumoccocal vaccine."
E."I will use albuterol if I am short of breath." - Ans:✔✔-B,D,E
The home care nurse is making an initial visit to a client just discharged after admission for severe
exacerbation of chronic obstructive pulmonary disease (COPD). The nurse observes wall-to-wall stacks of
old newspapers and magazines in every room, with pathways that just allow passage from one room to
another. What is the priority nursing action?
A.Call the mobile community mental health crisis unit.
B.Contact a service to remove the newspapers and magazines.
C.Reconcile the client's discharge medications.
Page 4/43
