RESPIRATORY QUESTIONS ASTHMA COPD CF NCLEX AND
VERIFIED CORRECT ANSWERS VERIFIED LATEST UPDATE
6. The nurse identifies the nursing diagnosis of activity intolerance for a patient
with asthma. A common etiologic factor for this nursing diagnosis in patients
with asthma is
a. anxiety about dyspnea.
b. side effects of medications.
c. work of breathing.
d. fear of suffocation.
C
Rationale: The activity intolerance patients with asthma experience is related to the
increased effort needed to breathe when airways are inflamed and narrowed and
interventions are focused on decreasing inflammation and bronchoconstriction. The
other listed etiologies are not as appropriate for this diagnosis but would be appropriate
for diagnoses seen in patients with asthma, such as social isolation, knowledge deficit,
and anxiety.
Cognitive Level: Application Text Reference: pp. 612, 624
Nursing Process: Diagnosis NCLEX: Physiological Integrity
7. Which finding would be the best indication to the nurse that the patient having
an acute asthma attack was responding to the prescribed bronchodilator
,therapy?
a. Wheezes are more easily heard.
b. The oxygen saturation is 89%.
c. Vesicular breath sounds resolve.
d. The respiratory effort decreases.
A
Rationale: Louder wheezes indicate that more air is moving through the airways and
that the bronchodilator therapy is working. An oxygen saturation level less than 90%
indicates continued hypoxemia. Vesicular breath sounds are normal. A decreased
respiratory effort may indicate that the patient is becoming too fatigued to breathe
effectively and needs mechanical ventilation.
Cognitive Level: Application Text Reference: p. 617
Nursing Process: Evaluation NCLEX: Physiological Integrity
8. A patient who has mild persistent asthma uses an albuterol (Proventil) inhaler
for chest tightness and wheezing has a new prescription for cromolyn (Intal). To
increase the patient's management and control of the asthma, the nurse should
teach the patient to
a. use the cromolyn when the albuterol does not relieve symptoms.
b. use the cromolyn to prevent inflammatory airway changes.
c. administer the cromolyn first for chest tightness or wheezing.
d. administer the albuterol regularly to prevent airway inflammation.
, B
Rationale: Cromolyn is prescribed to reduce airway inflammation. It takes several weeks
for maximal effect and is not used to treat acute asthma symptoms Albuterol is used as
a rescue medication in mild persistent asthma and will not decrease inflammation.
Cognitive Level: Application Text Reference: p. 620
Nursing Process: Implementation NCLEX: Physiological Integrity
9. During assessment of a patient with a history of asthma, the nurse notes
wheezing and dyspnea. The nurse will anticipate giving medications to reduce
a. laryngospasm.
b. pulmonary edema.
c. airway narrowing.
d. alveolar distention.
C
Rationale: The symptoms of asthma are caused by inflammation and spasm of the
bronchioles, leading to airway narrowing. Treatment for laryngospasm or pulmonary
edema would not be appropriate. There are no medications used to treat alveolar
distention.
Cognitive Level: Comprehension Text Reference: pp. 608, 611-612
Nursing Process: Assessment NCLEX: Physiological Integrity
10. A patient with an acute attack of asthma comes to the emergency department,
where ABGs are drawn. The nurse determines the patient is in the early phase of
VERIFIED CORRECT ANSWERS VERIFIED LATEST UPDATE
6. The nurse identifies the nursing diagnosis of activity intolerance for a patient
with asthma. A common etiologic factor for this nursing diagnosis in patients
with asthma is
a. anxiety about dyspnea.
b. side effects of medications.
c. work of breathing.
d. fear of suffocation.
C
Rationale: The activity intolerance patients with asthma experience is related to the
increased effort needed to breathe when airways are inflamed and narrowed and
interventions are focused on decreasing inflammation and bronchoconstriction. The
other listed etiologies are not as appropriate for this diagnosis but would be appropriate
for diagnoses seen in patients with asthma, such as social isolation, knowledge deficit,
and anxiety.
Cognitive Level: Application Text Reference: pp. 612, 624
Nursing Process: Diagnosis NCLEX: Physiological Integrity
7. Which finding would be the best indication to the nurse that the patient having
an acute asthma attack was responding to the prescribed bronchodilator
,therapy?
a. Wheezes are more easily heard.
b. The oxygen saturation is 89%.
c. Vesicular breath sounds resolve.
d. The respiratory effort decreases.
A
Rationale: Louder wheezes indicate that more air is moving through the airways and
that the bronchodilator therapy is working. An oxygen saturation level less than 90%
indicates continued hypoxemia. Vesicular breath sounds are normal. A decreased
respiratory effort may indicate that the patient is becoming too fatigued to breathe
effectively and needs mechanical ventilation.
Cognitive Level: Application Text Reference: p. 617
Nursing Process: Evaluation NCLEX: Physiological Integrity
8. A patient who has mild persistent asthma uses an albuterol (Proventil) inhaler
for chest tightness and wheezing has a new prescription for cromolyn (Intal). To
increase the patient's management and control of the asthma, the nurse should
teach the patient to
a. use the cromolyn when the albuterol does not relieve symptoms.
b. use the cromolyn to prevent inflammatory airway changes.
c. administer the cromolyn first for chest tightness or wheezing.
d. administer the albuterol regularly to prevent airway inflammation.
, B
Rationale: Cromolyn is prescribed to reduce airway inflammation. It takes several weeks
for maximal effect and is not used to treat acute asthma symptoms Albuterol is used as
a rescue medication in mild persistent asthma and will not decrease inflammation.
Cognitive Level: Application Text Reference: p. 620
Nursing Process: Implementation NCLEX: Physiological Integrity
9. During assessment of a patient with a history of asthma, the nurse notes
wheezing and dyspnea. The nurse will anticipate giving medications to reduce
a. laryngospasm.
b. pulmonary edema.
c. airway narrowing.
d. alveolar distention.
C
Rationale: The symptoms of asthma are caused by inflammation and spasm of the
bronchioles, leading to airway narrowing. Treatment for laryngospasm or pulmonary
edema would not be appropriate. There are no medications used to treat alveolar
distention.
Cognitive Level: Comprehension Text Reference: pp. 608, 611-612
Nursing Process: Assessment NCLEX: Physiological Integrity
10. A patient with an acute attack of asthma comes to the emergency department,
where ABGs are drawn. The nurse determines the patient is in the early phase of
