Brunner & Suddarth's Textbook of Medical-Surgical Nursing 13e Edition
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 13e Edition
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Chapter 24 Brunner & Suddarth’s Textbook of Medical-Surgical Nursing 13e Edition
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A clinic nurse is caring for a patient who has just been diagnosed with chronic obstructive pulmonary disease (COPD). The patient asks the nurse what he could have done to minimize the risk of contracting this disease. What would be the nurse’s best answer? | |
| A) | “The most important risk factor for COPD is exposure to occupational toxins.” | |
| B) | “The most important risk factor for COPD is inadequate exercise.” | |
| C) | “The most important risk factor for COPD is exposure to dust and pollen.” | |
| D) | “The most important risk factor for COPD is cigarette smoking.” | |
| Ans: | D | |
| Feedback: | ||
| The most important risk factor for COPD is cigarette smoking. Lack of exercise and exposure to dust and pollen are not risk factors for COPD. Occupational risks are significant but are far exceeded by smoking. | ||
| 2. | A nurse is creating a health promotion intervention focused on chronic obstructive pulmonary disease (COPD). What should the nurse identify as a complication of COPD? | |
| A) | Lung cancer | |
| B) | Cystic fibrosis | |
| C) | Respiratory failure | |
| D) | Hemothorax | |
| Ans: | C | |
| Feedback: | ||
| Complications of COPD include respiratory failure, pneumothorax, atelectasis, pneumonia, and pulmonary hypertension (corpulmonale). Lung cancer, cystic fibrosis, and hemothorax are not common complications. | ||
| 3. | A nurse is caring for a young adult patient whose medical history includes an alpha1-antitrypsin deficiency. This deficiency predisposes the patient to what health problem? | |
| A) | Pulmonary edema | |
| B) | Lobular emphysema | |
| C) | Cystic fibrosis (CF) | |
| D) | Empyema | |
| Ans: | B | |
| Feedback: | ||
| A host risk factor for COPD is a deficiency of alpha1-antitrypsin, an enzyme inhibitor that protects the lung parenchyma from injury. This deficiency predisposes young patients to rapid development of lobular emphysema even in the absence of smoking. This deficiency does not influence the patient’s risk of pulmonary edema, CF, or empyema. | ||
| 4. | The nurse is assessing a patient whose respiratory disease in characterized by chronic hyperinflation of the lungs. What would the nurse most likely assess in this patient? | |
| A) | Signs of oxygen toxicity | |
| B) | Chronic chest pain | |
| C) | A barrel chest | |
| D) | Long, thin fingers | |
| Ans: | C | |
| Feedback: | ||
| In COPD patients with a primary emphysematous component, chronic hyperinflation leads to the barrel chest thorax configuration. The nurse most likely would not assess chest pain or long, thin fingers; these are not characteristic of emphysema. The patient would not show signs of oxygen toxicity unless he or she received excess supplementary oxygen. | ||
| 5. | A patient with emphysema is experiencing shortness of breath. To relieve this patient’s symptoms, the nurse should assist her into what position? | |
| A) | Sitting upright, leaning forward slightly | |
| B) | Low Fowler’s, with the neck slightly hyperextended | |
| C) | Prone | |
| D) | Trendelenburg | |
| Ans: | A | |
| Feedback: | ||
| The typical posture of a person with COPD is to lean forward and use the accessory muscles of respiration to breathe. Low Fowler’s positioning would be less likely to aid oxygenation. Prone or Trendelenburg positioning would exacerbate shortness of breath. | ||
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