Chapter 33--Obstructive Pulmonary Disease: Nursing Management

Chapter 33–Obstructive Pulmonary Disease: Nursing Management

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A client states, “I don’t know why I should quit smoking. It can’t improve anything.” The nurse responds by informing the client about the decrease in lung cancer rates over time after a person quits smoking. Which of the following is correct?

ANS:  4

Ten years after quitting smoking, the client’s lung cancer rate will correspond to a nonsmoker’s rate. After 1 year of no smoking, the risk of coronary heart disease decreases to half that of a smoker. After 2 years of no smoking, the risk of coronary heart disease equals that of a nonsmoker. After 5 years of no smoking, the lung cancer rate drops by half.

PTS:   1                    DIF:    Apply

REF:   Table 33-4 Changes in Physiological Function of Patients after Smoking Cessation

2. A client has been smoking for the last 40 years and has a history of emphysema. Which of the following findings would the nurse not expect to find?

ANS:  3

The FEV₁ does not increase; it decreases. The FVC does decrease, and the client can exhibit increased anterior-posterior chest diameter and pursed lip breathing.

PTS:   1                    DIF:    Apply

REF:   Chronic Obstructive Pulmonary Disease: Assessment with Clinical Manifestations

3. A client is being treated for exacerbation of chronic obstructive pulmonary disease. Which of the following nursing interventions will the nurse expect to be completed?

ANS:  1

Oxygen for a client diagnosed with COPD should be low flow so as not to diminish the client’s drive to breath. Fluids are encouraged, and activities should be interspersed with rest periods so the client will not become overtired. Isolation is not necessary at this time.

PTS:   1                    DIF:    Apply

REF:   Chronic Obstructive Pulmonary Disease: Oxygen Therapy

4. A client has been diagnosed with chronic obstructive pulmonary disease. Which of the following nursing diagnoses would be the most important at this time?

ANS:  3

Airway and breathing are always a top priority for a client. Once gas exchange is ensured for the client, the other diagnoses of activity intolerance and nutrition imbalance can be addressed. Anxiety would be addressed last for this client.

PTS:   1                    DIF:    Apply

REF:   Chronic Obstructive Pulmonary Disease: Nursing Diagnoses

5. The nurse is caring for a client who has completed pulmonary function testing. Which of the following indicates the amount of air inhaled or exhaled with each breath during normal breathing?

ANS:  3

Tidal volume is the amount of air inhaled or exhaled with each breath during normal breathing. The expiratory reserve volume is the maximum amount of air exhaled forcefully after a normal exhalation. Minute volume is the amount of air breathed per minute. Vital capacity is the maximum amount of air exhaled after maximum inspiration.

PTS:   1                    DIF:    Analyze

REF:   Table 33-3 Pulmonary Function Spirometry Measures