Medical Surgical Nursing Study Guide Ignatavicius Ch. 30
1. What is the priority medical-surgical concept for patients with
noninfectious lower respiratory problems such as emphysema?
a. perfusion
b. gas exchange
c. cellular regulation
d. tissue integrity: b. gas exchange
2. Which of the following are characteristics of chronic pulmonary
emphyse- ma? Select all that apply.
a. Decreased surface area of alveoli
b. chronic thickening of bronchial walls
c. high arterial oxygen level
d. hypercapnia
e. ABGs show chronic respiratory acidosis
f. increased eosinophils: a. decreased surface area of alveoli
d. hypercapnia
e. ABGs show chronic respiratory acidosis
3. Which are characteristics of asthma? Select all that apply.
a. narrowed airway lumen due to inflammation
b. increased eosinophils
c. increased secretions
d. intermittent bronchospasm
e. loss of elastic recoil
f. stimulation of disease process by allergies: a. narrowed airway lumen
, Medical Surgical Nursing Study Guide Ignatavicius Ch. 30
due to inflammation
b. increased eosinophils
d. intermittent bronchospasm
f. stimulation of disease process by allergies
4. The nurse is caring for an older adult patient with a chronic respiratory
disorder. Which interventions are best to use in caring for this patient?
Select all that apply.
a. Provide rest periods between activities such as bathing, meals, and
ambu- lation.
b. Place the patient in a supine position after meals to allow for rest.
c. Schedule drug administration around routine activities to increase
adher- ence to drug therapy.
d. Arrange chairs in strategic locations to allow the patient to walk and rest.
e. Teach the patient to avoid getting the pneumococcal vaccine.
f. Encourage the patient to have an annual flu vaccination.: a. Provide
rest periods between activities such as bathing, meals, and
ambulation.
c. Schedule drug administration around routine activities to increase
adherence to drug therapy.
d. Arrange chairs in strategic locations to allow the patient to walk and
rest.
f. Encourage the patient to have an annual flu vaccination.
5. The nurse is caring for an older adult patient with a history of chronic
asthma. Which problem related to aging can influence the care and
, Medical Surgical Nursing Study Guide Ignatavicius Ch. 30
treatment of this patient?
a. Asthma usually resolves with age, so the condition is less severe in
older adult patients.
b. It is more difficult to teach older adult patients about asthma than to
teach younger patients.
c. With aging, the beta-adrenergic drugs do not work as effectively.
d. Older adult patients have difficulty manipulating handheld inhalers.: c.
With aging, the beta-adrenergic drugs do not work as effectively.
6. A patient with COPD is likely to have which findings on assessment?
Select all that apply.
a. Body odor and unkempt hair.
b. Sitting in a chair leaning forward with elbows on knees.
c. unintentional weight gain.
d. decreased appetite.
e. unexplained weight loss
f. crooked fingers: a. Body odor and unkempt hair.
b. Sitting in a chair leaning forward with elbows on knees.
d. decreased appetite.
e. unexplained weight loss
7. The nurse is helping a patient learn about managing her asthma. What
does the nurse instruct the patient to do?
a. keep a symptom diary to identify what triggers the asthma attack
b. make an appointment with an allergist for allergy therapy
, Medical Surgical Nursing Study Guide Ignatavicius Ch. 30
c. take a low dose of aspirin every day for the anti-inflammatory action
d. drink large amounts of clear fluid to keep mucus thin and watery.: a. keep
a symptom diary to identify what triggers the asthma attack
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