Exam (elaborations)

Respiratory questions unit 2 nur1130 with complete solutions

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2024/2025

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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 res...

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respiratory questions unit 2 nur1130 with complete

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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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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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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

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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.

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