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LEWIS MEDICAL SURGICAL NURSING, 10TH EDITION:TEST BANK - LEWIS MEDICAL SURGICAL NURSING, 10TH EDITION CHAPTER 1-68 EXAM WITH VERIFIED QUESTIONS AND COMPLETE 100%CORRECT ANSWERS WITH VERIFIED AND WELL EXPLAINED RATIONALES ALREADY GRADED A+ BY EXPERTS|LATE$8.99
LEWIS MEDICAL SURGICAL NURSING, 10TH EDITION:TEST BANK - LEWIS MEDICAL SURGICAL NURSING, 10TH EDITION CHAPTER 1-68 EXAM WITH VERIFIED QUESTIONS AND COMPLETE 100%CORRECT ANSWERS WITH VERIFIED AND WELL EXPLAINED RATIONALES ALREADY GRADED A+ BY EXPERTS|LATE
LEWIS MEDICAL SURGICAL NURSING, 10TH EDITION:TEST BANK - LEWIS MEDICAL SURGICAL NURSING, 10TH EDITION CHAPTER 1-68 EXAM WITH VERIFIED QUESTIONS AND COMPLETE 100%CORRECT ANSWERS WITH VERIFIED AND WELL EXPLAINED RATIONALES ALREADY GRADED A+ BY EXPERTS|LATEST VERSION 2024 WITH GUARANTEED SUCCESS AFTE...
LEWIS MEDICAL SURGICAL NURSING,
10TH EDITION:TEST BANK - LEWIS
MEDICAL SURGICAL NURSING, 10TH
EDITION CHAPTER 1-68 EXAM WITH
VERIFIED QUESTIONS AND COMPLETE
100%CORRECT ANSWERS WITH
VERIFIED AND WELL EXPLAINED
RATIONALES ALREADY GRADED A+ BY
EXPERTS|LATEST VERSION 2024 WITH
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, Chapter 01: Professional Nursing Practice
Lewis: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
A patient hospitalized with chronic obstructive pulmonary disease (COPD) is being discharged
home on O2 therapy. Which instruction should the nurse include in the discharge teaching?
a. Travel is not possible with the use of O2 devices.
b. O2 flow should be increased if the patient has more dyspnea.
c. O2 use can improve the patient's prognosis and quality of life.
d. Storage of O2 requires large metals tanks that each last 4 to 6 hours.
c. O2 use can improve the patient's prognosis and quality of life.
A patient is receiving 35% O2 via a Venturi mask. To ensure the correct amount of O2 delivery,
which action by the nurse is important?
a. Teach the patient to keep the mask on during meals.
b. Keep the air entrainment ports clean and unobstructed.
c. Give a high enough flow rate to keep the bag from collapsing.
d. Drain moisture condensation from the corrugated tubing every hour.
b. Keep the air entrainment ports clean and unobstructed.
The air entrainment ports regulate the O2 percentage delivered to the patient, so they must be
unobstructed.
Postural drainage with percussion and vibration is ordered twice daily for a patient with chronic
bronchitis. Which intervention should the nurse include in the plan of care?
a. Schedule the procedure 1 hour after the patient eats.
b. Maintain the patient in the lateral position for 20 minutes.
c. Give the prescribed albuterol (Ventolin HFA) before the therapy.
d. Perform percussion before assisting the patient to the drainage position.
c. Give the prescribed albuterol (Ventolin HFA) before the therapy.
Bronchodilators are administered before chest physiotherapy.
The nurse develops a teaching plan to help increase activity tolerance at home for an older
adult with severe chronic obstructive pulmonary disease (COPD). Which instructions would be
appropriate for the nurse to include in the plan of care?
a. Stop exercising when you feel short of breath.
b. Walk until pulse rate exceeds 130 beats/minute.
c. Limit exercise to activities of daily living (ADLs).
d. Walk 15 to 20 minutes a day at least 3 times/week.
d. Walk 15 to 20 minutes a day at least 3 times/week.
, A patient with severe chronic obstructive pulmonary disease (COPD) tells the nurse, "I wish I
were dead! I'm just a burden on everybody." Based on this information, which nursing diagnosis
is most appropriate?
a. Complicated grieving related to expectation of death
b. Chronic low self-esteem related to physical dependence
c. Ineffective coping related to unknown outcome of illness
d. Deficient knowledge related to lack of education about COPD
b. Chronic low self-esteem related to physical dependence
A patient with chronic obstructive pulmonary disease (COPD) has poor gas exchange. Which
action by the nurse would support the patient's ventilation?
a. Have the patient rest in bed with the head elevated to 15 to 20 degrees.
b. Encourage the patient to sit up at the bedside in a chair and lean forward.
c. Ask the patient to rest in bed in a high-Fowler's position with the knees flexed.
d. Place the patient in the Trendelenburg position with pillows behind the head.
b. Encourage the patient to sit up at the bedside in a chair and lean forward.
Patients with COPD improve the mechanics of breathing by sitting up in the "tripod" position.
A 55-yr-old patient with increasing dyspnea is being evaluated for a possible diagnosis of chronic
obstructive pulmonary disease (COPD). When teaching a patient about pulmonary spirometry
for this condition, what is the most important question the nurse should ask?
a. "Are you claustrophobic?"
b. "Are you allergic to shellfish?"
c. "Have you taken any bronchodilators today?"
d. "Do you have any metal implants or prostheses?"
c. "Have you taken any bronchodilators today?"
A young adult patient with cystic fibrosis (CF) is admitted to the hospital with increased
dyspnea. Which intervention should the nurse include in the plan of care?
a. Schedule a sweat chloride test.
b. Arrange for a hospice nurse visit.
c. Place the patient on a low-sodium diet.
d. Perform chest physiotherapy every 4 hours.
d. Perform chest physiotherapy every 4 hours.
Routine scheduling of airway clearance techniques is an essential intervention for patients with
CF.
A patient in the clinic with cystic fibrosis (CF) reports increased sweating and weakness during
the summer months. Which action by the nurse would be most appropriate?
a. Teach the patient signs of hypoglycemia.
b. Have the patient add dietary salt to meals.
c. Suggest decreasing intake of dietary fat and calories.
d. Instruct the patient about pancreatic enzyme replacements.
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