10 Questions | By Santepro | Last updated: Mar 20, 2022 | Total Attempts: 2475
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1.
A client with allergic rhinitis asks the nurse what he should do to decrease his symptoms. Which of the following instructions would be appropriate for the nurse to give the client?
A.
“Use your nasal decongestant spray regularly to help clear your nasal passages.”
B.
“Ask the doctor for antibiotics. Antibiotics will help decrease the secretion.”
C.
“It is important to increase your activity. A daily brisk walk will help promote drainage.”
D.
“Keep a diary if when your symptoms occur. This can help you identify what precipitates your attacks.”
2.
An elderly client has been ill with the flu. experiencing headache. fever. and chills. After 3 days. she develops a cough productive of yellow sputum. The nurse auscultates her lungs and hears diffuse crackles. How would the nurse best interpret these assessment findings?
A.
It is likely that the client is developing a secondary bacterial pneumonia.
B.
The assessment findings are consistent with influenza and are to be expected.
C.
The client is getting dehydrated and needs to increase her fluid intake to decrease secretions.
D.
The client has not been taking her decongestants and bronchodilators as prescribed.
3.
Guaifenesin 300 mg four times daily has been ordered as an expectorant. The dosage strength of the liquid is 200mg/5ml. How many mL should the nurse administer each dose?
A.
5.0 ml
B.
7.5 ml
C.
9.5 ml
D.
10 ml
4.
Pseudoephedrine [Sudafed] has been ordered as a nasal decongestant. Which of the following is a possible side effect of this drug?
A.
Constipation
B.
Bradycardia
C.
Diplopia
D.
Restlessness
5.
A client with COPD reports steady weight loss and being “too tired from just breathing to eat.” Which of the following nursing diagnoses would be most appropriate when planning nutritional interventions for this client?
A.
Altered nutrition: Less than body requirements related to fatigue.
B.
Activity intolerance related to dyspnea.
C.
Weight loss related to COPD.
D.
Ineffective breathing pattern related to alveolar hypoventilation.
6.
When developing a discharge plan to manage the care of a client with COPD. the nurse should anticipate that the client will do which of the following?
A.
Develop infections easily
B.
Maintain current status
C.
Require less supplemental oxygen
D.
Show permanent improvement.
7.
Which of the following outcomes would be appropriate for a client with COPD who has been discharged to home? The client:
A.
Promises to do pursed lip breathing at home.
B.
States actions to reduce pain.
C.
States that he will use oxygen via a nasal cannula at 5 L/minute.
D.
Agrees to call the physician if dyspnea on exertion increases.
8.
Which of the following physical assessment findings would the nurse expect to find in a client with advanced COPD?
A.
Increased anteroposterior chest diameter
B.
Underdeveloped neck muscles
C.
Collapsed neck veins
D.
Increased chest excursions with respiration
9.
Which of the following is the primary reason to teach pursed-lip breathing to clients with emphysema?
A.
To promote oxygen intake
B.
To strengthen the diaphragm
C.
To strengthen the intercostal muscles
D.
To promote carbon dioxide elimination
10.
Which of the following is a priority goal for the client with COPD?
A.
Maintaining functional ability
B.
Minimizing chest pain
C.
Increasing carbon dioxide levels in the blood
D.
Treating infectious agents
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