Question 37 Pulmonary rehabilitation for COPD consists of three important components. What is the main goal of pulmonary rehabilitation? Question 37 options: To educate patients on the need for smoking cessation and provide nutritional counseling To address exercise capacity, skeletal muscle weakness, and cachexia To restore a patient to the fullest medical, emotional, social, and vocational status To improve oxygen saturations and reduce carbon dioxide retention in advanced disease

Question 37 Pulmonary rehabilitation for COPD consists of three important components. What is the main goal of pulmonary rehabilitation? Question 37 options: To educate patients on the need for smoking cessation and provide nutritional counseling To address exercise capacity, skeletal muscle weakness, and cachexia To restore a patient to the fullest medical, emotional, social, and vocational status To improve oxygen saturations and reduce carbon dioxide retention in advanced disease

Basic Clinical Lab Competencies for Respiratory Care: An Integrated Approach

5th Edition

ISBN:9781285244662

Author:White

Publisher:White

Chapter28: Weaning And Discontinuation Of Mechanical Ventilation

Section: Chapter Questions

Problem 3SEPT

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Question 35 In emphysema, the destruction of alveolar septa and bronchial walls often leads to: Question 35 options: a decrease in total lung capacity gas trapping and increased residual volume an increase in surface area for gas exchange a reduction in total lung compliance
Question 48 A nurse is assessing a 4-month-old infant with respiratory distress. Which of the following techniques should the nurse use to conduct their respiratory assessment? Question 48 options: Place the diaphragm of the stethoscope in the upper half of the right axilla Count respirations by observation for 30 seconds Ensure the baby is awake Conduct the respiratory assessment after taking other vital signs
Question 14 Which of the following medications do you expect the doctor to prescribe to a client with a history of COPD who presents with acute respiratory distress? Question 14 options: Bronchodilators, corticosteroids, and antihypertensives Bronchodilators, corticosteroids, and psychotropics Bronchodilators, diuretics, and antihypertensives Corticosteroids, oxygen, and diruetics
Question 30 While conducting a physical assessment on a patient with COPD, the nurse notes a hyper-resonant sound with percussion of the thoracic cage. What is responsible for this abnormal physical assessment finding? Question 30 options: Air trapping within the lungs Accumulation of fluid within the alveoli Atrophy of the intercostal muscles Narrowing of distal airways
Question 32 A thorough review of a chest x-ray report from a client with COPD can yield what information? Question 32 options: Evidence of inflammation, anemia, collapsed airways, and ischemic heart disease Evidence of air trapping, pulmonary edema, right sided heart failure, infection Evidence of narrowed airways, sputum production, V/Q mismatch, and osteoporosis. Evidence of hypoxemia, hypercapnia, acidosis, and respiratory failure
Question 84 Joe is a 5 year old recently diagnosed with asthma. Upon assessing the child, the nurse finds the following in the chart data. Which of the following indicate severe asthma requiring immediate care? Question 84 options: Being unaware of the day of the week Respiratory rate >36/ minute Oxygen saturation of 94% on room air Speaking 4-5 word sentences
Question 51 The nurse working on a medical unit is caring for a 67-year-old patient with a respiratory infection. The nurse finds the following on assessment: BP 92/58, HR 100, RR 22. What additional information does the nurse require to use the qSOFA score? Question 51 options: Oxygen saturation Temperature Lactate level Glasgow coma scale score
Question 28 During an acute exacerbation of asthma (asthma attack), patients may initially suffer from respiratory alkalosis as a result of: Question 28 options: Hyperventilation Bronchoconstriction Carbon dioxide retention Hypoxemia
Question 39 A 3-month-old child/infant has been admitted to the emergency department with Respiratory Syncytial Virus (RSV). On assessment, you notice they have nasal congestion, mild intercostal retractions and crackles throughout both lungs. Their respiratory rate is 68 breaths per minute and oxygen saturation is 91% on 2L oxygen via nasal prongs. What intervention would be most appropriate? Question 39 options: Initiate cool mist therapy Continue with regular clinical assessment and supportive care Administer a PRN order for an inhaled bronchodilator Administer a PRN order for a nebulized epinephrine
Question 24 A 16 year-old client has had asthma for ten years. The client regularly uses their peak flow meter to determine their current peak flow zone. Today, the client notes that they are in the red zone. What does this mean? Question 24 options: the client needs to take a short acting bronchodilator and seek medical assistance the client needs to replace their peak flow meter as it is malfunctioning the client continues to maintain good control of their asthma symptoms the client should take a short acting bronchodilator and repeat peak flow readin
Question 33 A client with a history of blunt trauma to the chest complains of chest pain, which increases with movement. On auscultation, a pericardial friction rub is heard, and the client is diagnosed with acute pericarditis. The nurse caring for the client should instruct the client to assume which of the following positions for the relief of chest pain? Question 33 options: a) Supine position, with no elevation of the client’s head b) Prone position c) Supine position, with the client’s head elevated 30 degrees d) Leaning forward while sitting upright
Question 43 The nurse is caring for a client with COPD who is receiving oxygen. Which of the following is the best action for the nurse to determine the appropriate oxygen flow rate? Question 43 options: Minimize oxygen use to avoid oxygen dependency Administer oxygen according to the client’s level of dyspnea Maintain the pulse oximetry at 90% or greater Avoid administration of oxygen at a rate of more than 2L/minute