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concept of nursing 1
Chronic Obstructive Pulmonary Disease
| Question | Answer |
|---|---|
| Which patient is at the highest risk for developing chronic obstructive pulmonary disease (COPD)? | A smoker who works as a coal miner whose mother had COPD |
| the physical manifestations of chronic obstructive pulmonary disease in the order in which they appear in the disease process. | -- |
| 1 | Productive cough every few days for a month |
| 2 | Decreased endurance during morning walks |
| 3 | Difficulty breathing on awakening in the morning |
| 4 | Altered chest expansion |
| 5 | Bluish skin discoloration |
| The nurse is caring for a number of patients in the unit. Which patient most likely has chronic obstructive pulmonary disease (COPD)? | A 65-year-old smoker with 1:2 anterior-posterior (AP) chest diameter. |
| A patient with chronic obstructive pulmonary disease (COPD) reports a chronic productive cough and an unintended weight loss of 15 lb over the previous month. Which recommendations should be made to this patient to address the current symptoms? | -High protein diet -Increased oral fluid intake -Use of diaphragmatic breathing |
| A patient arrives at the hospital with a history of long-term exposure to caustic fumes. Assessment reveals a forced expiratory volume in 1 second/forced vital capacity (FEV1/FVC) ratio of 65% and a functional oxygen saturation of 88%. | -- |
| The patient smokes 1 pack of cigarettes per day and reports a recent increase in sputum production and a change in color from clear to green. In which order should the nurse initiate the collaborative care actions? | -Provide supplemental oxygen. -Teach diaphragmatic breathing. -Administer intravenous corticosteroids. -Obtain a sputum culture. |
| A patient with chronic obstructive pulmonary disease (COPD) presents with orthopnea and dyspnea that interferes with activities of daily living. On assessment, the forced expiratory volume in one second (FEV1) is 58% | -- |
| Which medication would the nurse expect to administer as part of the maintenance treatment regimen? | Fluticasone/salmeterol |
| A patient diagnosed with chronic obstructive pulmonary disease (COPD) experiencing shortness of breath and a cough asks the nurse the best way to prevent exacerbations. Which recommendations should the nurse make? | -Effective handwashing -Preventative vaccinations |
| The nurse is preparing to discharge a patient with chronic obstructive pulmonary disease (COPD) who reports weight loss of 10 lb in the past month, fatigue, and dyspnea at rest. Which recommendations should the nurse include in discharge teaching? | -Adequate sleep -High-calorie diet -Oxygen supplementation |
| The nurse is developing a teaching plan for a patient with newly diagnosed chronic obstructive pulmonary disease (COPD) who lives alone. The patient has a 30-pack-year history of cigarette smoking, walks 30 minutes twice per week, and is on a fixed income | -- |
| Which part of the teaching plan is most important for the nurse to emphasize to the patient? | Assessment of readiness for smoking cessation |
Created by:
Lightnning54
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