MS2 week 3

Question 1

pt hospitalized with COPD is being discharged home on O2 therapy. Wat should nurse include in the discharge teaching?

Accepted Answer

O2 use can improve the patient's prognosis and quality of life.

Question 2

pt newly diagnosed with asthma is being discharged. The nurse anticipates including what in the discharge teaching?

Accepted Answer

Self-administration of inhaled corticosteroids

Question 3

what rhythm is this?

Accepted Answer

atrial fibrillation

Question 4

pt is concerned he might have asthma. which are RF for asthma?

Accepted Answer

allergic rhinitis, gastric reflux or heartburn, cough, especially at night, history of skin allergies

Question 5

pt who has been experiencing an asthma attack develops bradycardia and a decrease in wheezing. Wwyd first?

Accepted Answer

Notify the health care provider.

Question 6

Which instruction should nurse include in an exercise teaching plan for a patient with COPD?

Accepted Answer

"Use the bronchodilator before you start to exercise."

Question 7

A patient is scheduled for spirometry. Which action should the nurse take to prepare the patient for this procedure?

Accepted Answer

Withhold bronchodilators for 6 to 12 hours before the examination.

Question 8

nurse completes an admission assessment on pt w asthma. Which info given by pt is indicates a need 4 change in therapy?

Accepted Answer

The patient's only medications are albuterol (Ventolin HFAl) and salmeterol

Question 9

When analyzing the rhythm of a patient's ECG, the nurse will need to investigate further upon finding a(n)

Accepted Answer

QRS interval of 0.14 second.

Question 10

pt w severe COPD tells nurse, "I wish I were dead! I'm just a burden". which nursing diagnosis is most appropriate?

Accepted Answer

Chronic low self-esteem related to physical dependence

Question 11

Which lab result for pt with multifocal premature ventricular contractions (PVCs) is most important to tell doc

Accepted Answer

Serum potassium of 2.9 mEq/L

Question 12

pt develops atrial flutter, rate 150, w associated dyspnea and chest pain. what should nurse do first?

Accepted Answer

Give supplemental O2 at 2 to 3 L/min via nasal cannula.

Question 13

pt develops sinus bradycardia at a rate of 32 beats/min, has a BP of 80/42, & complaining of feeling faint. wwyd?

Accepted Answer

Apply the transcutaneous pacemaker (TCP) pads.

Question 14

nurse recognizes that additional instruction is needed when asthma pt says....

Accepted Answer

"i use my corticosteroid inhaler when i feel short of breath"

Question 15

Which finding for diagnosis of impaired gas exchange will be most useful in evaluating the effectiveness of treatment?

Accepted Answer

Pulse oximetry reading of 92%

Question 16

Which assessment finding is the best indicator that the therapy for pt who had asthma attack has been effective?

Accepted Answer

O2 saturation is >90%.

Question 17

To determine whether there is delay in impulse conduction thru ventricles, nurse will measure the duration of the pt's

Accepted Answer

QRS complex

Question 18

The nurse is caring for a patient with cor pulmonale. The nurse should monitor the patient for which expected finding?

Accepted Answer

Peripheral edema

Question 19

A patient who is experiencing an acute asthma attack is admitted to the ED. Wwyd first?

Accepted Answer

Listen to the patient's breath sounds.

Question 20

pt is admitted to ED with severe exacerbation of asthma. which finding is most concerning to nurse

Accepted Answer

unable to speak and sweating profusely

Question 21

pt with COPD has poor gas exchange. Which action by the nurse would support the patient's ventilation?

Accepted Answer

Encourage the patient to sit up at the bedside in a chair and lean forward.

Question 22

what rhythm is this?

Accepted Answer

sinus bradycardia

Question 23

nurse is caring for pt with COPD. Which info obtained from the pt is important to tell doc b4 giving theophylline?

Accepted Answer

The patient takes cimetidine (Tagamet HB) daily.

Question 24

nurse assesses a pt with a history of asthma. Which finding indicates that the nurse should take immediate action?

Accepted Answer

Use of accessory muscles in breathing

Question 25

nurse caring for pt hospitalized w acute exacerbation of COPD. what finding would be expected on this pt?

Accepted Answer

hyperinflated chest noted on xray, decreased O2 sat with mild exercise

Question 26

nurse has pt with asthma who has new-onset wheezing and SOB. Which info indicate a need for a change in therapy?

Accepted Answer

The patient takes propranolol (Inderal) for hypertension.

Question 27

20 yo pt plays college soccer & is found w sinus bradycardia. BP is 114/54, and doesnt have health problems. wwyd

Accepted Answer

allow the pt to participate on the soccer team

Question 28

which of the following are true about asthma triggers?

Accepted Answer

food can trigger asthma, exercise induced asthma occurs after exercise, GERD can trigger asthma, dust can trigger asthma

Question 29

nurse is has pt diagnosed with an acute exacerbation of COPD. How should nurse determine the appropriate O2 flow rate?

Accepted Answer

Maintain the pulse oximetry level at 90% or greater.

Question 30

young pt who denies any history of smoking is seen has COPD. The nurse should plan to teach the patient about

Accepted Answer

a1-antitrypsin testing.

Question 31

19 yo complains, "my heart is skipping beats". ECG shows PVC. what should nurse do?

Accepted Answer

Ask the patient about current stress level and caffeine use.

Question 32

pt with COPD has coarse crackles and a chronic, nonproductive cough. Which nursing intervention will be most effective?

Accepted Answer

Teach the patient to use the Flutter airway clearance device.

Question 33

Which information will the nurse include in the asthma teaching plan for a patient being discharged?

Accepted Answer

Tremors are an expected side effect of rapidly acting bronchodilators.

Question 34

pt has atrial fibrillation that has been unresponsive 2 meds for many days. Teaching 4 this pt would include info about

Accepted Answer

anticoagulant therapy

Question 35

major advantage of venturi mask is that it can

Accepted Answer

deliver a precise concentration of O2

Question 36

Which info will nurse include when teaching pt who is scheduled for a radiofrequency catheter ablation 4 atrial flutter?

Accepted Answer

procedure uses electrical energy to destroy areas of the conduction system.

Question 37

pt is complaining of a "racing" heart & feeling "anxious". nurse places pt on a heart monitor and obtains ECG. wwyd

Accepted Answer

Obtain the patient's vital signs including O2 saturation.

Question 38

asthma pt reports having a baseline peak flow reading of 600 L/min, and the current peak flow is 420 L/min. Wwyd first?

Accepted Answer

Instruct the patient to use the prescribed albuterol (Ventolin HFA).

Question 39

what rhythm is this?

Accepted Answer

atrial flutter

Question 40

nurse provides diet teaching for a pt with COPD who has a low BMI. Which statement is right?

Accepted Answer

"I can have ice cream as a snack every day."

Question 41

what should be included in plan of care for COPD pt?

Accepted Answer

exercise such as walking, breathing exercises (pursed lip) to help focus on exhalation

Question 42

what rhythm is this?

Accepted Answer

premature atrial contraction

Question 43

pt seen in the asthma clinic has recorded daily peak flow rates that are 75% of the baseline. wwyd?

Accepted Answer

Administer a bronchodilator and recheck the peak flow.

Question 44

nurse teaches a pt about pursed-lip breathing. Which action indicates that further teaching is needed?

Accepted Answer

The patient puffs up the cheeks while exhaling.

Question 45

nurse develops a plan to help increase activity tolerance for an older adult with severe COPD. what can nurse include?

Accepted Answer

Walk 15 to 20 minutes a day at least 3 times/week.

Question 46

effects of cig smoking on respiratory system include

Accepted Answer

hyperplasia of goblet cells and increased production of mucus

Question 47

nurse teaches pt who has asthma about peak flow meter use. Which action indicates that teaching was successful?

Accepted Answer

pt uses an albuterol (Ventolin HFA) inhaler for peak flows in the yellow

Question 48

When teaching pt about pulmonary spirometry for this condition, what is most important question the nurse should ask?

Accepted Answer

"Have you taken any bronchodilators today?"

Question 49

Which finding in pt who has received omalizumab is most important to report immediately to the health care provider?

Accepted Answer

Flushing and dizziness

Question 50

what rhythm is this?

Accepted Answer

sinus tachycardia

Question 51

nurse reviews the MAR for a patient having an acute asthma attack. Which medication should the nurse administer first?

Accepted Answer

Albuterol (Ventolin HFA) 2.5 mg per nebulizer

Question 52

what is the primary purpose of pursed-lip breathing

Accepted Answer

promote CO2 elimination

Question 53

pt with COPD has diagnosis of imbalanced nutrition: less than body requirements. what should we include in care plan?

Accepted Answer

Offer high-calorie protein snacks between meals and at bedtime.

Question 54

nurse is visiting a pt with COPD. Which action is appropriate for a diagnosis of impaired breathing pattern r/t anxiety?

Accepted Answer

Teach the patient how to use pursed-lip breathing.

Question 55

nurse receives a change-of-shift report on the pts w COPD. Which patient should the nurse assess first?

Accepted Answer

A patient with a respiratory rate of 38 breaths/min

MS2 week 3

Questions 55

MS2 week 3

Questions 55