Question 1

When counseling a client with asthma who has been advised to make several major life changes, the nurse should encourage the client to consider each suggestion carefully because

Accepted Answer

There are many lifestyle suggestions a client might have recommended, but the nature of the changes often produces Decisional Conflict. Nurses need to respect their client's choices and realize that some major choices such as giving up a beloved pet may cause so much stress and upheaval that the benefits the client would receive are offset.

Question 2

A nonsmoking client has been diagnosed with mild asthma. The nurse instructs the client to try to identify and reduce or eliminate exposure to triggers, which may include (Select all that apply)

Accepted Answer

All of the options can induce an asthma attack. When people with asthma are exposed to extrinsic allergens and irritants, their airways become inflamed, producing shortness of breath, chest tightness, and wheezing. Identification of irritants is essential, and irritants should be eliminated in a reasonable fashion, one at a time, to assess the effect of their removal on manifestations.

Question 3

The nurse working with a depressed client who has COPD realizes that many factors negatively affect the client's quality of life, including (Select all that apply)

Accepted Answer

Familial support systems should help with quality of life.

Question 4

After providing instructions to a client with newly diagnosed COPD who is learning to take a steroid medication by inhaler, the nurse would determine that proper technique has been learned when the client

Accepted Answer

The client should hold the aerosol vapor for 5 to 10 seconds after inhalation.

Question 5

A nurse caring for an elderly client with COPD alters care knowing that in the older population (Select all that apply)

Accepted Answer

COPD is a common problem in the elderly; it is a leading cause of hospitalizations in older persons. Options b through e are all correct statements about COPD and age-related considerations.

Question 6

The ambulatory care nurse would arrange for periodic monitoring of blood levels for a client with COPD who is beginning to use

Accepted Answer

It is necessary to monitor blood levels in the client taking theophylline to prevent the client from developing toxicity.

Question 7

A client with COPD is in the hospital. When planning care, which diagnosis takes priority?

Accepted Answer

All are pertinent diagnoses for the client with COPD. But following the ABCs (airway, breathing, circulation), Impaired Gas Exchange takes priority.

Quiz 61: Management of Clients with Lower Airway and Pulmonary Vessel