Chapter 24 Management of Patients With Chronic Pulmonary Disease

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Chapter 24  Management of Patients With Chronic Pulmonary Disease

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

Multiple Choice

1. The clinic nurse is caring for a patient who has just been diagnosed with chronic obstructive pulmonary disease (COPD). The patient asks the nurse what he could have done to minimize the risk of contracting this disease. What would be the nurse’s best answer?
A) “The most important risk factor for COPD is inadequate nutrition.”

B) “The most important risk factor for COPD is regular exercise.”
C) “The most important risk factor for COPD is exposure to dust and pollen.” D) “The most important risk factor for COPD is cigarette smoking.”

Ans: D
Chapter: 24
Client Needs: B
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Teaching/Learning
Objective: 2
Page and Header: 604, Chronic Obstructive Pulmonary Disease

Feedback: The most important risk factor for COPD is cigarette smoking. Nutrition, exercise, and exposure to dust and pollen are not risk factors for COPD.

2. You are teaching a class to nursing students on chronic obstructive pulmonary disease (COPD). What would you name for the students as a complication of COPD?
A) Bronchitis
B) Bronchiectasis

C) Pulmonary hypertension D) Hemothorax

Ans: C
Chapter: 24
Client Needs: D-3
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Teaching/Learning
Objective: 4
Page and Header: 605, Chronic Obstructive Pulmonary Disease

Feedback: Complications of COPD include pneumothorax, atelectasis, pneumonia, and pulmonary hypertension (cor pulmonale). Bronchitis, bronchiectasis, and hemothorax are not common complications.

3. You are caring for a 24-year-old patient with an antitrypsin deficiency. The patient states he has never smoked in his life. An antitrypsin deficiency predisposes the patient to what?
A) Pulmonary edema
B) Development of lobular emphysema

C) Cystic fibrosis D) Empyema

Ans: B
Chapter: 24
Client Needs: D-4
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 1
Page and Header: 604, Chronic Obstructive Pulmonary Disease

Feedback: A host risk factor for COPD is a deficiency of alpha1-antitrypsin, an enzyme inhibitor that protects the lung parenchyma from injury. This deficiency predisposes young patients to rapid development of lobular emphysema even in the absence of smoking.

4. The nursing instructor is teaching a class of level I nursing students how to do a physical assessment on a patient with lung disease and chronic hyperinflation of the lungs. What would a nurse most likely assess in this type of patient?
A) Dry, flaky skin

B) Large, drooping eyes C) A barrel chest
D) Long, thin fingers

Ans: C
Chapter: 24
Client Needs: D-4
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 1
Page and Header: 604, Chronic Obstructive Pulmonary Disease

Feedback: In COPD patients with a primary emphysematous component, chronic hyperinflation leads to the barrel chest thorax configuration. The nurse most likely would not assess dry, flaky skin; large, drooping eyes, or long, thin fingers.

5. Your patient is experiencing shortness of breath. To relieve the symptoms in this patient, you would place your patient in what position?
A) Sitting upright leaning forward slightly
B) Low Fowler’s

C) Prone
D) Trendelenburg

Ans: A
Chapter: 24
Client Needs: D-1
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 3
Page and Header: 605, Chronic Obstructive Pulmonary Disease

Feedback: Shortness of breath has been cited as . Typical posture of a person with COPD is to lean forward and use the accessory muscles of respiration to breath. Therefore, options B, C, and D are incorrect.

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