Impaired Respiratory

A patient with COPD asks the nurse why he is having increased difficulty with his fine motor skills, such as buttoning his shirt. Which response by the nurse is most therapeutuic?

1) "Your disease affects both your lungs and your heart, and not enough blood is being pumped. So you are losing sensory feedback in your extremities."

2) "Often patients with your disease lose mental status and forget how to perform daily tasks."

3) " Your body isn't receiving enough oxygen to send down to your fingers; this causes them to club and makes dexterity difficult."

4) "Your disease process makes even the smallest tasks seem exhausting. Try taking a nap before getting dressed."
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A patient with COPD asks the nurse why he is having increased difficulty with his fine motor skills, such as buttoning his shirt. Which response by the nurse is most therapeutuic?

1) "Your disease affects both your lungs and your heart, and not enough blood is being pumped. So you are losing sensory feedback in your extremities."

2) "Often patients with your disease lose mental status and forget how to perform daily tasks."

3) " Your body isn't receiving enough oxygen to send down to your fingers; this causes them to club and makes dexterity difficult."

4) "Your disease process makes even the smallest tasks seem exhausting. Try taking a nap before getting dressed."
3) " Your body isn't receiving enough oxygen to send down to your fingers; this causes them to club and makes dexterity difficult."
The nurse is assessing a patient with emphysema. Which assessment finding requires further follow-up with the physician?

1) Clubbing of the fingers

2) Tachypnea

3) Hemoptysis

4) Increased anterior-posterior diameter of the chest.
3) Hemoptysis
The nurse is creating a plan of care for an obese patient who is suffering from fatigue related to ineffective breathing. Which intervention best addresses a short-term goal that the patient could achieve?

1) Sleeping on two to three pillows at night
2) Stopping smoking immediately
3) Running 30 minutes every morning
4) limiting the diet to 1500 calories a day
1) Sleeping on two to three pillows at night
A nonmodifiable risk factor for lung disease is?
1) Allergies
2) Asbestos exposure
3) Smoking
4) Stress
1) Allergies
What assessment finding is the earliest sign of hypoxia?

1) Decreased blood pressure
2) Restlessness
3) Cyanosis
4) Cardiac dysrhythmias
2) Restlessness
Which action should the nurse take to prepare a patient for spirometry?

1) Ensure that the patient has been NPO for several hours before the test.
2) Administer oral corticosteroids 2 hours before the procedure.
3) Give the rescue medication immediately before testing.
4) Withhold bronchodilators for 6-12 hours before the examination
4) Withhold bronchodilators for 6-12 hours before the examination.
A young adult patient who denies any history of smoking is seen in the clinic with a new diagnosis of chronic obstructive pulmonary disease (COPD). What topic should the nurse plan to teach the patient?
1) Use of the nicotine patch
2) a1-antitrypsin testing
3) Leukotriene modifiers
4) Continuous pulse oximetry
2) a-1 antritrypsin testing (genetic)
The home health nurse is visiting a patient with COPD. Which nursing action is appropriate to implement for a patient who has an impaired breathing pattern due to anxiety?

1) Titrate O2 to keep saturation at least 90%
2) Teach the patient how to use the pursed-lip technique
3) Suggest the use of over-the counter sedative medications
4) Discuss a high-protein, high-calorie diet with the patient
2) Teach the patient how to use the pursed-lip technique
A patient with COPD has been eating very little and has lost weight. Which intervention would be most appropriate for the nurse to include in the plan of care?

1) Increase the patient's menu order of fruits and fruit juices.
2) Encourage increased intake of whole grains.
3) Assist the patient in choosing foods with high vegetable content.
4) Offer high-calorie protein snacks between meals and at bedtime.
4) Offer high-calorie protein snacks between meals and at bedtime
The nurse interviews a patient with a new diagnosis of COPD. Which information is specific in confirming a diagnosis of chronic bronchitis?

1) The patient relates a family history of bronchitis.
2) The patient has a 30-pack year cigarette smoking history.
3) The patient reports a productive cough for 3 months of every winter.
4) The patient has respiratory problems that began during the past 12 months.
3) The patient reports a productive cough for 3 months of every winter.