Asthma/COPD

A nurse is caring for a patient with an asthma exacerbation. For which of the following reasons should the nurse carefully inspect the chest wall of the client?

• Monitor chest expansion

• Observe for intercostal muscle use

• Observe for signs of diaphoresis

• Monitor for hyperventilation

A nurse determines the interventions to promote airway clearance in a client with chronic obstructive pulmonary disease (COPD) are successful based on which of the following findings?

• Improved mental status

• Effective productive cough

• ABG's within normal range

• Absence of dyspnea

A nurse reviews the arterial blood gas values: pH of 7.50, a Pco₂ of 30 mm Hg, and an HCO₃ of 25 mEq/L. The nurse interprets these values as indicating:

• Metabolic acidosis, uncompensated

• Respiratory alkalosis, uncompensated

• Respiratory acidosis, uncompensated

• Metabolic acidosis, partially compensated

The primary purpose of pursed-lip breathing is to:

• Promote oxygen intake.

• Strengthen the diaphragm

• Strengthen the intercostal muscles

• Promote carbon dioxide elimination

A 68-year-old client with chronic obstructive pulmonary disease (COPD) is admitted to a rehabilitation unit. Pneumococcal and flu vaccines are administered. The patient wants to know if they have to get the vaccine every year? How should the nurse respond?

• “It is unnecessary to have any follow-up injections of the pneumococcal vaccine after this dose.”

• “You should get the flu and pneumococcal vaccines at your annual physical examination.”

• “The pneumococcal vaccine should be received in early autumn every year.”

• “You need to receive the pneumococcal vaccine every other year.”

A client is admitted to the hospital with a diagnosis of an exacerbation of asthma. What should the nurse plan to do to best help this client?

• Encourage the client to use an incentive spirometer routinely.

• Review the client's asthma action plan

• Determine the client's emotional state.

• Administer the ordered bronchodilators.

Which of the following are asthma triggers? (Select all that apply)

• Smoke

• Caffeine

• Beta agonists

• GERD

• Pests