NRS 211: Week 3 Class Quiz

Effective management of the asthmatic patient requires which of the following?

• Pulmonary rehabilitation and antiinflammatory medications

• Regular assessment and control of environmental factors

• Short-acting bronchodilators and stress reduction

• Weight control and regular assessment

Answer explanation

Effective management of the asthmatic patient should consist of regular assessment and control of environmental factors. Although medication management is essential for asthma management, pulmonary rehabilitation, stress reduction, and weight control are not all components of the management of the asthmatic patient.

Patients with chronic bronchitis are typically obese, have hypoxemia, and thus appear cyanotic, giving them this nickname...

• COPD patient

• Blue bloater

• Pink puffer

• Purple people eater

What is the primary difference between emphysema and chronic bronchitis?

• Chronic bronchitis predominately affects the large airways

• Emphysema predominately affects the large airways

• Emphysema predominately affects the alveoli

• Chronic bronchitis predominately affects the alveoli

Answer explanation

The alveoli are the part of the tracheobronchial tree affected by emphysema. The airways are affected by chronic bronchitis because of the increased production of mucous. The alveoli are affected in emphysema due to the air trapping and premature closing of the airways.

Nickname for a patient with emphysema because of their reddish complexion and puffing breathing pattern...

• Blue bloater

• Red puffer

• Yellow submarine

• Pink puffer

The nurse correlates which findings to the pathophysiology of chronic malignant pain?

• Recent trauma

• Rapidly dividing cells

• Direct damage to nerve fibers

• Persistent pain with no known etiology

Answer explanation

: In chronic malignant pain, rapidly dividing cells associated with cancer growth invade and distort bone and other tissues, causing severe pain. This is the etiology of chronic malignant pain. Recent trauma and direct damage to nerve fibers are characteristic of acute pain.

The nurse recognizes that the incidence of pain is greatest in which patient population?

• Active teenagers

• Unemployed adults regardless of age

• Employed middle-aged and older adults

• Older patients who are institutionalized

Answer explanation

Studies report an increased incidence in all types of persistent pain, generalized musculoskeletal pain, and fibromyalgia in older patients. More than half of older patients report mild to moderate intermittent pain as they age, with the incidence of all types of pain more common in institutionalized elderly.