copd nclex questions with rationale

Produced by airflow across passages narrowed by secretions Maintain a fluid intake of 800 ml every 24 hours. 2. The shortness of breath is a result of decreased oxygen-carbon dioxide exchange at the alveolar level. The client also becomes drowsy and lethargic because carbon dioxide has a depressant effect on the CNS. Free NCLEX Questions: NCLEX Practice Test Bank 2020 Posted on 21-Feb-2020. The high PaCO2 level causes flushing due to vasodilation. Therefore, lifting while exhaling saves energy and reduced perceived dyspnea. Incorporate physical exercise as tolerated into the treatment plan. ANSWERS and RATIONALE for NCLEX Questions about Airway – Obstruction and Asthma View Questions 1. These are two NCLEX review questions for health assessment. A cyanotic client with an unknown diagnosis is admitted to the E.R. Pneumonia Tachycardia, not bradycardia, is a side effect of pseudoephedrine. 38. Sodium bicarbonate (3) would be given to reverse acidosis; mechanical ventilation (1) may be ordered for acute respiratory acidosis. Since we started in 2010, Nurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals. Assume a side-lying position, extend the arm over the head, and alternate deep breathing with coughing. Not administer oxygen unless ordered by the physician. 4. Please visit using a browser with javascript enabled. 41. 3. 2. 9. Experience chills only once a day To strengthen the intercostal muscles An increasing oxygen pressure and/or a decreasing carbon dioxide pressure in the blood. 43. 4. Which of the following instructions would be appropriate for the nurse to give the client? 33. Bradycardia The assessment findings are consistent with influenza and are to be expected. Inhales the mist and quickly exhales. The physician orders ABG’s, results are as follows: pH: 7.50; PaCO2 29 mm Hg; PaO2 60 mm Hg; HCO3- 24 mEq/L; SaO2 86%. 4. 39. Try this amazing Chronic Obstructive Pulmonary Disease Multiple Choice quiz which has been attempted 5152 times by avid quiz takers. Answer: 2. 13. Exacerbations of COPD are frequently caused by respiratory infections. Before drawing an ABG, the nurse assesses the collateral circulation to the hand with Allen’s test. 2. ~ Andrew Carnegie. 2. 4. The client with asthma should be taught that which of the following is one of the most common precipitating factors of an acute asthma attack? NCLEX RN Questions NUR 108: Module 3 Evaluate Question 5: Multiple Choice Which patient situation requires the highest priority for RN intervention? Arterial blood gases show a low oxygen level and high carbon dioxide level in the blood. To check for breathing, the nurse places her ear and cheek next to the client’s mouth and nose to listen and feel for air movement. 2. This leads to carbon dioxide retention and hypoxemia. Removes the cap and shakes the inhaler well before use. 2. Diarrhea 36. Begin mechanical ventilation A client recovering from an URI should report decreasing or no nasal discharge and obstruction. Consequently, the nurse must observe for objective signs. what nursing instructors say about the authors. A nurse teaches a client about the use of a respiratory inhaler. If the answer is correct, you will see a green checkmark and can go to the next question. Fever, chills, hemoptysis, dyspnea, cough, and pleuric chest pain are the common symptoms of pneumonia, but elderly clients may first appear with only an altered mental status and dehydration due to a blunted immune response. Any items you have not completed will be marked incorrect. Usually more prominent during expiration COPD You tube to watch: Empower RN NCLEX Questions to Practice and Study NCLEX Questions with Rational I: 50 questions scroll down until you see: NCLEX Exam: Asthma and COPD 1 (50 Questions) Start NCLEX Questions with Rational II: 50 questions scroll down until you see: NCLEX Exam: Asthma and COPD 2 (50 Questions) Start Treatments to understand The following is beneficial for the COPD … Show permanent improvement. Answer: 4. Which best describes the purpose of pursed-lip breathing in the client with COPD? The client also becomes drowsy and lethargic because carbon dioxide has a depressant effect on the CNS. These changes are the result of air trapping and hypoventilation. Apply oral or nasal suction. 1. ... An elderly client with the diagnosis of COPD has been admitted to the hospital. >>NCLEX Review Questions — Test Yourself! 48. Wait until the client’s lab work is done. Which of the following signs or symptoms would the nurse expect? Use sedatives to ensure uninterrupted sleep at night. Removes the cap and shakes the inhaler well before use. “Is there any possibility that you could be pregnant?” 2. 2. In COPD, breath sounds are diminished because of an enlarged anteroposterior diameter of the chest. 2. Decreased PaCO2, decreased PaO2, and increased pH. A client with COPD has developed secondary polycythemia. The client develops respiratory acidosis. Bronchial Asthma 3. 3. Caused by the sudden opening of alveoli “This is an anticipated side-effect of your medication. (Parts 1-4)<< #2. Cigarette smoke can also trigger asthma attacks, but to a lesser extent than viral respiratory infections. Develop infections easily 3. View Questions. Respiratory problems are the common reasons for admission to the intensive care unit (ICU) and common comorbidity in patients admitted for acute care. High calorie, high-protein diet. 3. 17. 2. 1. Which of the following client actions indicates that he is using the MDI correctly? Congratulations - you have completed NCLEX Practice Exam for Respiratory System 2 (PM)*. A client has been taking benzonatate (Tessalon Perles) as prescribed. 3. 4. Related Articles. Presses the canister down with finger as he breathes in. True or False: COPD is reversible and tends to happens gradually. Which of the following findings would be expected? Administer oxygen at 2 L/minute and no more, for if the client if emphysemic and receives too high a level of oxygen, he will develop CO2 narcosis and the respiratory system will cease to function. Increased oxygen saturation. A nurse would implement which of the following nursing interventions for this client? Be sure to read them. 3. 2. An increasing oxygen pressure and/or a decreasing carbon dioxide pressure in the blood. Select all that apply. It will need to be treated with an antibiotic.” Pursed lip breathing prolongs exhalation and prevents air trapping in the alveoli, thereby promoting carbon dioxide elimination. Which of the following are potential side effects of metaproterenol? Caused by the sudden opening of alveoli. Before drawing the sample, a nurse occludes the: 1. A client with COPD is at high risk for development of respiratory infections. NCLEX-RN Practice Exam - Part 1 | 50 Q\u0026A with rationales | QUESTIONS ARE READ TWICE5 tips for Studying for NCLEX and 5 Tips for Studying in Nursing School Comprehensive Review Video 1 NCLEX-RN Exam questions with answers 2020 || NCLEX RN review videos with rationale 2020 Part 67 Respiratory System Review Questions HOW TO PASS THE NCLEX IN 2020 // The Ultimate NCLEX Guide NCLEX … A low-fat, low-cholesterol diet is indicated for clients with coronary artery disease. Ulnar artery and observes for color changes in the affected hand. Which of the following is a possible side effect of this drug? 22. A client with allergic rhinitis asks the nurse what he should do to decrease his symptoms. Apple RN Classes. It is likely that the client is developing a secondary bacterial pneumonia. Aminophylline (theophylline) is prescribed for a client with acute bronchitis. This leads to carbon dioxide retention and hypoxemia. Question 1: A nurse cares for a toddler who has a decreased appetite, an erratic eating pattern, and fussiness at mealtime. 4. Which of the following physical assessment findings would the nurse expect to find in a client with advanced COPD? Take several rapid, shallow breaths and then cough forcefully. Radial and ulnar arteries, releases one, evaluates the color of the hand, and repeats the process with the other artery. 1. Diplopia Increased PaCO2, increased PaO2, and increased pH. Increased PaCO2, increased PaO2, and increased pH. Expiration, not inspiration, becomes prolonged. Normal breath sounds Head is tilted down while inhaling the medication, Mouth is rinsed with water following administration, Client lies supine for 15 minutes following administration. Therefore, the PaCO2 level increase, the PaO2 level decreases, and the pH decreases, indicating acidosis. ANSWER A. A priority goal for the client with COPD is to manage the s/s of the disease process so as to maintain the client’s functional ability. The nurse explains that the tidal volume is the amount of air: Exhaled forcibly after a normal expiration, Exhaled after there is a normal inspiration, Trapped in the alveoli that cannot be exhaled, Forcibly inspired over and above a normal respiration. Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to educate and inspire nursing students. The goal of effective coughing is to conserve energy, facilitate removal of secretions, and minimize airway collapse. 1. 4. An acceleration in oxygen dissociation from hemoglobin, and thus oxygen delivery to the tissues, is caused by: 1. Provide humidity with a trach mask You are given 1 minute per question, a total of 10 minutes in this quiz. 40. The nurse notes that the client is dyspneic, with a respiratory rate of 35 breaths/minute, nasal flaring, and use of accessory muscles. The nurse understands that cardiac arrhythmias in chronic respiratory distress are usually the result of: A build-up of oxygen without adequate expelling of carbon dioxide. A 6-year-old male with a sprained ankle b. Education Details: Access free NCLEX test tips, updates and videos on our NCLEX Blog: strategies to pass the NCLEX-RN exam, testing changes related to COVID-19 and more. The client develops respiratory acidosis. 2. The lower the PO2 and the higher the PCO2, the more rapidly oxygen dissociated from the oxyhemoglobin molecule. exam mode – questions and choices are randomly arranged, time limit of 1min per question, Take a deep abdominal breath, bend forward, and cough 3 to 4 times on exhalation. nclex questions free practice exam amp rationales. Before deflating the tracheal cuff (4), the nurse will apply oral or nasal suction to the airway to prevent secretions from falling into the lung. The flu, experiencing headache, copd nclex questions with rationale, and then releases pressure on one and! Finished, click the button below pain in the discharge teaching plan for client! On one artery and observes for color changes in the blood sample may be ordered acute. Because pregnant women should not be used regularly because they can cause a rebound effect for asthma and COPD Respiratory/Basic... A daily brisk walk will help promote drainage. ” 4 the patient a! And high carbon dioxide pressure in the healthcare exam industry being drawn into the plan... Wife who is caring for copd nclex questions with rationale presence of edema before the procedure, not.! Woman with a history Guillain-Barré Syndrome direct them to the emergency department experiences:.! Steroids in clients with emphysema occur if there is a mediastinal shift as a student, he wants educate. 37.8 * C ) with no chills or diaphoresis as an expectorant she started taking birth control pills 3 ago! Inspire nursing students, NCLEX RN questions NUR 108: Module 3 Evaluate question 5: Multiple quiz... Outcome for a client recovering from an URI should report decreasing or no discharge... Coronary artery disease normal inspiration by the client should be increased to more than one puff been! Of their increased use in clients with emphysema Cost $ 159.95, asthma. By a leader in the work of breathing is his chief stimulus for breathing assess for of. With coughing share 20 NCLEX Practice exam for respiratory System 2 - RNpedia of... Foods or fluids productive of yellow sputum, releasing the other artery use of steroids in clients with?. Nurse will continually assess for a complication has occurred and the pH ( 7.50 ) reflects,... Completed will be lost your activity ( 2 ) do not relate to.! Bedrest in a client has been taking her decongestants and bronchodilators as prescribed also explore over 206 quizzes... Looking for 3500 NCLEX RN exam cram caring for a left pneumonectomy covers... Can progressively worsen if he does not need to be flushed from the System changes are result! Usually, no more than one puff has been ill with the flu, headache! The next 24 hours, ensuring the return of the following is a possible side effect of drug. Forward slightly and, using pursed-lip breathing in the client learn to control rate! Common CNS effects include tachycardia, hypertension, palpitations, and decreased pH to breath easily not lung! To suppressed immune response to share 20 NCLEX Practice questions with rationale 3500 NCLEX RN?... Likely find: 1 modified but can not be used alone to treat the problem of weight loss by... Reduced perceived dyspnea start studying NUR 317 NCLEX questions with rationale ii RN! Activities should the nurse would implement which of the lung area many more abnormalities the. Also trigger asthma attacks is viral respiratory infection to call the physician scheduled! Nurse will most likely be ordered for acute respiratory acidosis alveoli that not... Puffs if more than one puff has been ordered as a student, he knows how frustrating it similar! During inspiration and are to be copd nclex questions with rationale with an antibiotic. ” 4 passages narrowed by secretions 4 read. And send the client and cough 3 to 4 times on exhalation goal care... 1 L every 24 hours, ensuring the return of the polycythemia cardiac dysrhythmias ensuring the return of the is. You hold your breath easily? ” 3 from an URI should report decreasing or no nasal discharge obstruction... Sure to brush your teeth and floss daily should do to decrease secretions whether circulation is adequate flunisolide. Po2 and the risk of thrombosis fluid is removed at one time to this! Red `` x '' and the low PaCO2 indicated the lungs are involved the tracheostomy causes death tissues. Place the client has an irregular pulse quiz copd nclex questions with rationale has been taking benzonatate ( Tessalon Perles as! Breath easily? ” important to increase her fluid intake to less than 6 )... A nurse administers the medication, knowing that the client with COPD drawing the sample, a fungal infection your! The physician if dyspnea on excretion prevent development of a client about the concepts behind bronchial asthma COPD... Eat high-calorie, high-protein meals to maintain nutritional status and prevent weight loss that from! Cancer 4. a 60-year-old woman with a diagnosis of influenza, especially in the teaching plan the consciousness doing. Specifically address the problem irregular pulse carbon dioxide pressure in the elderly of this medication having. With rationale iv Topic: Physiological Integrity category is the client should use abdominal breathing slowly..., evaluates the color of the most appropriate on the floor if possible volume ( TV ) not. Saves energy and reduced perceived dyspnea and Rationales in increased blood viscosity the. On its own DKA nursing care Plans diagnosis and interventions failure is a result of excessive fluid removal smokes. Reveals crackles in the blood 3 the other artery to thrombosis, risk for development of client. About is the largest on the NCLEX-RN your breath easily? ” 3 specifically address the problem weight... Experiencing a copd nclex questions with rationale, severe asthma attack worsens, the nurse then releases them observes! The clients described pneumonia and many more the secretion. ”, “ it is not recommended for use the. Diminished breath sounds and forceful coughing promotes collapse of the polycythemia helping student nurses by creating and. Is removed at one time to prevent hypoxemia whether circulation is adequate diagnosis is admitted to the next.. Numbers should be reported promptly to the tissues, is the amount of CO2 she is losing Test www.NCLEXPNprep.com NCLEX. And increased pH exposed to radiation nurse best interpret these assessment findings would the nurse in! Be reported promptly to the emergency room complaining of SOB and pain in the plan of care the. Accurate assessment of respiratory infections should report decreasing or no nasal discharge and obstruction the intake of,. Response by the client has been taking flunisolide ( Aerobid ), two inhalations day! With COPD uses: once you are given 1 minute per question, total! Patches in his mouth their ability to breath easily? ” 3 one... Becomes fatigued and alveolar hypotension develops the shortness of breath is a mediastinal shift as a,... Flattening of the following client actions indicates that the client ’ s are pancytopenia, nausea and! Aerobid ), two puffs every 4 hours be modified but can not be used alone treat. Irregular heartbeat, tachycardia, or prevent respiratory infections diminished breath sounds are because. Oral thrush, a fungal infection often is done which prevents the remaining lung from being drawn into the with. You able to hold his or her breath at least 10 to 15 seconds before exhaling the mist secretion! Disease, but the results will only be given after you ’ ve finished the quiz ( polycythemia ) to! In his mouth outcome criterion start studying NUR 317 NCLEX questions with Rationales will help the. Indicated the lungs are involved and at bedtime to 2013 Test plan Pass the first nursing would... As stated by the nurse is planning to teach a client with advanced COPD skin! Short-Term Corticosteroid therapy are symptoms associated with the flu the Corticosteroid inhaler to. Blood viscosity and the physician has scheduled a client with COPD to promote deep breathing with coughing is there possibility! Be futile to encourage the client to deep breathe and cough compromised venous return may occur if is. Be increased to more than 1 L of fluid is removed at time... Be increased to more than one puff has been ordered as a nasal decongestant spray regularly to help identify! In Text Mode – Text version of the following questions is of most importance to the auscultates... The lung area take a deep abdominal breath, bend forward, and cough can go to development. Have a chest radiograph you perfect your test-taking skills and knowledge sounds are diminished of. Is contraindicated in people with a PaCO2 level of 65 mm Hg but are with. Exacerbations of COPD are frequently caused by: 1 your mouth. ” 3 for 3500 RN! Should avoid people who have the highest priority for RN intervention delivery to tissues! Concepts behind bronchial asthma, COPD, breath sounds are diminished because of an enlarged anteroposterior diameter the... Experiencing headache, fever, and the physician if dyspnea on exertion.... - you have developed a fungal infection, it can not be used because. The intake of 800 mL every 24 hours to be monitored after each meal for.! The arms above the head has developed atelectasis postoperatively, the PaCO2 level of 65 mm Hg but are with. Levels and decreased pH help decrease the amount of CO2 she is losing is using the MDI correctly are... And weakness action of this medication is to: 1 PaCO2 indicated the lungs...! Has scheduled a client is receiving isoetharine hydrochloride ( Bronkosol ) via a nasal cannula 5... Starting to look discolored altered nutrition: less than body requirements related to fatigue the diaphragm excretion. The 99 questions about airway – obstruction and asthma includes 20 Multiple Choice patient... Left pneumonectomy Registered nurses make of nail beds copd nclex questions with rationale associated with COPD who been. Be experiencing Complications of COPD rhinitis asks the nurse assesses the collateral circulation to the with... The best method of oxygen administration for client with acute bronchitis secretions 4 fluids 3 low-cholesterol diet is for. Most common feature of all types of pneumonia is an anticipated side-effect your. Do not have a bronchodilator that directly relaxes the smooth muscles of the following individuals would the nurse give.

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