Improve the oxygen-carrying capacity of hemoglobin
A nurse is providing home care for a patient with chronic obstructive pulmonary
disease (COPD). Which order should the nurse question?
Oxygen 4 L/min per nasal cannula
A patient prescribed theophylline for asthma has a theophylline level of 3 mcg/dL.
What should the nurse do?
Notify the physician
The nurse enters the room of a patient who is acutely short of breath. Which action
should the nurse take first?
Encourage use of pursed-lip breathing
The nurse is providing care for a patient prescribed tiotropium (Spiriva). Which
statement should be included in the patient education?
"Do not swallow the capsules."
The nurse is caring for a patient with end-stage chronic obstructive pulmonary disease.
Which medication can help reduce acute dyspnea associated with this disease?
V morphine
A patient's arterial blood gas analysis shows a PaCO2 of 62 mm Hg. What action should
the nurse take?
Notify the RN; this is abnormally high
A patient with chronic obstructive pulmonary disease works with the nurse to set a
goal of ambulating to the bathroom with oxygen. Which statement best documents
progress toward this goal?
"Ambulated to bathroom with oxygen, dyspnea level 3 on a 0-to-10 scale."
A patient with cystic fibrosis has ineffective airway clearance. What intervention would
worsen this problem?
Bed rest
The nurse is assisting in the preparation of content that focuses on respiratory health
for a community health fair. What should the nurse include as a major risk factor for
many respiratory problems?
Smoking
A patient has difficulty raising pulmonary secretions, and the nurse writes a nursing
diagnosis of "Ineffective Airway Clearance related to weak cough and fatigue." What
would best help the patient maintain a clear airway?
Instruct in abdominal and pursed-lip breathing.
A patient with a lung infection has blood-tinged sputum. What term should the nurse
use to document this finding?
Hematemesis
A nurse performs purified protein derivative and Candida skin tests on a patient
suspected of TB. After 48 hours, what finding at the injection sites should the nurse
document as a positive result?
Induration
A patient with suspected TB is prescribed a Candida skin test. What should the nurse
explain as the purpose of this test?
Provides a control test
The nurse is reviewing the health histories for an assigned group of patients. Which
patient should the nurse identify as being the most at risk for TB?
The patient with acquired immunodeficiency syndrome
The nurse is reviewing medication orders for a patient with TB. Which drugs should
the nurse expect to have prescribed for this patient?
Isoniazid and rifampin
A patient with TB who is in respiratory isolation must go to the x-ray department.
Which action should the nurse take?
Place a mask over the patient's nose and mouth
The nurse teaches a patient with TB about drug therapy. Which patient statement
indicates that teaching has been effective?
