ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 24 : Management of Patients With Chronic Pulmonary Disease Questions
Question 1 of 5
A nurse is assessing a patient who is suspected of having bronchiectasis. The nurse should consider which of the following potential causes?
Correct Answer: B,C,D
Rationale: Bronchiectasis is a chronic, irreversible dilation of the bronchi and bronchioles. Under the new definition of COPD, it is considered a disease process separate from COPD. Bronchiectasis may be caused by a variety of conditions, including airway obstruction, diffuse airway injury, pulmonary infections and obstruction of the bronchus or complications of long-term pulmonary infections, or genetic disorders such as cystic fibrosis. Bronchiectasis is not caused by pulmonary hypertension or atelectasis.
Question 2 of 5
A nurse is planning the care of a client with bronchiectasis. What goal of care should the nurse prioritize?
Correct Answer: A
Rationale: Nursing management focuses on alleviating symptoms and helping patients clear pulmonary secretions. Pulmonary pressures are not a central focus in the care of the patient with bronchiectasis. Rapid resumption of prediagnosis function and oxygen saturation above 98% are unrealistic goals.
Question 3 of 5
An interdisciplinary team is planning the care of a patient with bronchiectasis. What aspects of care should the nurse anticipate?
Correct Answer: B,D,E
Rationale: Chest physiotherapy, antibiotics, and smoking cessation are cornerstones of the care of patients with bronchiectasis. Occupational therapy and isolation are not normally indicated.
Question 4 of 5
A patients severe asthma has necessitated the use of a long-acting beta agonist (LABA). Which of the patients statements suggests a need for further education?
Correct Answer: C
Rationale: LABAs are not used for management of acute asthma symptoms. Tachycardia is a potential adverse effect and decreased protection against exercise-induced bronchospasm may occur with regular use.
Question 5 of 5
A nurse is providing health education to the family of a patient with bronchiectasis. What should the nurse teach the patients family members?
Correct Answer: D
Rationale: A focus of the care of bronchiectasis is helping patients clear pulmonary secretions; consequently, patients and families are taught to perform postural drainage. Chest palpation and auscultation and assessment of fluid balance are not prioritized over postural drainage. Nasotracheal suctioning is not normally necessary.