1. State 5 patient education will you

1. State 5 patient education will you provide to a 15-year-old patient to reduce or alleviate an acute asthma attack? 2. Which of the following statements are incorrect about discharge teaching that you would provide to a patient with COPD? Select all that apply. A.”It is best to eat three large meals a day that are relatively low in calories.” B.”Avoid going outside during extremely hot or cold days.” C. “It is important to receive the Pneumovax vaccine annually.” D.”Smoking cessation can help improve your symptoms.” 3. A nursing intervention that can best help prevent atelactasis in a patient with compromised lung function: A. encourage at least 3500 mL of fluid intake per day B. Have patient turn, cough, deep breathe at least every 2 hours C. administer an expectorant to help clear the airways D. assist with all ADL’s to prevent fatigue 4. It’s 0730 and your patient have the following needs. In what order would you meet them? Rearrange the answers from 1(first order) to 5(last order). -A patient with a tracheostomy needs suctioning. -A nursing assistant has just informed you a patient is febrile. -A patient with pneumonia did not get their breakfast tray and is asking for it -A patient with spinal stenosis is complaining of back pain -A patient with advanced COPD is overdue for their Albuterol nebulizer 5. A patient is newly diagnosed with COPD due to chronic bronchitis. You’re providing education to the patient about the disease process. Which statement by the patient indicates they understood your teaching about this condition? A. “If I stop smoking, it will cure my condition” B. “Complications from this condition can lead to pulmonary hypertension and right-sided heart failure” C. “I’m at risk for low levels of red blood cells due to hypoxia and may require blood transfusions during acute illness” D. “My respiratory system is stimulated to breathe due to high carbon dioxide levels rather than low oxygen levels” 6. A patient is ordered by the physician to take Pulmicort and Spiriva via inhaler. How should the patient take this medication? A. The patient should use the medications every 2 hours for acute episodes of shortness of breath B. The patient should use the Spiriva first and then 5 minutes later the Pulmicort C. The patient should use the Pulmicort first and then the Spiriva 5 minutes later D. The patient should use the medications at the same exact time, regardless of the order 7. An alarm beeps notifying you that one of your patient’s oxygen saturation is reading 89%. You arrive to the patient’s room, and see the patient comfortably resting in bed watching television. The patient is already on 2 L of oxygen via nasal cannula. The patient is admitted for COPD exacerbation. Your next nursing action would be: A. Continue to monitor the patient B. Increase the patient’s oxygen level to 3 L C. Notify the doctor for further orders D. Turn off the alarm settings 8. You are providing teaching to a patient with chronic COPD on how to perform diaphragmatic breathing. This technique helps do the following A. Increase the breathing rate to prevent hypoxemia B. Decrease the use of the abdominal muscles C. Encourages the use of accessory muscles to help with breathing D. Strengthen the diaphragm 9. A 15-year-old male presents to the ED with complaints of SOB for the last 2 hours. He is diaphoretic, vs: 105/84, 128, 28, 95% on RA. Patient has a hx of Asthma. What other assessment findings do you anticipate finding? 10. A patient with severe COPD is having an episode of extreme shortness of breath and requests their inhaler. Which type of inhaler ordered by the physician would provide the FASTEST relief for the patient based on this particular situation? A. Spiriva B. Salmeterol C. Symbicort D. Albuterol 11. The physician diagnosis a 15 year old male as having an acute asthma attack. 11a. What treatments do you anticipate the physician will order (identify at least 4 treatments for him at this time)? 11b. and how will they help him (what is the mechanism of action). 12. A patient with emphysema may present with all of the following symptoms EXCEPT: A. Barrel chest B. Hyperinflation of the lungs C. Hypoventilation D. Hypercapnia 13. Indicate the seven warning signs of cancer. 14. Stomatitis is a common side effect in cancer treatment; Describe stomatitis and 4 nursing interventions for this complication. 15. The nurse recognizes the following as signs and/or symptoms indicating thrombocytopenia. Select 3 that apply A. Bruising B. Epitaxis C. Fever D. Pallor E. Petechiae 16. When educating the patient on neutropenic precautions, the nurse recognizes the need to reinforce which of the following? (Select 3 that apply) A. Dietary restrictions B. Hand hygiene C. Droplet precautions D. Avoid crowded places. E. Spend time outside gardening. 17. The nurse is caring for a thin, elderly client who was diagnosed with cancer and is receiving aggressive chemotherapy. The client is experiencing acute side effects and has lost 10 pounds in the past week. The nurse teaches the client to: (Select 3 that apply.) A. Drink liquid supplements to increase intakes of nutrients B. Eat more warm foods and avoid cold foods C. Keep food diary and record intake D. Eat small, frequent meals high in calories E. Purchase fast foods and prepared foods.

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