PN 140 Final Exam Questions with Correct Answers 100% Verified A patient who has a diagnosis of chronic bronchitis is experiencing an acute exacerbation.Assessments include increasing dyspnea and a cough producing thick, purulent mucus. Which class of medications should the healthcare provider to administer first?A Leukotriene inhibitor B Beta-2 agonist C Non-steroidal anti-inflammatory agent D Mucolytic - Correct Answer B Beta-2 agonist For a patient who is in the late stages of chronic bronchitis, which of the following would indicate the patient has developed cor pulmonale?A Night sweats B Hepatomegaly C Hypocapnia D Venous stasis ulcers - Correct Answer B Hepatomegaly The healthcare provider is assessing a patient with a diagnosis of chronic bronchitis. Which of these physical findings represents the effects of air trapping in this patient?A The sternum is prominently protruding from the chest.
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There are indentations in the intercostal spaces during inspiration.C Asymmetrical expansion of the thorax is noted during inspiration.D The width of the chest is equal to the depth of the chest. - Correct Answer D The width of the chest is equal to the depth of the chest.A patient who has a diagnosis of chronic bronchitis is experiencing an acute exacerbation and is progressing to respiratory failure. When assessing the patient, which of these will be expected?A Bradycardia B Altered level of consciousness C Weak, thready pulse D Hypotension - Correct Answer B Altered level of consciousness The healthcare provider is assessing a patient with a 20 year history of smoking and a chronic cough.Which description of the patient's cough best supports a diagnosis of chronic bronchitis?A "Usually my cough occurs in the evening." B "My cough is brassy and hoarse." C "I sound like a barking seal when I cough." 2 / 4
D "I cough up a lot of thick mucus." - Correct Answer D "I cough up a lot of thick mucus." A patient who has a diagnosis of chronic bronchitis is receiving albuterol (Proventil) via nebulizer to treat an acute exacerbation. Which assessment noted by the healthcare provider is an indication the patient is experiencing an side effect of this medication?A Urinary incontinence B Sedation C Tachycardia D Hypoglycemia - Correct Answer C Tachycardia A patient who has a history of chronic bronchitis is admitted to the medical unit. The healthcare provider notes the red blood cell count is elevated. Which of these is the likely contributing factor to this lab result in this patient?A Hypercapnia B Chronic hypoxia C Insensible water loss D Decreased fluid intake - Correct Answer B Chronic hypoxia A patient who has chronic bronchitis will be receiving oxygen therapy at home. The teaching plan for this patient should include which of these instructions? 3 / 4
Select all that apply:
A "Be careful around open flames because liquefied oxygen is highly flammable." B "Do not allow smoking in your home while you are receiving oxygen therapy." C "Your body may forget to breathe if you turn the oxygen up too high." D "Oxygen can be addictive so it should be used only when needed." E "Be sure to wash the nasal cannula prongs twice each week to decrease infection risk." - Correct Answer B,C,E The healthcare provider is teaching a patient strategies to manage chronic bronchitis. Which of these will be included in the teaching?
Select all that apply:
A "You should decrease fluid intake to control the amount of edema." B "Here's the address of a nearby smoking cessation support group." C "It's important for you to avoid being around people who are sick." D "Limiting your physical activity is very important." E "I'll show you how to use a spacer when you take your medication." - Correct Answer B,C,E The healthcare provider is caring for a patient experiencing an acute exacerbation of chronic bronchitis. The patient is coughing uncontrollably and is using accessory muscles to breathe. Which of these interventions will support the patient's respiratory status?
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