Review Questions

A client presents to the clinic with a report of itchy eyes, runny nose, and sneezing. Which diagnosis should the nurse anticipate the provider will make for this client?

1. Laryngitis
2. Rhinitis
3. Asthma
4. Bronchitis

2.

What assessment finding would the nurse anticipate in the client with a diagnosis of asthma?

1. Inspiratory and expiratory wheezing
2. Itchy, watery eyes
3. Clear breath sounds
4. Cyanosis of the nail beds

3.

A 60-year-old client with a 35-year history of smoking two packs of cigarettes a day reports a chronic cough and thick sputum. Based on these assessment findings, the nurse suspects the client has which condition?

1. Emphysema
2. Asthma
3. Sinusitis
4. Chronic bronchitis

4.

Which instruction should the nurse give to a client with allergic rhinitis to decrease symptoms?

1. “Keep a log of when symptoms occur so that triggers can be identified.”
2. “Call your provider for antibiotics when symptoms occur.”
3. “A nasal decongestant will not work for this condition.”
4. “Stay away from people with bacterial respiratory infections.”

5.

The nurse is teaching a client with a respiratory disorder that they may have no symptoms initially but will gradually experience shortness of breath with normal day-to-day activities. Which condition is the nurse describing?

1. Bronchitis
2. Pharyngitis
3. Sinusitis
4. Emphysema

6.

When providing discharge instructions to a client with COPD, which information should the nurse include?

1. “You may be more susceptible to infections.”
2. “Your disease will be cured with the use of medications.”
3. “You will need less oxygen over time.”
4. “You should not exercise because it will aggravate your condition.”

7.

The nurse is caring for a client with emphysema. Which assessment allows the nurse to monitor the amount of oxygen bound to hemoglobin?

1. Respiratory rate
2. Oxygen saturation
3. Hemoglobin level
4. Breath sounds

8.

A client at a health fair asks the nurse how they can reduce their risk of COPD. What lifestyle change can the nurse recommend?

1. Quit smoking
2. Reduce physical activity
3. Avoid vaccines
4. Decrease fluid intake

9.

A client has been diagnosed with COPD and asks why they should quit smoking because the damage has already been done. What is an appropriate response by the nurse?

1. “You are right. Quitting now will not do anything to help you.”
2. “Smoking cessation can prevent further damage and may help heal some lung tissue.”
3. “You cannot take some of your medications while smoking.”
4. “Quitting smoking will cure the disease.”

10.

A client with sinusitis reports facial discomfort and pressure. What can the nurse recommend to the client to help reduce these symptoms?

1. Pneumococcal vaccination
2. Cough drops
3. Pain reducers
4. Bronchodilators