Chapter 29 Nursing Management Obstructive Pulmonary Disease
Chapter 29: Nursing Management: Obstructive Pulmonary Diseases
Test Bank
MULTIPLE CHOICE
1. The nurse teaches a patient with chronic bronchitis about a new prescription for Advair
Diskus (combined fluticasone and salmeterol). Which action by the patient would indicate to the nurse that teaching about medication administration has been successful?
a. The patient shakes the device before use.
b. The patient attaches a spacer to the Diskus.
c. The patient rapidly inhales the medication.
d. The patient performs huff coughing after inhalation.
ANS: C
The patient should inhale the medication rapidly. Otherwise the dry particles will stick to the tongue and oral mucosa and not get inhaled into the lungs. Advair Diskus is a dry powder inhaler; shaking is not recommended. Spacers are not used with dry powder inhalers. Huff coughing is a technique to move mucus into larger airways to expectorate. The patient should not huff cough or exhale forcefully after taking Advair in order to keep the medication in the lungs. DIF: Cognitive Level: Apply (application)
REF:
574
TOP: Nursing Process: Evaluation
MSC: NCLEX: Physiological Integrity
2. The nurse teaches a patient how to administer formoterol (Perforomist) through a nebulizer.
Which action by the patient indicates good understanding of the teaching?
a. The patient attaches a spacer before using the inhaler.
b. The patient coughs vigorously after using the inhaler.
c. The patient activates the inhaler at the onset of expiration.
d. The patient removes the facial mask when misting has ceased.
ANS: D
A nebulizer is used to administer aerosolized medication. A mist is seen when the medication is aerosolized, and when all of the medication has been used, the misting stops. The other options refer to inhaler use. Coughing vigorously after inhaling and activating the inhaler at the onset of expiration are both incorrect techniques when using an inhaler.
DIF: Cognitive Level: Apply (application)
REF:
574
TOP: Nursing Process:
Test Bank
MULTIPLE CHOICE
1. The nurse teaches a patient with chronic bronchitis about a new prescription for Advair
Diskus (combined fluticasone and salmeterol). Which action by the patient would indicate to the nurse that teaching about medication administration has been successful?
a. The patient shakes the device before use.
b. The patient attaches a spacer to the Diskus.
c. The patient rapidly inhales the medication.
d. The patient performs huff coughing after inhalation.
ANS: C
The patient should inhale the medication rapidly. Otherwise the dry particles will stick to the tongue and oral mucosa and not get inhaled into the lungs. Advair Diskus is a dry powder inhaler; shaking is not recommended. Spacers are not used with dry powder inhalers. Huff coughing is a technique to move mucus into larger airways to expectorate. The patient should not huff cough or exhale forcefully after taking Advair in order to keep the medication in the lungs. DIF: Cognitive Level: Apply (application)
REF:
574
TOP: Nursing Process: Evaluation
MSC: NCLEX: Physiological Integrity
2. The nurse teaches a patient how to administer formoterol (Perforomist) through a nebulizer.
Which action by the patient indicates good understanding of the teaching?
a. The patient attaches a spacer before using the inhaler.
b. The patient coughs vigorously after using the inhaler.
c. The patient activates the inhaler at the onset of expiration.
d. The patient removes the facial mask when misting has ceased.
ANS: D
A nebulizer is used to administer aerosolized medication. A mist is seen when the medication is aerosolized, and when all of the medication has been used, the misting stops. The other options refer to inhaler use. Coughing vigorously after inhaling and activating the inhaler at the onset of expiration are both incorrect techniques when using an inhaler.
DIF: Cognitive Level: Apply (application)
REF:
574
TOP: Nursing Process: