A client who is in the end stage of chronic bronchitis tells the nurse, “I don’t know how my wife will manage without me.” The most appropriate response by the nurse at this time is:

Would you like to see a member of the clergy to receive a blessing?

Do you have children who can help your wife?

Do you have a living will?

Have you discussed your feelings with your wife?

Answer and Explanation

The Correct Answer is D

Choice A reason: Asking if the client would like to see a member of the clergy to receive a blessing can be supportive, but it may not directly address the client’s immediate emotional needs. While spiritual support is important, the nurse should first focus on the client’s expressed concerns about their wife.

Choice B reason: Inquiring if the client has children who can help their wife is practical, but it may not address the client’s emotional distress. The nurse should prioritize providing emotional support and facilitating communication between the client and their family.

Choice C reason: Asking if the client has a living will is important for end-of-life planning, but it does not directly address the client’s emotional concerns. This question is more appropriate for a discussion about advance directives rather than an immediate response to the client’s expressed worries

Choice D reason: Encouraging the client to discuss their feelings with their wife is the most appropriate response. It addresses the client’s emotional needs and promotes open communication between the client and their spouse. This can help alleviate some of the client’s anxiety and ensure that their wife is aware of their feelings and concerns.

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Correct Answer is C

Explanation

Choice A reason: Stating that none of these medications will work for this activity is incorrect. Albuterol, a short-acting beta-agonist, is specifically used to prevent exercise-induced bronchoconstriction (EIB). It is effective in opening the airways and preventing asthma symptoms triggered by exercise.

Choice B reason: Using beclomethasone prior to exercising is not recommended. Beclomethasone is an inhaled corticosteroid used for long-term control of asthma and is not effective as a pre-exercise medication. It helps reduce inflammation in the airways over time but does not provide immediate relief or prevention of exercise-induced symptoms.

Choice C reason: Albuterol is most effective when taken before this type of activity. Albuterol is a short-acting beta-agonist (SABA) that works quickly to relax the muscles around the airways, making it easier to breathe. It is commonly prescribed to be taken 10-15 minutes before exercise to prevent exercise-induced bronchoconstriction. This medication helps to prevent the narrowing of the airways that can occur during physical activity, making it the best choice for preventing exercise-induced asthma symptoms.

Choice D reason: Using zafirlukast prior to aerobic activity is not the best option. Zafirlukast is a leukotriene receptor antagonist used for long-term control of asthma. It helps reduce inflammation and prevent asthma symptoms but is not typically used as a pre-exercise medication. It does not provide the immediate bronchodilation needed to prevent exercise-induced bronchoconstriction.

A. Sitting upright B. Semi-Fowler’s C. Supine D. Side-lying

Correct Answer is A

Explanation

Choice A reason:

Sitting upright is the best position for a respiratory assessment. This position allows for optimal lung expansion and makes it easier to auscultate breath sounds accurately. It also helps in observing the client’s breathing pattern and effort.

Choice B reason:

Semi-Fowler’s position, where the head of the bed is elevated to 30-45 degrees, is often used for clients with respiratory issues to promote lung expansion and reduce the risk of aspiration. However, it is not as effective as the sitting upright position for a thorough respiratory assessment.

Choice C reason:

The supine position, where the client lies flat on their back, is not ideal for a respiratory assessment. This position can limit lung expansion and make it more difficult to hear breath sounds clearly.

Choice D reason:

The side-lying position is also not suitable for a respiratory assessment. This position can cause uneven lung expansion and make it challenging to assess both lungs accurately.

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A client who is in the end stage of chronic bronchitis tells the nurse, “I don’t know how my wife will manage without me.” The most appropriate response by the nurse at this time is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The physician prescribed albuterol, beclomethasone, and zafirlukast for a client being discharged with asthma. The client tells the nurse he can’t remember what to take before exercising. The best response by the nurse would be:

Correct Answer is C

Explanation

The nurse is performing a physical assessment on the respiratory system. Although the client is currently confined to bed, they have the strength and ability to move and reposition themselves. The nurse instructs the client to assume which position for the assessment?

Correct Answer is A

Explanation

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