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ATI Adult Nursing (NUR 105) Med Surg Test Questions and Answers with Explanations Chapter 24: Management of Patients with Chronic Pulmonary Disease

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ATI Adult Nursing (NUR 105) Med Surg Test Questions and Answers with Explanations Chapter 24: Management of Patients with Chronic Pulmonary Disease 1. A clinic nurse is caring for a patient who has... just been diagnosed with chronic obstructive pulmonary disease (COPD). The patient asks the nurse what he could have done to minimize the risk of contracting this disease. What would be the nurses best answer? a. The most important risk factor for COPD is exposure to occupational toxins. b. The most important risk factor for COPD is inadequate exercise. c. The most important risk factor for COPD is exposure to dust and pollen. d. The most important risk factor for COPD is cigarette smoking. Ans: D Feedback: The most important risk factor for COPD is cigarette smoking. Lack of exercise and exposure to dust and pollen are not risk factors for COPD. Occupational risks are significant but are far exceeded by smoking. 2. A nurse is creating a health promotion intervention focused on chronic obstructive pulmonary disease (COPD). What should the nurse identify as a complication of COPD? a. Lung cancer b. Cystic fibrosis c. Respiratory failure d. Hemothorax Ans: C Feedback: Complications of COPD include respiratory failure, pneumothorax, atelectasis, pneumonia, and pulmonary hypertension (corpulmonale). Lung cancer, cystic fibrosis, and hemothorax are not common complications. 3. A nurse is caring for a young adult patient whose medical history includes an alpha1-antitrypsin deficiency. This deficiency predisposes the patient to what health problem? a. Pulmonary edema b. Lobular emphysemac. Cystic fibrosis (CF) d. Empyema Ans: B Feedback: A host risk factor for COPD is a deficiency of alpha1-antitrypsin, an enzyme inhibitor that protects the lung parenchyma from injury. This deficiency predisposes young patients to rapid development of lobular emphysema even in the absence of smoking. This deficiency does not influence the patients risk of pulmonary edema, CF, or empyema. [Show More]

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