←
Review Questions

Review Questions

1.
Which disease-related alteration can potentially place an older client with chronic obstructive pulmonary disease (COPD) at risk for altered nutrition?
  1. Altered taste
  2. Decreased energy requirements
  3. Fatigue
  4. Altered smell
2.
On initial laboratory tests, an adult client’s albumin level is below 3.5 g/dL. Which additional test could potentially be utilized to gather additional information about nutritional risk for malnutrition?
  1. Hemoglobin A1C
  2. Antinuclear antibodies (ANA)
  3. Prealbumin
  4. Chest x-ray
3.
What is the process for carbon dioxide and oxygen exchange?
  1. Ventilation
  2. Gas exchange
  3. Perfusion
  4. Diffusion
4.
The nurse is instructing an older client on the importance of adequate calcium and vitamin D intake. Which of the following age-related changes would this intervention affect?
  1. Decreased lung capacity
  2. Increased muscle atrophy
  3. Decreased elasticity
  4. Increased vascular resistance
5.
For the client with chronic obstructive pulmonary disease (COPD), which dietary teaching should be incorporated?
  1. High-fat food choices
  2. Simple carbohydrates as primary food choice
  3. High-protein, calorie-dense food choices
  4. Low-fiber food choices
6.
Which of the following is a primary goal of nutrition therapy for a client with chronic obstructive pulmonary disease (COPD)?
  1. Maintaining a healthy body weight
  2. Improving oxygenation status
  3. Preventing muscle wasting
  4. Lowering CO2 levels
7.
The nurse is instructing a client with chronic obstructive pulmonary disease (COPD) on strategies to maximize food intake. Which of the following responses by the client indicates additional education is needed?
  1. “I will treat myself to cake or pudding for dessert.”
  2. “I will eat add cheese to my food whenever possible.”
  3. “I will eat more cold foods rather than hot meals.”
  4. “I will try to eat as much as I can during the evening before I go to bed.”
8.
A client with chronic obstructive pulmonary disease (COPD) is being assessed by a nurse. With palpitation, the nurse feels crackling. What does the crackling most likely indicate?
  1. Fremitus
  2. Orthopnea
  3. Crepitus
  4. Tuberculosis
9.
Which of the following findings is the best indicator that the client has followed the prescribed nutritional plan to maintain a healthy weight?
  1. The client can verbalize why obesity is detrimental to pulmonary health.
  2. The client can describe the MyPlate approach to food selection.
  3. The client’s food log demonstrates adherence to healthy nutritional plan.
  4. The client has reached their recommended weight range.
10.
A client states that they are experiencing a nighttime cough. Which medication could explain this symptom?
  1. Acetaminophen
  2. Ibuprofen
  3. Beta-2 agonist
  4. Angiotensin-converting enzyme (ACE) inhibitors