The nurse interviews a patient with a new diagnosis of chronic obstructive pulmonary disease (COPD). Which information is most helpful in confirming a diagnosis of chronic bronchitis?
a. The patient tells the nurse about a family history of bronchitis.
b. The patient's history indicates a 30 pack-year cigarette history.
c. The patient complains about a productive cough every winter for 3 months.
d. The patient denies having any respiratory problems until the last 12 months.
ANS: C
A diagnosis of chronic bronchitis is based on a history of having a productive cough for 3 months for at least 2 consecutive years. There is no family tendency for chronic bronchitis. Although smoking is the major risk factor for chronic bronchitis, a smoking history does not confirm the diagnosis.
You might also like to view...
Providing patient-centered care "with sensitivity and respect for the diversity of human experience" is a competency promoted by the Quality and Safety Education for Nurses
(QSEN) Institute that overlaps with which of the following communication and behavioral skills that nurses must develop? A. Awareness of others B. Asking questions respectfully C. Understanding patient preferences D. All of the above
Which of the following is not one of the components of power analysis?
a. Effect size b. Error type c. Power d. Sample size
A nurse is caring for a client who has been taking clozapine for 2 weeks. The client tells the nurse, "My throat is sore, and I feel weak." The nurse assesses the client's vital signs and finds that the client has a fever
The nurse notifies the physician, expecting an order to obtain which laboratory test? A) White blood cell count B) Liver function studies C) Serum potassium concentration D) Serum sodium concentration
Which of the following is an anticholinergic drug?
A. Selegiline B. Carbidopa C. Benztropine D. Levodopa