Which of the following would be the most appropriate response by the nurse? A 45-year-old man with asthma is brought to the emergency department by automobile. plus. Diseases of the Respiratory System 2. In COPD, there are structural changes that include. He is short of breath and appears frightened. Learn vocabulary, terms, and more with flashcards, games, and other study tools. This is an unprecedented time. However, little data exists regarding the responsiveness of the CCQ to pulmonary rehabilitation (PR) or the minimal clinically important difference (MCID). Which of the following types of equipment should the nurse prepare to use? In reviewing the use of dry powder inhalers (DPIs) with the patient, the nurse should provide which of the following instructions? People in what age group are most likely to say they have symptoms of COPD? Which of the following instructions given by the nurse is most appropriate to help the patient learn proper inhalation technique? What is a COPD Exacerbation? An autosomal recessive deficiency of antitrypsin may cause COPD. When caring for a patient with COPD, the nurse identifies a nursing diagnosis of imbalanced nutrition: less than body requirements after noting a weight loss of 30 lb. The patient asks the nurse whether oxygen use will be needed at home. Which of the following would be an appropriate intervention to add to the plan of care for this patient? Following initial treatment, which of the following findings indicates to the nurse that the patient's respiratory status is improving? Which of the following is the primary reason for the nurse to carefully inspect the chest wall of this patient? Find out about the best types of exercises, pulmonary rehabilitation and more. Background The Clinical COPD Questionnaire (CCQ) is a simple 10-item, health-related quality of life questionnaire (HRQoL) with good psychometric properties. Which of the following positions is most appropriate for the nurse to place a patient experiencing an asthma exacerbation? Chronic Obstructive Pulmonary Disease (COPD) is a condition of chronic dyspnea with expiratory airflow limitation that does not significantly fluctuate. Text Mode – Text version of the exam 1. The nurse is assigned to care for a patient who has anxiety and an exacerbation of asthma. The nurse, who has administered a first dose of oral prednisone to a patient with asthma, writes on the care plan to begin monitoring which of the following patient parameters? With each of these three conditions there is a chronic obstruction of air flow through the airways and out of the lungs. Also explore over 14 similar quizzes in this category. Most people with the disease have both chronic bronchitis and emphysema. The patient has an order for each of the following inhalers. The nurse explains that the best way to prevent oral infection while taking this medication is to do which of the following as part of the self-administration techniques? What is the medical definition of COPD? The nurse is teaching a patient how to self-administer ipratropium (Atrovent) via a metered dose inhaler. Chronic bronchitis C. Lung cancer D. A and B. Included topics in this practice quiz are: 1. How many milliliters should the nurse use to prepare the patient's dose? Start studying COPD questions. It is the dedication of healthcare workers that will lead us through this crisis. Start studying Chapter 31 - COPD (Questions). Patients typically have symptoms of chronic bronchitis and emphysema, but the classic triad also includes asthma (see the image below). The nurse would administer the right drug by selecting the inhaler with which of the following trade names? While teaching a patient with asthma about the appropriate use of a peak flow meter, the nurse instructs the patient to do which of the following? COPD, or Chronic Obstructive Pulmonary Disease, is a disorder that affects millions of people around the world. How can you treat a patient with COPD? The nurse reviews pursed lip breathing with a patient newly diagnosed with COPD. When patients with asthma do not have effective respirations, they use all available energy to breathe and have little left over for purposeful activity. The physician has prescribed salmeterol (Serevent) for a patient with asthma. Here is a quiz on the various aspects of COPD. Which of the following test results identifies that a patient with an asthma attack is responding to treatment? When the patient does not have sufficient gas exchange to engage in activity, the etiologic factor is often the work of breathing. Which of the following statements made by a patient with COPD indicates a need for further teaching regarding the use of an ipratropium inhaler. There are two ways to manage asthma which include preventing the symptoms or treating the symptoms by using inhalers which for the two main reasons. During the initial nursing assessment, which of the following clinical manifestations might be present as an early symptom during an exacerbation of asthma? 1. The nurse reinforces that this technique will assist respiration by which of the following mechanisms? The nurse is caring for a patient with an acute exacerbation of asthma. The inflammatory response occurs throughout the airways, parenchyma, and pulmonary vasculature Because of the chronic inflammation and the body’s attempts to repair it, narrowing occurs in the small peripheral … How can you help me quit, and will it really help me breathe better? True or False: COPD is reversible and tends to happens gradually. Learn about COPD guidelines for exercise from Cleveland Clinic. Nurses care for patients with COPD across the spectrum of care, from outpatient to home care to emergency department, critical care, and hospice settings. Which of the following should the nurse offer to the patient at the onset of an asthma attack? The COPD Assessment Test (CAT) quantifies impact of COPD symptoms on patients’ overall health. When caring for a patient with COPD, the nurse identifies a nursing diagnosis of imbalanced nutrition: less than body requirements after noting a weight loss of 30 lb. Learn vocabulary, terms, and more with flashcards, games, and other study tools. An early symptom during an asthma attack is anxiety because he is acutely aware of the inability to get sufficient air to breathe. Which of the following would be an appropriate intervention to add to the plan of care for this patient? Take this quick 8-question quiz to test your knowledge of COPD and the latest guidance for improving patient care. With failure of the right ventricle, the blood emptying into the right atrium and ventricle would be slowed, leading to jugular venous distention and pedal edema. What does COPD stand for? Start studying COPD lewis study guide questions. Chronic Obstructive Pulmonary Disease(COPD) 4. Which of the following diseases is included in the umbrella term COPD? Learn vocabulary, terms, and more with flashcards, games, and other study tools. Try this amazing Chronic Obstructive Pulmonary Disease Multiple Choice quiz which has been attempted 5152 times by avid quiz takers. Bronchial Asthma 3. A decrease in the exhaled nitric oxide concentration suggests that the treatment may be decreasing the lung inflammation associated with asthma. De afkorting COPD staat voor Chronic Obstructive Pulmonary Disease. A patient with acute exacerbation of COPD needs to receive precise amounts of oxygen. The correct answer is: False. He will be hypoxic early on with decreased PaCO2 and increased pH as he is hyperventilating. The nurse evaluates that a patient is experiencing the expected beneficial effects of ipratropium (Atrovent) after noting which of the following assessment findings? Learn vocabulary, terms, and more with flashcards, games, and other study tools. and (2) “In what percentage of patients with COPD and an FEV 1 of less than 50% of predicted do you think a chest CT scan should The primary problem during an exacerbation of asthma is narrowing of the airway and subsequent diminished air exchange. It is preventable and treatable. The patient has received a β-adrenergic bronchodilator and supplemental oxygen. In COPD, the airflow limitation is both progressive and associated with an abnormal inflammatory response of the lungs to noxious particles or gases. Practice Mode – Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. an adrenergic bronchodilator, is Serevent. 1) persistent airflow limitation, progressive, chronic inflammatory response of airways to noxious particles or gases. Which of the following exercise goals is most appropriate once the patient is fully recovered from this episode of illness? A. Emphysema B. Pneumonia Our online COPD trivia quizzes can be adapted to suit your requirements for taking some of the top COPD quizzes. Once you have the damage though its not reversible, COPD: cigarette smoking: effects on respiratory tract, 1) alpha-antitrypsin (AAT) => protects lung from injury => more prone to injury without it => predisposes people to COPD that do not smoke, should be tested for it if come into hospital with COPD and dont smoke, 1) frequent childhood diseases, low birth weight, 1) -inflammation from inhalation of noxious particles => mediators released cause damage to lung tissue => airway inflamed and parenchyma destroyed => supporting structures of lungs are destroyed => air goes in easily but remains in lungs (cant expel the air as easily) => bronchioles tend to collapse => alveoli over distended leading to air trapping, flattened diaphragm and increased chest circumference, 1) destruction of the alveoli (get overdistended and not working), 2) abnormal permanent enlargement of the airspace of alveoli and destruction of bronchioles w/out obvious fibrosis => loss of lung elasticity => decreased pulmonary capillary bed => pulmonary resistance and R sided heart failure (Cor pulmonale), -dyspnea on exertion, during ADLs and rest (always SOB), 1) inflammation and constriction of the airway, and lots of mucous blocking airway, chronic bronchitis: clinical manifestations, -frequent productive cough for at least 3 months in 2 consecutive years, happens a lot in winter, based on FEV1, goes from mild-very severe. When admitting a patient with a diagnosis of asthma exacerbation, the nurse will assess for which of the following potential triggers (select all that apply)? Whats people lookup in this blog: Nutrition Nclex Questions Quizlet hyperinflation of alveoli, destruction of alveolar walls, destruction of alveolar capillary walls, narrowing of small airways, and loss of lung elasticity. COPD is een chronische longziekte. A. A) Order fruits and fruit juices to be offered between meals. Also explore over 206 similar quizzes in this category. Nursing assessment findings of jugular vein distention and pedal edema would be indicative of which of the following complications of emphysema? Chronisch betekent dat het blijvend is. COPD - Characterized by persistent airflow limitation that is usually progressive - Chronic inflammation of the airways, respiratory bronchioles, alveoli, and pulmonary blood vessels. The nurse is evaluating whether a patient understands how to safely determine whether a metered dose inhaler (MDI) is empty. The study aims were to assess the … A patient has been receiving oxygen per nasal cannula while hospitalized for COPD. Which of the … COPD Frequently Asked Questions. With chronic bronchitis, the … The other methods are less precise in terms of amount of oxygen delivered. Available is a solution containing 2 mg/ml. Note: If you would like more information on any of the questions, a link to the original article, “Updated 2017 GOLD Recommendations for COPD,” is provided on the last page of the quiz. I am struggling with quitting smoking. Take the quiz, an AARP Rewards activity, and earn points. But you could have just one and still have COPD. Asthma after treatment in relation to wheezing. The quiz below is set to test out what you have understood through your classes about dosage and drugs prescribed to an asthma patient. Stage describes what treatment they should have, -cor pulmonale (vascular congestion from emphysema), 1) hypertrophy of right side of heart from vasoconstrticton in lungs (pulmonary hypertension), 1) increased incidence w/ COPD pt who crhonically retain CO2, 1) relax smooth muscle in airway => improve ventilation of lungs, decrease dyspnea and increase in FEV1, 1) percussion, vibration, ect to loosen mucus to help cough out mucus. Start studying COPD Practice Questions for Exam. When planning patient teaching about COPD, the nurse understands that the symptoms are caused by which of the following? Nclex Question Strategy Management Of Care Questions Kaplan Nclex rn practice set flashcards quizlet hosa competition nutrition flashcards quizlet we ve just updated list view on our new set page still in preview lpn nclex case study questions flashcards quizlet. Take this quiz to find out more about COPD and how to prevent it. In COPD there are structural changes that include hyperinflation of alveoli, destruction of alveolar walls, destruction of alveolar capillary walls, narrowing of small airways, and loss of lung elasticity. If the patient's condition does not improve, the nurse should anticipate which of the following is likely to be the next step in treatment? A comprehensive database of more than 14 COPD quizzes online, test your knowledge with COPD quiz questions. Included topics in this practice quiz are: 1. Chronic obstructive pulmonary disease affects millions of people worldwide and is responsible for numerous deaths due to complications. The nurse interprets that the patient understands this important information to prevent medication underdosing when the patient describes which method to check the inhaler? Two questions were posed: (1) “In what percentage of patients with COPD do you think a chest CT scan should be performed for clinical purposes”? The nurse evaluates that nursing interventions to promote airway clearance in a patient admitted with COPD are successful based on which of the following findings? COPD NCLEX Questions This quiz will test your knowledge about COPD (chronic obstructive pulmonary disease) in preparation for the NCLEX exam. The nurse would administer the right drug by selecting the inhaler with which of the following trade names? 1. Give it a try! All questions are shown, but the results will only be given after you’ve finished the quiz. Risk factors of COPD - Smoking - Asthma The nurse interprets that these symptoms are related to which of the following pathophysiologic changes? The nurse is assigned to care for a patient in the emergency department admitted with an exacerbation of asthma. Pneumonia During an assessment of a 45-year-old patient with asthma, the nurse notes wheezing and dyspnea. Explanation: Chronic obstructive pulmonary disease (COPD) is comprised primarily of three related conditions: 1) chronic bronchitis, 2) chronic asthma, and 3) emphysema. The nurse assesses for which of the following etiologic factor for this nursing diagnosis in patients with asthma? Diseases of the Respiratory System 2. The patient has an order for albuterol 5 mg via nebulizer. The nurse is scheduled to give a dose of ipratropium bromide by metered dose inhaler. COPD360social Questions and Answers is the one stop shop to share thoughts and ideas, receive and provide support as well as ask the community about … Click Here for COVID-19 Information for the COPD Community: Updated December 22nd! As the airways begin to dilate, wheezing gets louder because of better air exchange. 1. 2. The nurse determines that the patient is not experiencing adverse effects of albuterol (Proventil) after noting which of the following patient vital signs? 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