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NURS 234- Exam #4 Questions And Verified Detailed Answers
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NURS 234- Exam #4 Questions AndVerified Detailed Answers
what test must be completed before drawing an ABG - Answer Allen's Test
A chronic airway obstruction that limits air flow into and out of the alveoli, this restricts
O2 from entering and traps CO2 from escaping - Answer COPD
what are the two types of COPD - Answer chronic bronchitis and emphysema
causes of COPD - Answer smoking
occupational exposure
genetic abnormalities
what is the most common cause of COPD - Answer smoking of any type
depresses the activity of scavenger cells and impairs the respiratory tract's ciliary
cleansing mechanism - Answer smoking
what is the desired outcome for COPD - Answer clear, even, non-labored breathing
while maintaining optimal oxygenation
an abnormal distention of airspaces beyond the terminal bronchioles and destruction of
the walls of the alveoli - Answer pulmonary emphysema
the impaired carbon dioxide and oxygen exchange that occurs with pulmonary
emphysema results from what - Answer the destruction of the walls of the alveoli
,a disease of airways and is defined as a - Answer chronic bronchitis
what can cause chronic bronchitis - Answer pollutants
allergens
smoking
what can produce acute episodes of bronchitis - Answer a wide range of viral, bacterial,
and mycoplasma infections
chronic bronchitis s/s - Answer overweight
cyanotic
elevated hemoglobin
peripheral edema
rhonchi and wheezing
lab value that could be elevated with chronic bronchitis - Answer hemoglobin
emphysema s/s - Answer older
thin
severe dyspnea
quiet chest
what will a chest x-ray of someone with emphysema look like - Answer hyperinflation
with flattened diaphrams
what might the nails of someone with COPD look like - Answer clubbing
why do we check for JVD in patients with COPD - Answer they can develop right sides
,heart failure
why do we want to use caution when putting COPD patients on oxygen - Answer it can
increase CO2 retention and causes vasodilation
what are the two major life-threatening complications of COPD - Answer respiratory
failure
respiratory insufficiency
not able to draw in or exhale the volumes needed, respiratory drive is completely wiped
out - Answer respiratory failure
can be acute or chronic and may require ventilator support until other acute
complications can be treated - Answer respiratory insufficiency
a condition that causes the right side of the heart to fail - Answer cor pulmonale
long-term high BP in the arteries of the lung and right ventricle of the heart can lead to
what - Answer cor pulmonale
pulmonary hypertension of the arteries in the lungs - Answer pulmonary hypertension
what is the most common cause of cor pulmonale - Answer pulmonary HTN
interventions to decrease thick sputum - Answer maintain adequate hydration
administer humidified O2
suction only if necessary
vibrating positive expiratory pressure device
, what can excessive suctioning cause - Answer airway trauma
what should we do for someone in tripod position - Answer ABG
supplemental O2
why do COPD patients not drink before and excessively during meals - Answerto not
make them feel as full
how many meals does the patient with COPD take per day - Answer 6 small meals
the intake of this needs increased in case a patient has COPD - Answer calories and
protein
what foods should be avoided if they have COPD - Answer fibrous foods
carbohydrates
Why should COPD patients avoid carbohydrates -Answer they will increase CO2
production and increase risk for acidosis
What should a patient with SOB do before eating -Answer rest
Relieve bronchospasms by altering the smooth muscle tone and reduce airway
obstruction by allowing increased O2 distribution throughout the lungs and inproving
alveolar ventilation -Answer bronchodilators
may be prescribed for patients to evaluate if pulmonary function improves and
symptoms reduce- ANS corticosteroids
first line therapy for COPD- ANS bronchodilators
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