nurr 330 exam 4 COPD
The nurse notes the following findings when assessing a patient with COPD. Which require
prompt nursing intervention?
a. The patient is unable to count out loud past 15 after a deep breath.
b. The patient's nails are noticeably clubbed.
c. The patient's sputum has turned from yellow to greenish-brown.
d. The patient has stridor with wheezes heard in all lung fields.
e. The patient's forced vital capacity has increased from 2.8 to 3.4 L.
f.The patient has become confused and mildly disoriented. - correct answer-a. The patient is
unable to count out loud past 15 after a deep breath.
c. The patient's sputum has turned from yellow to greenish-brown.
d. The patient has stridor with wheezes heard in all lung fields.
f.The patient has become confused and mildly disoriented.
COPD and 2 types - correct answer-non reversible, progressive- encourage better quality of
life
chronic bronchitis & emphysema
chronic bronchitis - correct answer-bronchioles inflamed, "blue bloaters", chronic cough,
mucus
emphysema - correct answer-enlargement of airways, "pink puffers"
COPD effects - correct answer-more woman
lower in hispanics
COPD risk factors - correct answer-SMOKING, Ari pollution, genetics, aging, infection, 2nd
hand smoke
COPD genetic test for - correct answer-ATT deficiency
nicotine - correct answer-stimulant- inc HR/BP/ heart workload/platelet aggregation,
vasoconstricition, dec functional hemoglobin
complicates CAD- coronary artery disease
respiratory effects of COPD - correct answer-hyperplasia of mucus glands--> inc mucus
production
dec ciliary activity/ O2 carrying capacity
inc CO2 retention--> cognitive impairment
pathophysiology of COPD - correct answer-*lungs lose elasticity-> can't get rid of CO2*
airflow obstruction due to inc mucus they can't get rid of, mucosal edema, bronchospasm,
Inflamation--> mediators released= lung damage
The nurse notes the following findings when assessing a patient with COPD. Which require
prompt nursing intervention?
a. The patient is unable to count out loud past 15 after a deep breath.
b. The patient's nails are noticeably clubbed.
c. The patient's sputum has turned from yellow to greenish-brown.
d. The patient has stridor with wheezes heard in all lung fields.
e. The patient's forced vital capacity has increased from 2.8 to 3.4 L.
f.The patient has become confused and mildly disoriented. - correct answer-a. The patient is
unable to count out loud past 15 after a deep breath.
c. The patient's sputum has turned from yellow to greenish-brown.
d. The patient has stridor with wheezes heard in all lung fields.
f.The patient has become confused and mildly disoriented.
COPD and 2 types - correct answer-non reversible, progressive- encourage better quality of
life
chronic bronchitis & emphysema
chronic bronchitis - correct answer-bronchioles inflamed, "blue bloaters", chronic cough,
mucus
emphysema - correct answer-enlargement of airways, "pink puffers"
COPD effects - correct answer-more woman
lower in hispanics
COPD risk factors - correct answer-SMOKING, Ari pollution, genetics, aging, infection, 2nd
hand smoke
COPD genetic test for - correct answer-ATT deficiency
nicotine - correct answer-stimulant- inc HR/BP/ heart workload/platelet aggregation,
vasoconstricition, dec functional hemoglobin
complicates CAD- coronary artery disease
respiratory effects of COPD - correct answer-hyperplasia of mucus glands--> inc mucus
production
dec ciliary activity/ O2 carrying capacity
inc CO2 retention--> cognitive impairment
pathophysiology of COPD - correct answer-*lungs lose elasticity-> can't get rid of CO2*
airflow obstruction due to inc mucus they can't get rid of, mucosal edema, bronchospasm,
Inflamation--> mediators released= lung damage
