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VSIM Vincent Brody Quiz Questions - COPD Exacerbation
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VSIM Vincent Brody Quiz Questions - COPD Exacerbation
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VSIM Vincent Brody Quiz Questions -COPD Exacerbation
The nurse understands that the pathophysiology of chronic obstructive
pulmonary disease (COPD) is related to which of the following? - CORRECT
ANSWER-Chronic inflammation and narrowing of airways
(rationale: COPD is a slowly progressive disease involving airway obstruction
related to changes and narrowing of airways resulting from chronic inflammation
and the body's attempt to repair it.)
The nurse recognizes that risk factors for chronic obstructive pulmonary disease
(COPD) include which of the following? (Select all that apply.) - CORRECT
ANSWER-Smoking tobacco, Exposure to dust, Secondhand smoke, Air pollution
(rationale: Risk factors include environmental exposures such as cigarette
smoking, increased age, occupational exposure (dust and chemicals), air
pollution, and genetic abnormalities including alpha1-antitrypsin deficiency.)
What deficiency is a risk factor for COPD? - CORRECT
ANSWER-alpha1-antitrypsin deficiency
The nurse understands that, for a patient with chronic obstructive pulmonary
disease (COPD), chronic hypoxemia and thickening of the walls of the pulmonary
vasculature can lead to which complication? - CORRECT ANSWER-Pulmonary
hypertension
(rationale: Pulmonary hypertension may occur from thickening of the lining,
smooth muscle hypertrophy of the pulmonary vasculature, and chronic
hypoxemia, which causes the pulmonary arteries to constrict.)
In COPD patients, the loss of protective mechanisms of the airways and
increased mucus can lead to which complication? - CORRECT
ANSWER-pneumonia
Which complication occurs from the alveolar wall destruction and loss of recoil? -
CORRECT ANSWER-atelectasis
, Patients can develop large bullae, which may rupture and cause a
____________. - CORRECT ANSWER-pneumothorax
In a patient with chronic obstructive pulmonary disease (COPD), the nurse would
expect to observe which of the following clinical manifestations based on the
arterial blood gas (ABG) results below? pH: 7.33 PaCO2: 55 mmHg HCO3: 22
mEq/L PaO2: 78 mmHg - CORRECT ANSWER-Likely asymptomatic
(rationale: The patient's values are not severe enough at this moment to cause
symptoms.)
What is the normal range of PaO2 in most healthy adults? - CORRECT
ANSWER-80-100 mmHg
Arterial blood gas (ABG) levels may be obtained when the patient is experiencing
exacerbations of chronic obstructive pulmonary disease (COPD). How would the
nurse interpret the following ABG levels? pH: 7.33 PaCO2: 55 mmHg HCO3: 22
mEq/L PaO2: 78 mmHg - CORRECT ANSWER-Respiratory acidosis with no
compensation and mild hypoxemia
(rationale: Respiratory acidosis is the result of decreased pH from an increase in
PaCO2. The bicarbonate (HCO3) levels would only increase if compensation
(either full or partial) is present. There is currently no compensation, as the
HCO3 is currently normal. The below-normal PaO2 indicates that hypoxemia is
present.)
When assessing breath sounds in a patient experiencing chronic obstructive
pulmonary disease (COPD), the nurse would expect to find which of the following
signs and symptoms? - CORRECT ANSWER-Dyspnea with a chronic cough
(rationale: COPD is characterized by primary symptoms that include chronic
cough, sputum production, and dyspnea)
Frothy pink sputum is consistent with _______________. - CORRECT
ANSWER-pulmonary edema
An inspiratory wheeze is consistent with ____________ and air trapping. -
CORRECT ANSWER-asthma
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