Exam (elaborations)
NURS 234- Exam #4 Questions And Verified Detailed Answers
- Course
- Institution
NURS 234- Exam #4 Questions And Verified Detailed Answers...
[Show more]
Content preview
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
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Easton. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67096 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now