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NURS 234- Exam #4 Questions And Accurate Answers A+ Graded
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NURS 234- Exam #4 Questions And AccurateAnswers A+ Graded
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
most common cause of COPD - ANSWER smoking of any kind
depresses the activity of scavenger cells and affects respiratory tract's ciliary cleansing
mechanism - ANSWER smoking
what is desired outcome for COPD - ANSWER clear, even, nonlabored 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
what lab value 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 would 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
unable to take in or expel the volumes necessary, respiratory drive is completely
eliminated - 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- high blood pressure in the arteries of 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
provide humidified O2
suction only if needed
vibrating ositive 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 need to avoid drinking before and excessively during meals -
ANSWER so they will not feel as full
How many meals should a patient with COPD eat daily - ANSWER 6 small meals
The intake of this needs increased if 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 - ANS they will increase CO2
production and increase risk for acidosis
What should SOB patients do before eating - ANS 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 - ANS bronchodilators
May be prescribed for patients to see if pulmonary function improves and symptoms
decrease. ANSWER corticosteroids
First line therapy for COPD. ANSWER bronchodilators
A surgical option for selected patients with bullous emphysema, which can help
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