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NURS 234- Exam #4 Questions With 100% Verified Answers

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NURS 234- Exam #4 Questions With 100% Verified Answers What test must be completed before drawing an ABG - answerAllen'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 - answerCOPD what are the two...

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  • October 19, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 234
  • NURS 234
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sirjoel
©SIRJOEL EXAM SOLUTIONS
11/3/2024 10:54 PM



NURS 234- Exam #4 Questions With 100%
Verified 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 kind
depresses the activity of scavenger cells and affects 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

, ©SIRJOEL EXAM SOLUTIONS
11/3/2024 10:54 PM


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 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 need 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

, ©SIRJOEL EXAM SOLUTIONS
11/3/2024 10:54 PM


long-term high BP in the arteries of the lung and right ventricle of the heart can lead to what -
answer✔cor pulmonale

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 should COPD patients avoid drinking before and excessivley during meals - answer✔to
make them 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 patients with COPD avoid carbohydrates - answer✔they will increase CO2
production and increase risk for acidosis

what should patients 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 determine whether pulmonary function improves and
symptoms decrease - answer✔corticosteroids

first line therapy for COPD - answer✔bronchodilators

, ©SIRJOEL EXAM SOLUTIONS
11/3/2024 10:54 PM


a surgical option for select patients with bullous emphysema and can help reduce dyspnea and
improve lung function - answer✔bullectomy
a pallatove surgery in patients with homogenous disease or disease that is focused in one area
and not widespread throughout the lungs - answer✔lung volume reduction surgery

a viable option for definitive surgical treatment of end-stage emphysema - answer✔lung
transplantation

what type of acid-base imbalance will COPD cause - answer✔respiratory acidosis
large blood clot in the lungs will significantly impair perfusion of gas exchange and oxygenation
- answer✔pulmonary embolism
the obstruction of the pulmonary artery or one of its branches by a thrombus that originates
somewhere in the venous system or right side of heart - answer✔pulmonary embolism
thrombus formation in the deep veins, usually in the calf or thigh, espcially in patients with
peripherally inserted central catheters - answer✔deep vein thrombosis
cholesterol or fatty substances that may clog the arteries when fatty foods are consumed more -
answer✔fat emboli

usually come from intravenous devices - answer✔air emboli

caused by amniotic fluid that has leaked towards the arteries - answer✔amniotic fluid emboli

originate from a bacterial invasion of the thrombus - answer✔septic emboli
when a thrombus completely or partially obstructs the pulmonary artery or its branches, the
alveolar dead space is increased - answer✔obstruction

the area recieves little to no blood flow and gas exchange is impaired - answer✔impairment
various substances are released from the clot and surrounding area that cause constriction pf the
blood vessles and results in pulmonary resistance - answer✔constriction

consequences of PE - answer✔increase in PA pressure
increase in right ventricle workload

when the workload of the right ventricle exceeds the limit, what may happen - answer✔failure

what are the most common causes of a PE - answer✔trauma

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