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Medsurg exam 1 MCPHS- Questions and Answers $12.99   Add to cart

Exam (elaborations)

Medsurg exam 1 MCPHS- Questions and Answers

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  • Course
  • MCPHS
  • Institution
  • MCPHS

Medsurg exam 1 MCPHS- Questions and Answers

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  • November 12, 2024
  • 16
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • MCPHS
  • MCPHS
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Medsurg exam 1 MCPHS- Questions and
Answers
COPD: Correct Ans-loss of lung elasticity and hyperinflation of the lungs, destruction of
alveoli



COPD risk factors: Correct Ans-cigarette smoking, genetics alpha 1-antitrypsin deficiency,
occupational/enviornmental exposures, asbestos exposure



COPD diagnostic tests: Correct Ans-sputum samples, chest X-ray, pulmonary function test
(PFT), completele blood count (CBC), arterial blood gas (ABG)



pH: Correct Ans-7.35-7.45




PaO2: Correct Ans-80-100




paCO2 Correct Ans-35-45




HCO2 Correct Ans-22-26




COPD assessment findings: Correct Ans-chronic bronchitis

emphysema

Increased work of breathing

,Accessory breathing

Tripod positioning

Fatigued

"hypoxia"

Orthopnea

Rapid, shallow breaths-*40-50 rpm

Increased SOB with exertion

Abnormal lungs *wheezing

Digital clubbing

Polycythemia

Barrel Chest



AP diameter non-barrel chest: Correct Ans-1:2




AP diameter barrel chest: Correct Ans-> or = to 1:1




COPD treatment non-surgical medications: Correct Ans-Bronchodilators

Steroids

Expectorants

Anxiolytics

Antibiotics

Vibratory Positive Expiratory Pressure Device

, Weight management



COPD treatment surgical: Correct Ans-Lung transplant

Lung reduction surgery

Most common procedure is VATS



COPD nursing interventions: Correct Ans-Maintenance of ABC's

Oxygen:

SpO2 <88% on RA or <2 LPM/PaO2 <55 mmHg

Monitor for changes in respiratory status

Increased monitoring for hospitalized patient

Breathing techniques

Diaphragmatic or abdominal breathing

Pursed-lip breathing

Cough/Deep breathing

Place patient in upright position

Suctioning à only when necessary

Hydration

Reduce anxiety



IV therapy uses: Correct Ans-maintaining fluid balance (or correct)

maintain electrolyte or acid-base balance (or correct)

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