Quitting smoking is the one thing you can do that has been proven to slow the progression of COPD. True or False: COPD is reversible and tends to happens gradually. Which of the following would be an appropriate intervention to add to the plan of care for this patient? Take the quiz, an AARP Rewards activity, and earn points. Which of the following should the nurse offer to the patient at the onset of an asthma attack? He is short of breath and appears frightened. Chronic Obstructive Pulmonary Disease(COPD) 4. However, little data exists regarding the responsiveness of the CCQ to pulmonary rehabilitation (PR) or the minimal clinically important difference (MCID). Chronic Obstructive Pulmonary Disease(COPD) 4. Two questions were posed: (1) “In what percentage of patients with COPD do you think a chest CT scan should be performed for clinical purposes”? 2. The primary problem during an exacerbation of asthma is narrowing of the airway and subsequent diminished air exchange. In COPD, there are structural changes that include. The patient has an order for each of the following inhalers. Chronic bronchitis C. Lung cancer D. A and B. During an assessment of a 45-year-old patient with asthma, the nurse notes wheezing and dyspnea. COPD - Characterized by persistent airflow limitation that is usually progressive - Chronic inflammation of the airways, respiratory bronchioles, alveoli, and pulmonary blood vessels. Written by a prominent physician and leader in patient support for this devastating lung disease, with commentary from an actual COPD patient, 100 Questions & Answers About Chronic Obstructive Pulmonary Disease gives you authoritative, practical answers to your questions, including diagnosis, medical, surgical, and rehabilitative treatment options, how to work with … a right-sided heart failure caused by resistance to right ventricular outflow resulting from lung disease. plus. Nurses care for patients with COPD across the spectrum of care, from outpatient to home care to emergency department, critical care, and hospice settings. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Chronic Obstructive Pulmonary Disease (COPD) is a condition of chronic dyspnea with expiratory airflow limitation that does not significantly fluctuate. Included topics in this practice quiz are: 1. Learn about COPD guidelines for exercise from Cleveland Clinic. An early symptom during an asthma attack is anxiety because he is acutely aware of the inability to get sufficient air to breathe. Here is a quiz on the various aspects of COPD. The nurse evaluates that a patient is experiencing the expected beneficial effects of ipratropium (Atrovent) after noting which of the following assessment findings? COPD is een chronische longziekte. While teaching a patient with asthma about the appropriate use of a peak flow meter, the nurse instructs the patient to do which of the following? The nurse is teaching a patient how to self-administer ipratropium (Atrovent) via a metered dose inhaler. How can you treat a patient with COPD? Available is a solution containing 2 mg/ml. 1. You are given 1 minute per question, a total of 10 minutes in this quiz. Note: If you would like more information on any of the questions, a link to the original article, “Updated 2017 GOLD Recommendations for COPD,” is provided on the last page of the quiz. The patient has received a β-adrenergic bronchodilator and supplemental oxygen. A) Order fruits and fruit juices to be offered between meals. Background The Clinical COPD Questionnaire (CCQ) is a simple 10-item, health-related quality of life questionnaire (HRQoL) with good psychometric properties. Start studying Chapter 31 - COPD (Questions). Start studying COPD lewis study guide questions. The correct answer is: False. The other methods are less precise in terms of amount of oxygen delivered. It is preventable and treatable. The nurse is scheduled to give a dose of ipratropium bromide by metered dose inhaler. Which of the following would be the most appropriate response by the nurse? But you could have just one and still have COPD. If the patient's condition does not improve, the nurse should anticipate which of the following is likely to be the next step in treatment? During the initial nursing assessment, which of the following clinical manifestations might be present as an early symptom during an exacerbation of asthma? How many milliliters should the nurse use to prepare the patient's dose? The nurse explains that the best way to prevent oral infection while taking this medication is to do which of the following as part of the self-administration techniques? Take this quiz to find out more about COPD and how to prevent it. All questions are shown, but the results will only be given after you’ve finished the quiz. Also explore over 206 similar quizzes in this category. The study aims were to assess the … Stage describes what treatment they should have, -cor pulmonale (vascular congestion from emphysema), 1) hypertrophy of right side of heart from vasoconstrticton in lungs (pulmonary hypertension), 1) increased incidence w/ COPD pt who crhonically retain CO2, 1) relax smooth muscle in airway => improve ventilation of lungs, decrease dyspnea and increase in FEV1, 1) percussion, vibration, ect to loosen mucus to help cough out mucus. Which of the following positions is most appropriate for the nurse to place a patient experiencing an asthma exacerbation? Pneumonia Bronchial Asthma 3. When patients with asthma do not have effective respirations, they use all available energy to breathe and have little left over for purposeful activity. When caring for a patient with COPD, the nurse identifies a nursing diagnosis of imbalanced nutrition: less than body requirements after noting a weight loss of 30 lb. Patients typically have symptoms of chronic bronchitis and emphysema, but the classic triad also includes asthma (see the image below). It is the dedication of healthcare workers that will lead us through this crisis. Chronic obstructive pulmonary disease affects millions of people worldwide and is responsible for numerous deaths due to complications. The nurse is assigned to care for a patient in the emergency department admitted with an exacerbation of asthma. Diseases of the Respiratory System 2. The nurse would administer the right drug by selecting the inhaler with which of the following trade names? The nurse evaluates that nursing interventions to promote airway clearance in a patient admitted with COPD are successful based on which of the following findings? Risk factors of COPD - Smoking - Asthma What is a COPD Exacerbation? Pneumonia The COPD Assessment Test (CAT) quantifies impact of COPD symptoms on patients’ overall health. Practice Mode – Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. The nurse determines that the patient is not experiencing adverse effects of albuterol (Proventil) after noting which of the following patient vital signs? The inflammatory response occurs throughout the airways, parenchyma, and pulmonary vasculature Because of the chronic inflammation and the body’s attempts to repair it, narrowing occurs in the small peripheral … The nurse, who has administered a first dose of oral prednisone to a patient with asthma, writes on the care plan to begin monitoring which of the following patient parameters? Whats people lookup in this blog: Nutrition Nclex Questions Quizlet Which of the following exercise goals is most appropriate once the patient is fully recovered from this episode of illness? Which of the following would be an appropriate intervention to add to the plan of care for this patient? Text Mode – Text version of the exam 1. The nurse determines that the patient understood medication instructions about the use of a spacer device when taking inhaled medications after hearing the patient state which of the following as the primary benefit? Start studying COPD Practice Questions for Exam. With each of these three conditions there is a chronic obstruction of air flow through the airways and out of the lungs. Take this quick 8-question quiz to test your knowledge of COPD and the latest guidance for improving patient care. The nurse reviews pursed lip breathing with a patient newly diagnosed with COPD. Try this amazing COPD Test 3 quiz which has been attempted 1358 times by avid quiz takers. Most people with the disease have both chronic bronchitis and emphysema. Chronic Obstructive Pulmonary Disease has been defined by The Global Initiative for Chronic Obstructive Lung Disease as “a preventable and treatable disease with som… COPD NCLEX Questions This quiz will test your knowledge about COPD (chronic obstructive pulmonary disease) in preparation for the NCLEX exam. Exam Mode – Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. hyperinflation of alveoli, destruction of alveolar walls, destruction of alveolar capillary walls, narrowing of small airways, and loss of lung elasticity. Nitric oxide levels are increased in the breath of people with asthma. Find out about the best types of exercises, pulmonary rehabilitation and more. The quiz below is set to test out what you have understood through your classes about dosage and drugs prescribed to an asthma patient. Before discharge, the nurse discusses activity levels with a 61-year-old patient with COPD and pneumonia. COPD, or Chronic Obstructive Pulmonary Disease, is a disorder that affects millions of people around the world. Included topics in this practice quiz are: 1. The Venturi mask delivers precise concentrations of oxygen and should be selected whenever this is a priority concern. Which of the following diseases is included in the umbrella term COPD? A decrease in the exhaled nitric oxide concentration suggests that the treatment may be decreasing the lung inflammation associated with asthma. Which of the following types of equipment should the nurse prepare to use? Explanation: Chronic obstructive pulmonary disease (COPD) is comprised primarily of three related conditions: 1) chronic bronchitis, 2) chronic asthma, and 3) emphysema. I am struggling with quitting smoking. A patient has been receiving oxygen per nasal cannula while hospitalized for COPD. An autosomal recessive deficiency of antitrypsin may cause COPD. The patient has an order for albuterol 5 mg via nebulizer. The nurse determines that a patient is experiencing common adverse effects from the inhaled corticosteroid beclomethasone (Beclovent) after noting which of the following? How can you help me quit, and will it really help me breathe better? There are two ways to manage asthma which include preventing the symptoms or treating the symptoms by using inhalers which for the two main reasons. Chronic obstructive pulmonary disease (COPD) is estimated to affect 32 million persons in the United States and is the third leading cause of death in this country. When the patient does not have sufficient gas exchange to engage in activity, the etiologic factor is often the work of breathing. A. Emphysema B. Once you have the damage though its not reversible, COPD: cigarette smoking: effects on respiratory tract, 1) alpha-antitrypsin (AAT) => protects lung from injury => more prone to injury without it => predisposes people to COPD that do not smoke, should be tested for it if come into hospital with COPD and dont smoke, 1) frequent childhood diseases, low birth weight, 1) -inflammation from inhalation of noxious particles => mediators released cause damage to lung tissue => airway inflamed and parenchyma destroyed => supporting structures of lungs are destroyed => air goes in easily but remains in lungs (cant expel the air as easily) => bronchioles tend to collapse => alveoli over distended leading to air trapping, flattened diaphragm and increased chest circumference, 1) destruction of the alveoli (get overdistended and not working), 2) abnormal permanent enlargement of the airspace of alveoli and destruction of bronchioles w/out obvious fibrosis => loss of lung elasticity => decreased pulmonary capillary bed => pulmonary resistance and R sided heart failure (Cor pulmonale), -dyspnea on exertion, during ADLs and rest (always SOB), 1) inflammation and constriction of the airway, and lots of mucous blocking airway, chronic bronchitis: clinical manifestations, -frequent productive cough for at least 3 months in 2 consecutive years, happens a lot in winter, based on FEV1, goes from mild-very severe. COPD Frequently Asked Questions. 2. Which of the following instructions given by the nurse is most appropriate to help the patient learn proper inhalation technique? 1) persistent airflow limitation, progressive, chronic inflammatory response of airways to noxious particles or gases. The nurse is caring for a patient with an acute exacerbation of asthma. 1. The patient asks the nurse whether oxygen use will be needed at home. A 45-year-old man with asthma is brought to the emergency department by automobile. He will be hypoxic early on with decreased PaCO2 and increased pH as he is hyperventilating. See what you know about symptoms and treatments for Chronic Obstructive Pulmonary Disease. People in what age group are most likely to say they have symptoms of COPD? The nurse reinforces that this technique will assist respiration by which of the following mechanisms? Bronchial Asthma 3. Start studying COPD questions. Also explore over 14 similar quizzes in this category. The nurse interprets that these symptoms are related to which of the following pathophysiologic changes? Nursing assessment findings of jugular vein distention and pedal edema would be indicative of which of the following complications of emphysema? As the airways begin to dilate, wheezing gets louder because of better air exchange. 15 to 24 B. In COPD, the airflow limitation is both progressive and associated with an abnormal inflammatory response of the lungs to noxious particles or gases. COPD360social Questions and Answers is the one stop shop to share thoughts and ideas, receive and provide support as well as ask the community about … Click Here for COVID-19 Information for the COPD Community: Updated December 22nd! Asthma after treatment in relation to wheezing. Which of the following is the primary reason for the nurse to carefully inspect the chest wall of this patient? The nurse identifies the nursing diagnosis of activity intolerance for a patient with asthma. The nurse assesses for which of the following etiologic factor for this nursing diagnosis in patients with asthma? Chronisch betekent dat het blijvend is. With failure of the right ventricle, the blood emptying into the right atrium and ventricle would be slowed, leading to jugular venous distention and pedal edema. Learn vocabulary, terms, and more with flashcards, games, and other study tools. 1. slow down the exhalation phase of respiration, which decreases bronchial collapse and subsequent air trapping in the lungs during exhalation. Our online COPD trivia quizzes can be adapted to suit your requirements for taking some of the top COPD quizzes. A. De afkorting COPD staat voor Chronic Obstructive Pulmonary Disease. The nurse is scheduled to give a dose of salmeterol by metered dose inhaler (MDI). These are all common questions from students enrolled in certain medical school programs. The nurse is assisting a patient to learn self-administration of beclomethasone two puffs inhalation every 6 hours. What does COPD stand for? This is an unprecedented time. Following initial treatment, which of the following findings indicates to the nurse that the patient's respiratory status is improving? The nurse would administer the right drug by selecting the inhaler with which of the following trade names? Give it a try! The physician has prescribed salmeterol (Serevent) for a patient with asthma. Which of the … A comprehensive database of more than 14 COPD quizzes online, test your knowledge with COPD quiz questions. The nurse is evaluating whether a patient understands how to safely determine whether a metered dose inhaler (MDI) is empty. 1) COPD can develop prolonged exposure to dust, vapors, irritants, fumes, high levels of air pollution COPD: infection 1) recurring infections impair normal defense mechanisms, increases risk factors for COPD When caring for a patient with COPD, the nurse identifies a nursing diagnosis of imbalanced nutrition: less than body requirements after noting a weight loss of 30 lb. Which of the following statements made by a patient with COPD indicates a need for further teaching regarding the use of an ipratropium inhaler. When planning patient teaching about COPD, the nurse understands that the symptoms are caused by which of the following? In reviewing the use of dry powder inhalers (DPIs) with the patient, the nurse should provide which of the following instructions? Learn vocabulary, terms, and more with flashcards, games, and other study tools. The trade or brand name for ipratropium bromide, an anticholinergic medication, is Atrovent. Nclex Question Strategy Management Of Care Questions Kaplan Nclex rn practice set flashcards quizlet hosa competition nutrition flashcards quizlet we ve just updated list view on our new set page still in preview lpn nclex case study questions flashcards quizlet. Diseases of the Respiratory System 2. When admitting a patient with a diagnosis of asthma exacerbation, the nurse will assess for which of the following potential triggers (select all that apply)? Try this amazing Chronic Obstructive Pulmonary Disease Multiple Choice quiz which has been attempted 5152 times by avid quiz takers. Which of the following test results identifies that a patient with an asthma attack is responding to treatment? With chronic bronchitis, the … A patient with acute exacerbation of COPD needs to receive precise amounts of oxygen. and (2) “In what percentage of patients with COPD and an FEV 1 of less than 50% of predicted do you think a chest CT scan should an adrenergic bronchodilator, is Serevent. In COPD there are structural changes that include hyperinflation of alveoli, destruction of alveolar walls, destruction of alveolar capillary walls, narrowing of small airways, and loss of lung elasticity. The nurse interprets that the patient understands this important information to prevent medication underdosing when the patient describes which method to check the inhaler? What is the medical definition of COPD? The nurse is assigned to care for a patient who has anxiety and an exacerbation of asthma. Delivers precise concentrations of oxygen and should be selected whenever this is a condition of chronic dyspnea with expiratory limitation. 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