Julie Nolan
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Obstructive Pulmonary Disease, Asthma, COPD

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Julie Nolan
Created by Julie Nolan over 3 years ago
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Respiratory continued

Question 1 of 10

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1. Obstructive pulmonary disease is characterized by:

Select one of the following:

  • destruction of lung tissue

  • decreased total lung capacity

  • obstruction or narrowing of airways

  • constant limitations in expiratory airflow

Explanation

Question 2 of 10

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4. The effect of alveolar destruction in emphysema results in:

Select one of the following:

  • decreased lung compliance

  • air trapping in distal alveoli

  • obstruction of airflow into alveoli

  • Dilation of small bronchioles

Explanation

Question 3 of 10

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Chronic inflammation of the bronchi characteristic of chronic bronchitis results in:

Select one of the following:

  • the collapse of the small bronchioles on expiration

  • permanent, abnormal dilation of the bronchi

  • hyperplasia of mucus-secreting cells and bronchial edema

  • destruction of the elastin and muscular structures of the bronchial wall

Explanation

Question 4 of 10

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In addition to smoking cessation, a treatment to slow the progression of COPD includes:

Select one of the following:

  • use of bronchodilating drugs

  • use of inhaled corticosteroids

  • lung volume reduction surgery

  • prevention of respiratory tract infections

Explanation

Question 5 of 10

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A breathing technique that promotes exhalation of a patient with COPD is:

Select one of the following:

  • huff coughing (helps remove secretions)

  • thoracic breathing

  • pursed-lip breathing (prolongs exhalation and prevents bronchiolar collapse & air trapping)

  • diaphragmatic breathing

Explanation

Question 6 of 10

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Medications used for COPD include: (Select all that apply)

Select one or more of the following:

  • Bronchodilators: Salbutamol and Ventolin , Salmeterol or Formoterol

  • Anticholinergics: Atrovent, Combivent

  • Steroidal Anti-inflammatory Agents: Methylprednisolone, Hydrocortisone ,or Prednisone

  • Hormone: Caverject, Edex, Silodosin

  • Progestogen: Aygestin, Camila, or Jolivette

Explanation

Question 7 of 10

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A patient with an acute exacerbation of COPD is severely short of breath. The nurse identifies an ‘ineffective breathing pattern’ as a biomedical call, related to obstruction of airflow and anxiety. The best action the nurse can take is to:

Select one of the following:

  • prepare and administer inhaled corticosteroids

  • perform chest physiotherapy to promote the removal of secretions

  • administer oxygen at 5L/min until the shortness of breath is relieved

  • position the client upright with the elbows resting on the overbed table

Explanation

Question 8 of 10

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Asthma severity: Intermittent: (select all that apply)

Select one or more of the following:

  • Attacks are no more than twice per week

  • Asthma does not interfere with daily activities

  • rescue inhaler used no more than twice per week

  • Nighttime attacks no more than twice per month

  • Daily attacks

  • interference with daily activities

  • inhaler used daily

Explanation

Question 9 of 10

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Asthma is a reversible lung disease characterized by obstruction or narrowing of the airways, which are typically inflamed and hyperresponsive to a variety of stimuli.

Select one of the following:

  • True
  • False

Explanation

Question 10 of 10

1

clients with Asthma requiring inhaled medications should not rinse their mouths after inhaling a corticosteroid.

Select one of the following:

  • True
  • False

Explanation