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Respiratory continued

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Obstructive Pulmonary Disease, Asthma, COPD
Julie Nolan
Quiz by Julie Nolan, updated more than 1 year ago
Julie Nolan
Created by Julie Nolan over 3 years ago
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Resource summary

Question 1

Question
1. Obstructive pulmonary disease is characterized by:
Answer
  • destruction of lung tissue
  • decreased total lung capacity
  • obstruction or narrowing of airways
  • constant limitations in expiratory airflow

Question 2

Question
4. The effect of alveolar destruction in emphysema results in:
Answer
  • decreased lung compliance
  • air trapping in distal alveoli
  • obstruction of airflow into alveoli
  • Dilation of small bronchioles

Question 3

Question
Chronic inflammation of the bronchi characteristic of chronic bronchitis results in:
Answer
  • 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

Question 4

Question
In addition to smoking cessation, a treatment to slow the progression of COPD includes:
Answer
  • use of bronchodilating drugs
  • use of inhaled corticosteroids
  • lung volume reduction surgery
  • prevention of respiratory tract infections

Question 5

Question
A breathing technique that promotes exhalation of a patient with COPD is:
Answer
  • huff coughing (helps remove secretions)
  • thoracic breathing
  • pursed-lip breathing (prolongs exhalation and prevents bronchiolar collapse & air trapping)
  • diaphragmatic breathing

Question 6

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

Question 7

Question
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:
Answer
  • 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

Question 8

Question
Asthma severity: Intermittent: (select all that apply)
Answer
  • 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

Question 9

Question
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.
Answer
  • True
  • False

Question 10

Question
clients with Asthma requiring inhaled medications should not rinse their mouths after inhaling a corticosteroid.
Answer
  • True
  • False
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