Altered Respiratory Function Quiz
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Questions and Answers

What is the primary mechanism of action (MOA) for antihistamines?

  • Increases blood pressure and heart rate to enhance breathing
  • Inhibits the release of histamine to relieve acute symptoms (correct)
  • Directly reduces bronchoconstriction and respiratory spasms
  • Relieves nasal congestion by promoting vasodilation
  • What significant side effect should a patient taking decongestants be aware of?

  • Enhanced sedation during daily activities
  • Increased blood pressure and heart rate (correct)
  • Potential for decreased lung function
  • Increased risk of respiratory infections
  • Which of the following medications is classified as a second-generation antihistamine?

  • Phenylephrine
  • Desloratadine (correct)
  • Cetirizine (correct)
  • Pseudoephedrine
  • How do antihistamines provide symptom relief during allergic reactions?

    <p>By blocking histamine receptors and preventing symptoms</p> Signup and view all the answers

    What is a critical consideration for patients using nasal decongestants?

    <p>They may lead to nasal mucosal atrophy with long-term use</p> Signup and view all the answers

    What is the primary role of nasal steroids in treating nasal congestion?

    <p>Facilitating drainage of sinuses</p> Signup and view all the answers

    What should be a key focus in patient education regarding the use of nasal steroids?

    <p>They are best used continuously for optimum benefit</p> Signup and view all the answers

    What is a common side effect associated with the use of nasal steroids?

    <p>Mild irritation and nosebleeds</p> Signup and view all the answers

    How long should topical decongestants be used to avoid rebound nasal congestion?

    <p>4 to 5 days</p> Signup and view all the answers

    Which of the following medications is a nasal steroid used for treating nasal congestion?

    <p>Nasacort</p> Signup and view all the answers

    What is a critical recommendation for patients experiencing acute viral rhinitis?

    <p>Watch out for secondary infections that may require antibiotics</p> Signup and view all the answers

    What classification of sinusitis might be suspected if symptoms persist for longer than a week?

    <p>Subacute sinusitis</p> Signup and view all the answers

    What symptom might suggest the need for antibiotics in a case of pharyngitis?

    <p>Presence of a bacterial infection</p> Signup and view all the answers

    What is the maximum flow rate a High Flow Nasal Cannula can generate?

    <p>60 L/min</p> Signup and view all the answers

    What needs to be monitored closely when using a mask during inhalation?

    <p>All of the above</p> Signup and view all the answers

    What does a High Flow Nasal Cannula blend with compressed air?

    <p>Pure oxygen</p> Signup and view all the answers

    What is the delivered FIO2 range for a High Flow Nasal Cannula at its maximum flow rate?

    <p>0.8 to 1.0</p> Signup and view all the answers

    Which intervention may be required if advanced measures are needed during inhalation?

    <p>CPAP or BiPAP therapy</p> Signup and view all the answers

    What should you ensure about a mask when it is in use for inhalation?

    <p>It should fit snugly</p> Signup and view all the answers

    What is a key advantage of using High Flow Nasal Cannula over traditional oxygen delivery methods?

    <p>Higher comfort and mobility</p> Signup and view all the answers

    What might indicate that a patient using a mask requires additional interventions?

    <p>Deterioration in respiratory status</p> Signup and view all the answers

    What is a key clinical manifestation that suggests a bacterial infection rather than a viral one?

    <p>Cervical lymph node enlargement</p> Signup and view all the answers

    Which treatment approach is specific for bacterial infections?

    <p>Antibiotic therapy</p> Signup and view all the answers

    What is a primary symptom associated with asthma exacerbation?

    <p>Chest tightness</p> Signup and view all the answers

    In the context of chronic obstructive pulmonary disease (COPD), which of the following conditions is primarily linked to cigarette smoking?

    <p>Emphysema</p> Signup and view all the answers

    What could potentially lead to cor pulmonale in COPD patients?

    <p>Chronic hypoxia</p> Signup and view all the answers

    Which symptom is indicative of a viral throat infection as opposed to a bacterial one?

    <p>Red/swollen pharynx</p> Signup and view all the answers

    Which intervention is essential in managing a bacterial throat infection?

    <p>Antibiotic therapy throughout recovery</p> Signup and view all the answers

    What characterizes chronic bronchitis in the context of COPD?

    <p>Persistent cough with mucus production</p> Signup and view all the answers

    Which common symptom may help differentiate between bacterial and viral infections?

    <p>Lymph node tenderness</p> Signup and view all the answers

    What type of lung examination result does not indicate a viral infection?

    <p>Cough present</p> Signup and view all the answers

    What is the most common symptom of chronic cor pulmonale?

    <p>Dyspnea</p> Signup and view all the answers

    Which of the following is not a typical clinical manifestation of cor pulmonale?

    <p>Weight loss</p> Signup and view all the answers

    What is the primary purpose of oxygen therapy in COPD treatment?

    <p>To increase oxygen saturation</p> Signup and view all the answers

    At what flow rate is a nasal cannula most effective for oxygen delivery?

    <p>2 L/min to 6 L/min</p> Signup and view all the answers

    What is a significant risk when using a partial and non-rebreather mask?

    <p>High risk of CO2 accumulation</p> Signup and view all the answers

    What is the upper limit of oxygen flow recommended for low flow delivery via nasal cannula?

    <p>6 L/min</p> Signup and view all the answers

    Which oxygen delivery method should be used for short-term therapy only?

    <p>Simple face mask</p> Signup and view all the answers

    What complication must be monitored when using oxygen therapy at flow rates above 5 L/min?

    <p>Humidity needs</p> Signup and view all the answers

    Which of the following oxygen delivery methods delivers the highest concentration of oxygen?

    <p>Partial non-rebreather mask</p> Signup and view all the answers

    What should be assessed regularly when using a nasal cannula for oxygen therapy?

    <p>Skin integrity of the nose and ears</p> Signup and view all the answers

    Which oxygen delivery system should be employed to achieve precise oxygen concentration?

    <p>Venturi mask</p> Signup and view all the answers

    What is the maximum flow rate for a simple face mask to effectively deliver supplemental oxygen?

    <p>12 L/min</p> Signup and view all the answers

    What flow rate is required to ensure that a non-rebreather bag remains inflated during use?

    <p>10-15 L/min</p> Signup and view all the answers

    What percentage of oxygen concentration can a partial rebreather mask deliver?

    <p>60%-90%</p> Signup and view all the answers

    Study Notes

    Altered Respiratory Function

    • Conditions include COPD, Asthma, Emphysema, Tuberculosis, Pneumonia, Sinusitis, and Upper Respiratory Infections (URI).

    Anatomy and Physiology

    • Upper respiratory airway includes structures that filter, warm, and humidify air.
    • Lower respiratory airway encompasses bronchi, bronchioles, alveoli for gas exchange.
    • Proper functioning of the respiratory system relies on the anatomy and physiology for effective air movement and gas exchange.

    Etiology (Causes)

    • Respiratory disorders can stem from environmental factors, infections, allergic reactions, or lifestyle choices, such as smoking.

    Medication Overview

    • Antihistamines relieve symptoms like nasal secretions, itching, and sneezing; do not help with congestion. Examples: desloratadine, cetirizine, fexofenadine.
    • Decongestants promote vasoconstriction in nasal vessels; known side effects include increased blood pressure and heart rate. Caution advised for pre-existing conditions.
    • Nasal Steroids are effective in reducing inflammation and draining sinuses with minimal systemic side effects. Examples: Nasacort, Nasonex, Beconase, Flonase.

    Acute Viral Rhinitis (Common Cold)

    • Symptoms may include sneezing, sore throat, and nasal congestion; typically resolve without intervention.
    • Secondary infections may require antibiotics.

    Influenza

    • Characterized by sudden onset of fever, chills, body aches, fatigue, and respiratory symptoms.

    Sinusitis

    • Symptoms include facial pain, nasal congestion, headache, and a loss of smell.
    • Topical decongestants should not be used for more than 4-5 days to avoid rebound congestion.

    Pharyngitis

    • Bacterial pharyngitis often presents with fever, swollen lymph nodes, and tonsillar exudate, while viral pharyngitis typically shows redness and swelling without fever.
    • Treatment varies between antibiotic therapy for bacterial infections and symptom management for viral cases.

    Lower Respiratory Problems

    • Symptoms may include chronic cough, sputum production, and breathing difficulties.

    Tuberculosis

    • An infectious disease primarily affecting the lungs, characterized by a chronic cough, weight loss, fever, and night sweats.

    Obstructive Pulmonary Disease

    • Asthma is marked by variable airway obstruction and is often reversible; managed with bronchodilators.
    • Chronic Obstructive Pulmonary Disease (COPD) is mostly caused by cigarette smoking, leading to chronic bronchitis and emphysema.

    COPD Complications

    • Polycythemia Vera: Increase in red blood cells due to chronic hypoxia.
    • Cor Pulmonale: Right-sided heart failure resulting from pulmonary hypertension. Symptoms include distended neck veins and peripheral edema.

    Oxygen Therapy

    • Utilized for hypoxemia in respiratory disorders, O2 therapy improves survival in COPD patients.

    Oxygen Delivery Systems

    • Nasal Cannula: Most commonly used; safe and tolerable flow rates of 1-6 L/min.
    • Simple Face Mask: Suitable for short-term therapy; flow rates of 6-12 L/min, ensures snug fit.
    • Partial Non-Rebreather Mask: For higher oxygen concentrations (60%-90%); requires monitoring to prevent CO2 buildup.
    • High-Flow Nasal Cannula: Blends oxygen with compressed air to generate high FIO2 levels.

    Nursing Considerations

    • Monitor patients closely during oxygen therapy and be aware of potential advanced interventions required for respiratory distress.

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    Description

    Test your knowledge on altered respiratory functions such as COPD, asthma, and pneumonia. This quiz covers various respiratory conditions, their anatomy, physiology, and etiology. Perfect for students studying respiratory health.

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