Chronic Inflammatory Airways Disease
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Questions and Answers

What is the primary cause of barrel chest thorax configuration in patients with emphysema?

  • Fixed position of the ribs in the expiratory position
  • Loss of lung elasticity (correct)
  • Weakened diaphragm
  • Increased lung elasticity

What is the most cost-effective intervention to reduce the risk of developing COPD?

  • CT scan
  • Pulmonary function studies
  • Chest x-ray
  • Smoking cessation (correct)

What is the purpose of obtaining a thorough health history from patients with known or potential COPD?

  • To assess the patient's overall health status (correct)
  • To confirm the diagnosis of COPD
  • To monitor disease progression
  • To determine disease severity

What is the ratio used to evaluate airway obstruction in spirometry?

<p>FEV1 to forced vital capacity (D)</p> Signup and view all the answers

What is the purpose of arterial blood gas measurement in COPD?

<p>To assess baseline oxygenation and gas exchange (D)</p> Signup and view all the answers

What is a major life-threatening complication of COPD?

<p>Respiratory failure (B)</p> Signup and view all the answers

What may be necessary for respiratory insufficiency in COPD?

<p>Ventilator support (D)</p> Signup and view all the answers

What is the purpose of a chest x-ray in COPD?

<p>To exclude alternative diagnoses (B)</p> Signup and view all the answers

What is a result of the chronic inflammatory process in COPD?

<p>Narrowing of the airway lumen (B)</p> Signup and view all the answers

What is a common symptom of COPD that worsens with exercise?

<p>Dyspnea on exertion (D)</p> Signup and view all the answers

What is the function of alpha1-antitrypsin in the lung?

<p>To protect the lung parenchyma from injury (B)</p> Signup and view all the answers

What is a result of alveolar wall destruction in COPD?

<p>Decrease in elastic recoil (B)</p> Signup and view all the answers

What is the effect of smoking on the respiratory tract's ciliary cleansing mechanism?

<p>It depresses the activity of scavenger cells (C)</p> Signup and view all the answers

What is a consequence of dyspnea in COPD patients?

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

What is the effect of chronic inflammation on the airways in COPD?

<p>It causes scar formation and narrowing of the airway lumen (A)</p> Signup and view all the answers

What is a characteristic of COPD?

<p>It is a generally progressive disease (B)</p> Signup and view all the answers

What is one of the purposes of assessing a patient's health history?

<p>To determine any previous cardiovascular disease (D)</p> Signup and view all the answers

What is the goal of encouraging ambulation and active and passive leg exercises in patients with pulmonary embolism?

<p>To prevent venous stasis (D)</p> Signup and view all the answers

What is one of the nursing diagnoses for a patient with pulmonary embolism?

<p>Risk for shock related to increased workload of the right ventricle (A)</p> Signup and view all the answers

What is monitored through INR or PTT in patients with pulmonary embolism?

<p>Anticoagulant therapy (C)</p> Signup and view all the answers

What is an important part of discharge and home care guidelines for patients with pulmonary embolism?

<p>Instructing the patient on preventing recurrence (C)</p> Signup and view all the answers

What is the purpose of turning the patient frequently and repositioning?

<p>To improve ventilation-perfusion ratio (B)</p> Signup and view all the answers

What is assessed during the physical exam in patients with pulmonary embolism?

<p>Extremities for warmth, redness, and inflammation (B)</p> Signup and view all the answers

What is an important nursing intervention in patients with pulmonary embolism?

<p>Relieving anxiety (C)</p> Signup and view all the answers

What is the primary purpose of pulse oximetry in pneumonia treatment?

<p>To determine the need for oxygen (C)</p> Signup and view all the answers

What is a critical component of nursing assessment in detecting pneumonia?

<p>Assessing respiratory symptoms (A)</p> Signup and view all the answers

What is the goal of removing secretions in pneumonia treatment?

<p>To improve airway patency (A)</p> Signup and view all the answers

What is a common symptom of bacterial pneumonia?

<p>Night sweats (D)</p> Signup and view all the answers

What is a respiratory assessment that should be performed in pneumonia?

<p>Identifying clinical manifestations such as pleuritic pain (C)</p> Signup and view all the answers

What is a nursing diagnosis related to impaired respiratory function in pneumonia?

<p>Activity intolerance (D)</p> Signup and view all the answers

What is a physical assessment that should be performed in pneumonia?

<p>Assessing the changes in temperature and pulse (B)</p> Signup and view all the answers

What is a specific consideration for elderly patients with pneumonia?

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

What is a common initial symptom of asthma during an exacerbation?

<p>Wheezing first on expiration (C)</p> Signup and view all the answers

How can patients with recurrent asthma improve the quality of their care?

<p>By gaining knowledge about asthma (B)</p> Signup and view all the answers

What is a serious complication of untreated asthma that can lead to death?

<p>Status asthmaticus (B)</p> Signup and view all the answers

Which factor is mainly associated with asthma due to environmental changes?

<p>High pollen counts (C)</p> Signup and view all the answers

What is a preventive measure for dealing with asthma allergens?

<p>Avoiding contact with allergens whenever possible (C)</p> Signup and view all the answers

What can untreated asthma progress to, causing severe breathing difficulties?

<p>Respiratory failure (C)</p> Signup and view all the answers

Which condition is identified by testing for substances that precipitate asthma symptoms?

<p>Drug-induced asthma (A)</p> Signup and view all the answers

What can cause the development of pneumonia in asthma patients?

<p>Mucus pooling in the lungs (C)</p> Signup and view all the answers

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