COPD and Respiratory Disorders Quiz

Questions and Answers

Positioning the patient in a semi-Fowler's position

Encouraging the patient to consume three glasses of fluid daily

Administering a prescribed sedative

Applying a high-flow Venturi mask to deliver prescribed oxygen (correct)

Promote carbon dioxide elimination

Strengthen the diaphragm

Strengthen the intercostal muscles

Promote oxygen intake (correct)

Chest x-ray

Sputum culture (correct)

Bronchoscopy

Tuberculin skin test

A bloody, productive cough Signup and view all the answers

High-grade fever Signup and view all the answers

A sucking sound at the site of injury Signup and view all the answers

Emphysema Signup and view all the answers

Check for an air leak because the bubbling should be intermittent Signup and view all the answers

Study Notes

Pursed-lip breathing primarily promotes carbon dioxide elimination.
It reduces the use of accessory breathing muscles, prolongs the inspiratory phase, and increases inspiratory muscle strength.

For a patient with COPD, the priority nursing action is to position the patient in a semi-Fowler's position for effective gas exchange.
High-flow Venturi masks are effective for oxygen delivery in COPD patients.

A sputum culture is the diagnostic test that confirms tuberculosis.
Typical symptoms of tuberculosis include a productive cough and systemic signs like chills, night sweats, and weight loss.

Signs indicative of pneumothorax include diminished breath sounds and the presence of a sucking sound at the injury site.
A low respiratory rate may be observed, but the critical signs include changes in breath sounds.

A "barrel chest" is indicative of emphysema, a common form of chronic obstructive pulmonary disease (COPD).
Chronic obstructive bronchitis also contributes to chronic airflow limitations.

Continuous gentle bubbling in the suction control chamber of a chest tube may indicate an air leak; it is essential to check for this.
After bronchoscopy and biopsy, monitor for signs such as excessive bleeding or respiratory distress as indicators of complications.

High-pressure alarms on ventilators should be assessed carefully; the absence of breath sounds requires immediate evaluation to rule out dislodgment or obstruction.