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Questions and Answers
Which action should Nurse Andrews prioritize for Mr. Thompson, a 65-year-old patient diagnosed with COPD?
Which action should Nurse Andrews prioritize for Mr. Thompson, a 65-year-old patient diagnosed with COPD?
What is the primary purpose of pursed-lip breathing?
What is the primary purpose of pursed-lip breathing?
Which diagnostic test will confirm a diagnosis of tuberculosis?
Which diagnostic test will confirm a diagnosis of tuberculosis?
What is one of the first symptoms associated with tuberculosis?
What is one of the first symptoms associated with tuberculosis?
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Which assessment is inconsistent with the usual clinical presentation of tuberculosis?
Which assessment is inconsistent with the usual clinical presentation of tuberculosis?
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Which sign indicates the presence of a pneumothorax?
Which sign indicates the presence of a pneumothorax?
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What does the presence of a barrel chest indicate in a patient with chronic airflow limitations?
What does the presence of a barrel chest indicate in a patient with chronic airflow limitations?
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What action is appropriate if a client with a chest tube shows continuous gentle bubbling in the suction control chamber?
What action is appropriate if a client with a chest tube shows continuous gentle bubbling in the suction control chamber?
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Study Notes
Breathing Techniques
- 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.
COPD Management
- 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.
Tuberculosis Diagnosis
- 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.
Pneumothorax Assessment
- 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.
Chronic Airflow Limitations
- 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.
Post-Procedure Monitoring
- 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.
Emergency Situations
- High-pressure alarms on ventilators should be assessed carefully; the absence of breath sounds requires immediate evaluation to rule out dislodgment or obstruction.
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Description
Test your knowledge on the management of COPD and other respiratory conditions, including techniques for effective breathing, tuberculosis diagnosis, and assessment of pneumothorax. This quiz covers essential nursing actions and symptoms critical to patient care in respiratory diseases.