Podcast
Questions and Answers
The classification of Stage III of COPD is defined as?
The classification of Stage III of COPD is defined as?
- Moderate COPD
- Severe COPD (correct)
- At risk for COPD
- Mild COPD
- Very severe COPD
What clinical symptoms does the nurse anticipate assessing for a patient with chronic bronchitis?
What clinical symptoms does the nurse anticipate assessing for a patient with chronic bronchitis?
Sputum and a productive cough
Which amount of oxygen is considered most appropriate for a COPD client?
Which amount of oxygen is considered most appropriate for a COPD client?
- 1 to 2 L/min (correct)
- 5 L/min
- 4 to 6 L/min
- 10 L/min
In which statements regarding medications taken by a client diagnosed with COPD do the drug name and the drug category correctly match? (Select all that apply)
In which statements regarding medications taken by a client diagnosed with COPD do the drug name and the drug category correctly match? (Select all that apply)
Which client is exhibiting signs of advanced chronic obstructive pulmonary disease (COPD)?
Which client is exhibiting signs of advanced chronic obstructive pulmonary disease (COPD)?
The goal for oxygen therapy in COPD is to maintain the resting partial arterial pressure of oxygen (PaO2) of at least ______ mm Hg and an arterial oxygen saturation (SaO2) of at least ___%.
The goal for oxygen therapy in COPD is to maintain the resting partial arterial pressure of oxygen (PaO2) of at least ______ mm Hg and an arterial oxygen saturation (SaO2) of at least ___%.
The classification of Stage IV of COPD is defined as?
The classification of Stage IV of COPD is defined as?
For a client with advanced chronic obstructive pulmonary disease (COPD), which nursing action best promotes adequate gas exchange?
For a client with advanced chronic obstructive pulmonary disease (COPD), which nursing action best promotes adequate gas exchange?
The classification of Stage II of COPD is defined as?
The classification of Stage II of COPD is defined as?
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Study Notes
COPD Stages
- Stage I: Mild COPD characterized by a slight decline in lung function.
- Stage II: Moderate COPD where symptoms become more noticeable.
- Stage III: Severe COPD, significant limitation on airflow; persistent symptoms.
- Stage IV: Very severe COPD, respiratory failure may occur; critical lung function decline.
Chronic Bronchitis Symptoms
- Defined as cough and sputum production for at least 3 months in two consecutive years.
- Anticipated symptoms include:
- Productive cough with sputum.
- Possible chest pain during respiration.
Oxygen Therapy for COPD
- Optimal oxygen delivery is generally 1 to 2 L/min to maintain appropriate PO2 levels (55-65 mm Hg).
- Higher oxygen flows can lead to reduced ventilation and CO2 retention.
Medications for COPD
- Key bronchodilators include:
- Albuterol.
- Common antibiotics that may be prescribed:
- Ciprofloxacin.
- Corticosteroids used for management include:
- Prednisone.
Signs of Advanced COPD
- Shortness of breath even at rest.
- Use of accessory muscles for breathing.
- Observations may include:
- Pursed-lip breathing.
- Prolonged expiratory phase with wheezing sounds.
Goals for Oxygen Therapy
- Aiming for a partial arterial pressure of oxygen (PaO2) of at least 60 mm Hg.
- Maintaining arterial oxygen saturation (SaO2) at 90% or higher.
Nursing Actions for Gas Exchange
- Best practice: Use a Venturi mask for precise oxygen delivery.
- Positioning in high Fowler's or semi-Fowler's can assist with breathing.
- Avoid administering sedatives that may depress respiratory function.
General Overview of COPD
- COPD is a progressive disease that leads to decreased airflow and difficulty breathing.
- Management often includes a combination of oxygen therapy, medications, and supportive care strategies.
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