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Questions and Answers

What is a characteristic feature of chronic obstructive pulmonary disease (COPD)?

  • Increased lung compliance
  • Progressive airflow limitation (correct)
  • Short-term cough and sputum
  • Completely reversible airflow limitation
  • What is a common consequence of chronic bronchitis?

  • Reducing ciliary function (correct)
  • Increased lung elasticity
  • Widening of bronchial airways
  • Decreased susceptibility to respiratory infections
  • What pathology is associated with emphysema?

  • Destruction of alveolar walls (correct)
  • Thickening of airway walls
  • Scarring of the pulmonary vasculature
  • Inflammation of bronchial airways
  • What is the primary cause of airflow limitation in COPD?

    <p>Obstruction from scar tissue in airways</p> Signup and view all the answers

    What symptom persists for at least three months in two consecutive years to classify chronic bronchitis?

    <p>Cough and sputum production</p> Signup and view all the answers

    How does chronic inflammation in COPD affect lung compliance?

    <p>Decreases elastic recoil</p> Signup and view all the answers

    What abnormal change occurs in pulmonary vasculature due to COPD?

    <p>Increased smooth muscle hypertrophy</p> Signup and view all the answers

    What leads to hypoxemia in patients with emphysema?

    <p>Destruction of alveoli walls</p> Signup and view all the answers

    What can result from even brief interruptions of continuous infusion for patients with pulmonary hypertension?

    <p>Rebound pulmonary hypertension</p> Signup and view all the answers

    Which diagnostic test is most appropriate for assessing blood flow in the lungs?

    <p>Pulmonary angiography</p> Signup and view all the answers

    Which classification describes a condition where patients experience undue dyspnea, fatigue, or chest pain during less than ordinary physical activity?

    <p>Class III</p> Signup and view all the answers

    What is a common physical assessment finding associated with right heart failure?

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

    What is the inheritance pattern of cystic fibrosis?

    <p>Autosomal recessive</p> Signup and view all the answers

    What is a key factor that increases the risk of respiratory infections in cystic fibrosis patients?

    <p>Thick, sticky mucus</p> Signup and view all the answers

    Which medication acts as an endothelin receptor antagonist?

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

    What is the average time for a correct diagnosis of pulmonary hypertension due to non-specific symptoms?

    <p>15 months</p> Signup and view all the answers

    What innovative approach is being developed as a treatment for cystic fibrosis?

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

    What is the expected life expectancy for individuals with cystic fibrosis?

    <p>Low 30s</p> Signup and view all the answers

    What type of diagnostic test is necessary to begin treatment for pulmonary hypertension?

    <p>Right heart catheterization</p> Signup and view all the answers

    Which symptom is most commonly associated with chronic bronchitis in COPD patients?

    <p>Chronic productive cough</p> Signup and view all the answers

    Which symptom is not typically present at rest in Class III pulmonary hypertension?

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

    Which manifestation is commonly associated with pulmonary hypertension?

    <p>Daytime hypersomnolence</p> Signup and view all the answers

    In a patient with chronic obstructive pulmonary disease (COPD), high levels of carbon dioxide in arterial blood gases indicate what potential condition?

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

    Which pulmonary function finding would not be associated with lung hyperinflation on a CXR?

    <p>Decreased lung volume</p> Signup and view all the answers

    What is the principal characteristic of bronchiectasis?

    <p>Irreversible dilation of bronchi and bronchioles</p> Signup and view all the answers

    Which of the following is NOT a common cause of bronchiectasis?

    <p>Environmental pollutants</p> Signup and view all the answers

    What symptom is typically associated with asthma?

    <p>Wheezing and chest tightness</p> Signup and view all the answers

    According to the classification of pulmonary hypertension, Class I indicates what level of physical activity limitation?

    <p>Ordinary physical activity is not associated with symptoms</p> Signup and view all the answers

    What is a hallmark diagnostic tool for asthma?

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

    Which of the following is a component of the nursing management for asthma?

    <p>Patient teaching for trigger avoidance</p> Signup and view all the answers

    What type of therapy is typically first-line for asthma management?

    <p>Inhaled beta agonists and corticosteroids</p> Signup and view all the answers

    Which parameter is essential to monitor for determining treatment effectiveness in asthma?

    <p>Peak expiratory flow rate (PEFR)</p> Signup and view all the answers

    Which of the following best defines pulmonary hypertension?

    <p>Mean pulmonary artery pressure &gt; 25 mm Hg at rest</p> Signup and view all the answers

    What is a key feature of asthma inflammation?

    <p>Mucosal edema and mucus production</p> Signup and view all the answers

    What indicates a patient is in potential respiratory failure from asthma?

    <p>Decreased effort and consciousness level</p> Signup and view all the answers

    When should ABG analysis be performed for asthma patients?

    <p>When suspected respiratory failure</p> Signup and view all the answers

    What is commonly used to manage chronic symptoms in asthma?

    <p>Long-acting medications such as corticosteroids</p> Signup and view all the answers

    Which of the following requires ongoing monitoring to prevent exacerbations in asthma patients?

    <p>Personal best PEFR</p> Signup and view all the answers

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