Next Retake Quiz. How to have his wife learn to listen to his lungs with a stethoscope from Wal-Mart. The nurse responds, knowing that the primary purpose of pursed lip breathing is: A nurse reviews the ABG values and notes a pH of 7.50, a PCO2 of 30 mm Hg, and an HCO3 of 25 mEq/L. But help is on the way-updated recommendations for the diagnosis, management, and prevention of COPD have been issued by the Global Initiative for Chronic Obstructive Lung Disease (GOLD). Prep for a quiz or learn for fun! His breath sounds are diminished even with deep inspiration. He’s short of breath at rest and his dyspnea increases with the slightest exertion. It’s highly recommended that clients with asthma, chronic bronchitis, and emphysema have Pneumovax and flu vaccinations for which of the following reasons? He leans forward with his arms braced on his knees to support his chest and shoulders for breathing. 2. D. “My respiratory system is stimulated to breathe due to high carbon dioxide levels rather than low oxygen levels, as with people who have healthy lungs. Nursing management for COPD patients:-patient and family education-nutrition-fluid intake-oral care-oxygen-administer medications-positioning to optimize and maintain effective breathing, drainage of secretions-closely monitor-immunization-measures to prevent complications 26. Which of the following types of oxygen delivery systems would the nurse anticipate to be prescribed? A nurse understands that the excessive use of oral antacids containing bicarbonate can result in which acid-base disturbance? 4. This ABG result represents which of the following conditions? 4. Phosphorus level of 4.0 mg/dl. 3. 42. Copyright © 2021 RegisteredNurseRN.com. Determining the trigger for the client’s attack and improving exercise tolerance are later goals. 1. by Jodi Helmer, AARP | Comments: 0. 3. Constipation. 23. Chronic obstructive pulmonary disease affects millions of people worldwide and is responsible for numerous deaths due to complications. 4. A patient is presenting with chronic obstructive pulmonary disease. If this activity does not load, try refreshing your browser. You arrive to the patient’s room, and see the patient comfortably resting in bed watching television. Leo Robert. Emphysema. Pneumonia 4. Clients with asthma don’t exhibit characteristics of chronic disease, and clients with emphysema appear pink and cachectic (a state of ill health, malnutrition, and wasting). However, oxygen is used cautiously and should not exceed 2 L/min. Ask a Question + Ask Question. Administer bronchodilators Altered mental status and dehydration. 1. COPD Symptoms and Treatments Quiz Do you know the symptoms, treatments and what it takes to overcome this lung disease? The client was reacting to the drug with respiratory signs of impending anaphylaxis, which could lead to eventual respiratory failure. 4. Increased forced expiratory volume TRUE or FALSE? A total of 50 minutes for this exam. It worsens respiratory function and is discouraged. A client is in danger of respiratory arrest following the administration of a narcotic analgesic. He has a decreased level of consciousness. 46. You may also like these other quizzes and exam tip articles: I got 41/50 first take, What i like is reading the Rationale and then compare it to other sources for validation. 3. The client is having an acute asthma attack and needs to increase oxygen delivery to the lung and body. Which of the following signs if noted in the client should be reported immediately to the physician? Answer: 1. 4. Clients with asthma and emphysema tend not to have a chronic cough or peripheral edema. A Maintaining proper weight and achieving proper nutrition are important factors in coping with COPD. Take this quick quiz to find out! In asthma and bronchitis, wheezing is prevalent. 4. 3) Nursing diagnosis: Ineffective breathing pattern related to infection, vomiting, and COPD. A nurse is suctioning fluids from a client via a tracheostomy tube. Magnesium level of 2.0 mg/dL Asthma attack The term blue bloater is used to describe patients with? corticosteroids, and supplemental oxygen are used to reduce bronchospasm, improve oxygenation, and avoid intubation. In an acidotic condition, the pH would be low, indicating the acidosis. The nurse reviews the ABG values of a client. A nurse plans care for a client with chronic obstructive pulmonary disease, knowing that the client is most likely to experience what type of acid-base imbalance? Take a Quiz; Brain Games; Flashcards; All Products; ProProfs.com; Login Sign Up Free. Metabolic alkalosis. Blood gas results indicate a pH of 7.30; a PCO2 of 32 mm Hg, and a bicarbonate concentration of 20 mEq/L. Sodium level of 145 mEq/L COPD limits gas exchange which can lead to serious complications that affect the rest of body, such as the heart. 80 mm Hg. A test called spirometry can help show how well your lungs are working. 28. The patient is experiencing extreme hyperglycemia. A vasovagal response may occur causing bradycardia. The most common cause of COPD is smoking of any form: cigarette, pipe, cigar, second hand. One to 3 L/min of oxygen by nasal cannula may be required to raise to PaO2 to 60 to 80 mm Hg. 29. Anatomy and Physiology. Answer: 3. “I will take the medication on an empty stomach.”, “I will continue to take the medication even if I am feeling better.”, “Periodic blood levels will need to be obtained.”, A nurse is caring for a client with emphysema. Which of the following nursing actions will facilitate obtaining the specimen? A Chronic Obstructive Pulmonary Disease (COPD) Nursing Care Plan A 66-year-old client has marked dyspnea at rest, is thin, and uses accessory muscles to breathe. A nurse is caring for a client with emphysema. See a GP if you have persistent symptoms of chronic obstructive pulmonary disease (COPD). Chronic obstructive bronchitis A hyperinflated chest on x-ray film. 4. Nurseslabs.com is an education and nursing lifestyle website geared towards helping student nurses and registered nurses with knowledge for the progression and empowerment of their nursing careers. It’s highly recommended that clients with respiratory disorders be given vaccines to protect against respiratory infection. Clear, even, non-labored breathing while maintaining optimal oxygenation for patients. 1. 1. pH of 7.48 Corticosteroids are slow-acting, so their use won’t reduce hypoxia in the acute phase. Anonymous. 10. A nurse instructs a client to use the pursed lip method of breathing. Which of the following nursing actions will facilitate obtaining the specimen? Theophylline (Theo-Dur) tablets are prescribed for a client with chronic airflow limitation, and the nurse instructs the client about the medication. Acute asthma 4. This essay describes the nursing assessment and care planning provided to a patient with Chronic Obstructive Pulmonary Disease (COPD), as experienced during a clinical placement. Test bank Questions and Answers of Chapter 31: Nursing Management: Obstructive Pulmonary Diseases Circumoral cyanosis Test bank Questions and Answers of Chapter 25: Nursing Management: Obstructive Pulmonary Diseases 13. 11. 2. Answer: 4. In an alkalotic condition, the pH is up. A nurse is preparing to obtain an arterial blood gas specimen from a client and plans to perform the Allen’s test on the client. C 1. Because the pH is in the normal range at the high end, compensation has occurred. The results indicate respiratory acidosis. It is characterised by persistent respiratory symptoms and airflow obstruction which is usually progressive and not fully reversible. Increased oxygen saturation with exercise These results indicate the presence of: 1. Stop the procedure and reoxygenated the client. 2. 5. 3. Assess the color of the extremity distal to the pressure point Chronic Obstructive Pulmonary Disease(COPD) 4. Very little air movement occurs in the lungs because of bronchial collapse, as well. An oxygenated delivery system is prescribed for a client with COPD to deliver a precise oxygen concentration. Firstly, a brief description of the patient is provided. 31. Apply a cardiac monitor to the client Phosphorus level of 4.0 mg/dL. 1. His situation drove his passion for helping student nurses by creating content and lectures that are easy to digest. A patient is ordered at 1400 to take Theophylline. 30. Number in order of priority the steps for performing the Allen’s test (#1 is first step). 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