Study Questions & Answers (2026)
Which risk factors are associated with chronic obstructive pulmonary disease (COPD)? (SATA) - correct
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answers-Living with a cigarette smoker m m m m
-Exposure to pollution m m
A client is admitted with shortness of breath. Which diagnostic studies would help identify lung function and
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gas exchange changes caused by chronic obstructive pulmonary disease (COPD)? (SATA) - correct answers-
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Arterial blood gas m m
-Spirometry
-Chest x-ray m
Which information is true regarding clients with chronic obstructive pulmonary disease (COPD)? (SATA) -
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correct answers-COPD is caused by long-term exposure to irritating gases or particulate matter.
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-The client may experience periods of exacerbation with worsening clinical manifestations.
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-COPD typically affects middle-aged to older adults.
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-COPD encompasses both emphysema and chronic bronchitis.
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, Identify history and assessment findings that indicate altered gas exchange.
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A client is transferred from an assisted living facility to the emergency department due to shortness of breath
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caused by an exacerbation of chronic obstructive pulmonary disease (COPD). - correct answers-RR 25
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Breaths per minute m m
-HR 105 beats per minute
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-oxygen saturation of 85% on room air
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-COPD (20 pack years) m m m
-Albuterol inhaler PRN for shortness of breath m m m m m m
-prednisone 20 mg daily m m m
-oxygen therapy 2LPM m m
-episodes of respiratory distress for the past two days
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-increased shortness of breath. Client is chronically on oxygen takes prednisone daily.
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A client is admitted with chronic obstructive pulmonary disease (COPD) exacerbation. Match the nursing
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action with the correct rationale.
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1. Reposition the client.
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2. Encourage deep/pursed lip breathing.
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3. Use oxygen therapy as prescribed.
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4. Perform percussion, vibration, and postural drainage.
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5. Increase hydration. - correct answers1. This will expand the lungs and encourage deeper breaths.
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2. This increases airway pressure and allows COPD clients to expel more air through delayed expiration.
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3. This increases blood oxygen level.
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4. This will help break up and remove thick secretions.
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5. This thins secretions for easier airway clearance.
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The client is admitted with acute exacerbation of chronic obstructive pulmonary disease (COPD). Match the
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medication class to the mechanism of action and nursing considerations.
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1. Secretion reduction and bronchodilation Usually inhaled - lasts up to 12 hours.
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2. Bronchodilation Usually inhaled - lasts up to 12 hours.
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