NUR-240 Final Exam Grid E X A M 2 0 2 6 - 2 0 2 7 | | L A T E S T
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COPD: disease complications
➣ cor pulmonale (right-sided HF)
➣ pulmonary hypertension
➣ Wt loss
➣ PNEUMOTHORAX can developed due to ruptured bullae or "blebs"
➣ death from respiratory failure/infection
COPD: pathophysiology
➣ combination of chronic bronchitis & emphysema
➣ chronic airflow restriction
➣ difficulty exhaling
(narrowed airways = more effort required to push air through them)
➣ PREVENTABLE and TREATABLE disease characterized by persistent airflow
limitation and is progressive
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signs and symptoms of COPD
dyspnea
frequent coughing
wheezing
tachypnea
tightness in the chest
chronic cough
excessive sputum production
poor exercise/appetite tolerance
prolonged expiration
barrel chest
polycythemia
COPD: nursing care
➣ assess + monitor LOC (restlessness)
➣ HOB elevated
➣ lung sounds (dyspnea, wheezing)
➣ encourage rest - but also some movement
➣ TEACH TO STOP SMOKING
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COPD: clinical manifestations
➣ can be "pink + skinny" or "bloated + blue"
➣ easily fatigued ~ Dyspnea
➣ frequent respiratory infections
➣ use of accessory muscles to breathe; flattened diaphragm
➣ prolonged expiratory time
➣ wheezing
➣ pursed-lip breathing + puffed-out-cheeks
➣ chronic non-productive cough
➣ barrel chest + tripoding (obese = lack of movement)
➣ orthopneic
➣ digital clubbing (chronic hypoxia)
Tuberculosis (TB): Pt Teaching
➣ drug therapy; side effects; importance of compliance
➣ family should be tested
➣ ABX for 6-12 months
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FUNCTIONS of the kidney include:
1) Waste Removal
➣ filters blood to remove creatinine + urea; kidneys then excrete these
(protein)
waste products via urine
2) Fluid-Balance Regulation
➣ adjusts the amount of water reabsorbed from blood into the urine
3) Electrolyte Balance
➣ controls the levels of K+, Na+, Ca+ & Mg that are either reabsorbed or
excreted
4) Acid-Base Balance
➣ Excretes H+ ions with urine
➣➣ Synthesizes bicarbonate ions
5) Blood Pressure Regulation
➣ produces the hormone, "renin" which helps regulate BP
6) Erythropoietin (EPO) Production
➣ hormone secreted in kidneys - that signals for RBC production in bone
marrow
7) Vitamin D Activation
➣ converts inactive Vitamin D into its active form; vital for bone health
8) Secrete Prostaglandins
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