NSG 3800 EXAM 1 UPDATED QUESTIONS
AND ANSWERS FULL SOLUTION REVIEW
MATERIAL
●● Acute Bronchitis Etiology
Answer: Viral or non-viral
Coronavirus
Heat
Smoke inhalation
Allergic reactions
●● Acute Bronchitis S/S
Answer: DISTINCT HALLMARK OF DISEASE: RECENT ONSET
OF COUGH
Low grade fever
Substernal chest discomfort
Sore throat
Postnasal drip
●● Chronic Bronchitis Risk factors
Answer: Cigarette smoking
Overweight
,Genetic predisposition
Inhalation of physical or chemical irritants
Chronic or recurrent productive cough
●● Chronic bronchitis patho
Answer: Hyperplasia of bronchial mucous gland/goblet cells
Increased mucous production with formation of mucous plugs
Increased bronchial wall thickness
INCREASED PULMONARY ARTERY RESISTANCE LEADS TO
PULMONARY HTN
●● Chronic bronchitis s/s
Answer: BLUE BOATER
Overweight
Hypoxia
Hypercapnia
Acidosis
Exertional dyspnea
Digital clubbing
Cardiomegaly
Accessory muscles
,●● What is COPD and what conditions are classified as COPD?
Answer: Chronic airflow limitation
Emphysema and Chronic bronchitis
●● Emphysema Patho/Etiology
Answer: abnormal distention of alveoli
Antitrypsin deficiency (caused from nicotine)
Smoking
Air pollution
Occupational environments
●● What is Antitrypsin and what condition is it associated with?
Answer: A1-Antitrypsin is a protein produced in the liver that protects
the body's tissues from being damaged by infection fighting agents
released by its immune system.
Inhibits neutrophil elastase activity in the lung protecting it from
proteolytic damage
Deficiency is rare inherited disorder that causes lung disease and liver
disease
Associated with emphysema
, ●● Emphysema S/S
Answer: Pink puffer (good gas exchange but increased respiratory
effort)
Pursed lip breathing
Accessory muscles
Barrel chest
Thin, wasted individual hunched forward (r/t increased respiratory effort
and resulting caloric expenditure with decreased ability to consume
adequate calories)
Prolonged expiration
Clubbing
●● Emphysema complications
Answer: Pneumothorax due to bullae
Weight loss due to work of breathing
●● Bronchitis complications
Answer: Secondary polycythemia
Pulmonary hypertension
Cor pulmonale (R sided heart failure)
●● COPD Nursing care
AND ANSWERS FULL SOLUTION REVIEW
MATERIAL
●● Acute Bronchitis Etiology
Answer: Viral or non-viral
Coronavirus
Heat
Smoke inhalation
Allergic reactions
●● Acute Bronchitis S/S
Answer: DISTINCT HALLMARK OF DISEASE: RECENT ONSET
OF COUGH
Low grade fever
Substernal chest discomfort
Sore throat
Postnasal drip
●● Chronic Bronchitis Risk factors
Answer: Cigarette smoking
Overweight
,Genetic predisposition
Inhalation of physical or chemical irritants
Chronic or recurrent productive cough
●● Chronic bronchitis patho
Answer: Hyperplasia of bronchial mucous gland/goblet cells
Increased mucous production with formation of mucous plugs
Increased bronchial wall thickness
INCREASED PULMONARY ARTERY RESISTANCE LEADS TO
PULMONARY HTN
●● Chronic bronchitis s/s
Answer: BLUE BOATER
Overweight
Hypoxia
Hypercapnia
Acidosis
Exertional dyspnea
Digital clubbing
Cardiomegaly
Accessory muscles
,●● What is COPD and what conditions are classified as COPD?
Answer: Chronic airflow limitation
Emphysema and Chronic bronchitis
●● Emphysema Patho/Etiology
Answer: abnormal distention of alveoli
Antitrypsin deficiency (caused from nicotine)
Smoking
Air pollution
Occupational environments
●● What is Antitrypsin and what condition is it associated with?
Answer: A1-Antitrypsin is a protein produced in the liver that protects
the body's tissues from being damaged by infection fighting agents
released by its immune system.
Inhibits neutrophil elastase activity in the lung protecting it from
proteolytic damage
Deficiency is rare inherited disorder that causes lung disease and liver
disease
Associated with emphysema
, ●● Emphysema S/S
Answer: Pink puffer (good gas exchange but increased respiratory
effort)
Pursed lip breathing
Accessory muscles
Barrel chest
Thin, wasted individual hunched forward (r/t increased respiratory effort
and resulting caloric expenditure with decreased ability to consume
adequate calories)
Prolonged expiration
Clubbing
●● Emphysema complications
Answer: Pneumothorax due to bullae
Weight loss due to work of breathing
●● Bronchitis complications
Answer: Secondary polycythemia
Pulmonary hypertension
Cor pulmonale (R sided heart failure)
●● COPD Nursing care
