NURS 571 Final with latest updated test.

NURS 571 Final with latest updated test. COPD is airflow limitation that is not fully reversible t/f - correct answer.True __________ is characterized by reversible airflow obstruction - correct answer.Asthma Destruction and permanent enlargement of airspaces distal to terminal bronchioles characterized by destruction of alveoli without obvious fibrosis and hyperinflation/air trapping is known as: A. COPD B. Asthma C. Chronic Bronchitis D. Emphysema - correct answer.D. Emphysema Sputum production daily for 3 or more months for 2 or more years is characteristic of _________________ - correct answer.Chronic Bronchitis Smoking 30 years Chronic coughing excessive sputum production 4th and 5th decade of life Genetic component Are characteristics of what? - correct answer.Typical COPD patient Stage 1: Mild A. FEV1/FVC 70%, FEV1 80% B.FEV1/FVC 70%, FEV1 50-79% C.FEV1/FVC 70%, FEV1 30-49% with or w/o sx D.FEV1/FVC 70%, FEV1 30% or 50% with resp failure - correct answer.A Stage 2: moderate A. FEV1/FVC 70%, FEV1 80% B.FEV1/FVC 70%, FEV1 50-79% C.FEV1/FVC 70%, FEV1 30-49% with or w/o sx D.FEV1/FVC 70%, FEV1 30% or 50% with resp failure - correct answer.B Stage 3: severe A. FEV1/FVC 70%, FEV1 80% B.FEV1/FVC 70%, FEV1 50-79% C.FEV1/FVC 70%, FEV1 30-49% with or w/o sx D.FEV1/FVC 70%, FEV1 30% or 50% with resp failure - correct answer.C Stage 4: very severe A. FEV1/FVC 70%, FEV1 80% B.FEV1/FVC 70%, FEV1 50-79% C.FEV1/FVC 70%, FEV1 30-49% with or w/o sx D.FEV1/FVC 70%, FEV1 30% or 50% with resp failure - correct answer.D COPD trifecta - correct answer.Increase cough, dyspnea, sputum production Oxygen SPO2 90-94% or PAO2 50-60 mm Hg Ipratropium bromide Beta 2 agonists Systemic corticosteroids Antibiotics NIPPV/chest PT Are treatments for what? - correct answer.COPD exacerbation Which of the following is NOT a short acting bronchodilator? A. Albuterol B. Levalbuterol C. Salmeterol D. Metaproterenol E. Terbutaline - correct answer.C. Salmeterol is a LABA Albuterol is the drug of choice if the patient is tachycardic t/f? - correct answer.False. Xoponex is preferred in tachy patients Anticholinergics are used to help control ____________ - correct answer.Secretions Dyspnea at rest RR 25 HR 110 Increased cyanosis Accessory muscle use Warrants admission to what unit? - correct answer.ICU Severe dyspnea RR 35 Severe Hypoxemia PAO2 40 Severe acidosis 7.25, CO2 60 Respiratory arrest Impaired MS Severe comorbidities Consider what? - correct answer.Ventilator support The difference between COPD and asthma is that _____________ is reversible - correct answer.Asthma Transudate: CHF, cirrhosis, hypoalbumininemia Exudate: inflammation, malignancy, RA Pus: empyema from infection Blood: trauma Chyle: ruptured thoracic duct Urine: Urinothorax from hydronephrosis Are all types of what? - correct answer.Pleural effusion CHF***, cirrhosis, atelectasis, nephrotic syndrome, PD, myxedema, constrictive pericarditis are common causes of transudative or exudative pleural effusions? - correct answer.Transudative What is the most common cause of exudative pleural effusions? - correct answer.Malignancy PE, collagen vascular disease, asbestosis, pancreatitis, post cardiac trauma, esophageal perforation, radiation pleuritis, drug induced, chylothorax, melgs syndrome are causes of