NURS 571 Final Exam 2025. 285 Questions And Answers

NURS 571 Final Exam
COPD is airflow limitation that is not fully reversible

t/f *** True



__________ is characterized by reversible airflow obstruction *** Asthma



1) SABA prn

2) Low dose ICS

3) Low dose ICS + LABA OR medium dose ICS

4) Medium Dose ICS + LABA

5) High dose ICS + LABA

6) High dose ICS + LABA + Oral corticosteroids

treatment for what? *** Step wise approach for asthma



Asthma:

incomplete response to TX

FEV1 or PEF 40-60%

mild to moderate s/s



where do you admit? *** Floor admission



Asthma:

FEV1 or PEF <40%,

PaC02 > 42mmhg

,severe symptoms

drowsiness, confusion

pending intubation

Pa02 <60%

poor response to tx



where do you admit? *** ICU admission



Drowsiness, paradoxical chest movement, absence of wheeze, bradycardia are signs of what in severe
asthma exacerbations? *** Respiratory arrest



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 *** D. Emphysema



Sputum production daily for 3 or more months for 2 or more years is characteristic of
_________________ *** Chronic Bronchitis



Pink puffers are ______________ and blue bloaters are ______________ *** Emphysema and COPD



COPD on CXR will show normal diaphragm, hyper-inflated lungs, normal heart size, and barrel chest, t/f?
*** False- flattened diaphragm, hyper-inflated lungs small heart size, and barrel chest



Smoking> 30 years

,Chronic coughing

excessive sputum production

4th and 5th decade of life

Genetic component



Are characteristics of what? *** 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 *** 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 *** 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 *** 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 *** D



S/s of COPD exacerbation? *** 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? *** COPD exacerbation



COPD:

worsening cor pulmonale

unresponsive to outpatient tx

worsen pulmonary function

Patient has an acute exacerbation plus one or more of the following: