NSG124 Exam 3 Questions with Correct Answers | Latest Update
Older adults with asthma are oftentimes underdiagnosed because the s/s are so similar to:
COPD
In asthma, airflow is limited due to inflammation that results in ___, ___, and ___ of the
airways. bronchoconstriction, edema, hyperresponsiveness
in which phase of asthma do mast cells release inflammatory mediators such as leukotrienes,
cytokines, and histamine? early phase
in which phase of asthma may symptoms occur up to 4-10 hours after the initial attack due to
the activation of eosinophils and lymphocytes? late phase
what does the late phase of asthma lead to the release of more of? more mediators
Hyperresonance = ___ which is ___: tympanic, trapped air
diminished breath sounds is aka: silent chest
Dyspnea at rest
Speaks in words not sentences
Usually sitting forward to maximize diaphragmatic movement (tripod)
RR > 30/min
HR >120/min
Use of accessory muscles in neck
ABG changes
Peak flow 40% of personal best or <150mL
,These are s/s of which type of asthma? severe acute asthma
Too dyspneic to speak
Profuse perspiration
Drowsy or confused
Breath sounds difficult to hear
No wheezing apparent
Peak flow is < 25% personal best
Bradycardia
Close to respiratory arrest
These are s/s of which type of asthma? status asthmaticus
What is a PFT? pulmonary function test
why would you perform a chest xray for someone with asthma? to check for remodeling
what percent of the pt's baseline is the green zone of a PEFM? 80-100
what percent of the pt's baseline is the yellow zone of a PEFM? 50-80
what percent of the pt's baseline is the red zone of a PEFM? <50
when using the PEFM, the patient should be instructed to record the best of ___ readings.
3
, with Intermittent and Persistent Asthma, which form of corticosteroids may be used?
inhaled
with Acute Asthma Exacerbations, which form of corticosteroids may be used? oral or iv
with Severe and Life-threatening Asthma, which form of corticosteroids may be used?
oral systemic or iv
what is an example of an iv corticosteroid? methylprednisolone (Solumedrol)
what is an obstructive pulmonary disease with progressive limitation in airflow that is NOT fully
reversible? copd
what is A chronic inflammatory disorder of the airways? asthma
copd includes: chronic bronchitis and emphysema
There is an activation of inflammatory cells in COPD including: Neutrophils,
macrophages, and lymphocytes
both bronchitis and emphysema cause respiratory issues such as ___ and ___.
inflammation and obstruction
both bronchitis and emphysema are treated similarly with: bronchodilators and
corticosteroids
both bronchitis and emphysema cause air-trapping, preventing: gas exchange
Older adults with asthma are oftentimes underdiagnosed because the s/s are so similar to:
COPD
In asthma, airflow is limited due to inflammation that results in ___, ___, and ___ of the
airways. bronchoconstriction, edema, hyperresponsiveness
in which phase of asthma do mast cells release inflammatory mediators such as leukotrienes,
cytokines, and histamine? early phase
in which phase of asthma may symptoms occur up to 4-10 hours after the initial attack due to
the activation of eosinophils and lymphocytes? late phase
what does the late phase of asthma lead to the release of more of? more mediators
Hyperresonance = ___ which is ___: tympanic, trapped air
diminished breath sounds is aka: silent chest
Dyspnea at rest
Speaks in words not sentences
Usually sitting forward to maximize diaphragmatic movement (tripod)
RR > 30/min
HR >120/min
Use of accessory muscles in neck
ABG changes
Peak flow 40% of personal best or <150mL
,These are s/s of which type of asthma? severe acute asthma
Too dyspneic to speak
Profuse perspiration
Drowsy or confused
Breath sounds difficult to hear
No wheezing apparent
Peak flow is < 25% personal best
Bradycardia
Close to respiratory arrest
These are s/s of which type of asthma? status asthmaticus
What is a PFT? pulmonary function test
why would you perform a chest xray for someone with asthma? to check for remodeling
what percent of the pt's baseline is the green zone of a PEFM? 80-100
what percent of the pt's baseline is the yellow zone of a PEFM? 50-80
what percent of the pt's baseline is the red zone of a PEFM? <50
when using the PEFM, the patient should be instructed to record the best of ___ readings.
3
, with Intermittent and Persistent Asthma, which form of corticosteroids may be used?
inhaled
with Acute Asthma Exacerbations, which form of corticosteroids may be used? oral or iv
with Severe and Life-threatening Asthma, which form of corticosteroids may be used?
oral systemic or iv
what is an example of an iv corticosteroid? methylprednisolone (Solumedrol)
what is an obstructive pulmonary disease with progressive limitation in airflow that is NOT fully
reversible? copd
what is A chronic inflammatory disorder of the airways? asthma
copd includes: chronic bronchitis and emphysema
There is an activation of inflammatory cells in COPD including: Neutrophils,
macrophages, and lymphocytes
both bronchitis and emphysema cause respiratory issues such as ___ and ___.
inflammation and obstruction
both bronchitis and emphysema are treated similarly with: bronchodilators and
corticosteroids
both bronchitis and emphysema cause air-trapping, preventing: gas exchange
