Edapt-Chronic Obstructive Pulmonary Disease (COPD) Exam Review

Edapt-Chronic Obstructive Pulmonary Disease (COPD) Exam Review Which risk factors are associated with chronic obstructive pulmonary disease (COPD)? (SATA) - ANS--Living with a cigarette smoker -Exposure to pollution A client is admitted with shortness of breath. Which diagnostic studies would help identify lung function and gas exchange changes caused by chronic obstructive pulmonary disease (COPD)? (SATA) - ANS--Arterial blood gas -Spirometry -Chest x-ray Which information is true regarding clients with chronic obstructive pulmonary disease (COPD)? (SATA) - ANS--COPD is caused by long-term exposure to irritating gases or particulate matter. -The client may experience periods of exacerbation with worsening clinical manifestations. -COPD typically affects middle-aged to older adults. -COPD encompasses both emphysema and chronic bronchitis. Identify history and assessment findings that indicate altered gas exchange. A client is transferred from an assisted living facility to the emergency department due to shortness of breath caused by an exacerbation of chronic obstructive pulmonary disease (COPD). - ANS--RR 25 Breaths per minute -HR 105 beats per minute -oxygen saturation of 85% on room air -COPD (20 pack years) -Albuterol inhaler PRN for shortness of breath -prednisone 20 mg daily -oxygen therapy 2LPM -episodes of respiratory distress for the past two days -increased shortness of breath. Client is chronically on oxygen takes prednisone daily. A client is admitted with chronic obstructive pulmonary disease (COPD) exacerbation. Match the nursing action with the correct rationale. 1. Reposition the client. 2. Encourage deep/pursed lip breathing. 3. Use oxygen therapy as prescribed. 4. Perform percussion, vibration, and postural drainage. 5. Increase hydration. - ANS-1. This will expand the lungs and encourage deeper breaths. Continues...