NUR 208 UNIT 3 Questions with 100%
Correct Answers
Pulmonary Artery Hypertension Correct Answer: -Occurs when the mean
pulmonary artery pressure exceeds 25 mmHG with a pulmonary capillary
wedge pressure of less than 15 mmHG
-Must be measured during a right sided heart cath.
-2 types: idiopathic and that due to a known cause
Laryngotracheitis Correct Answer: associated with an irritated, high-pitched
cough
Pulmonary Artery Hypertension s/s Correct Answer: -Dyspnea at first with exertion
and then eventually at rest
-Substernal chest pain
-Weakness,Fatigue,Syncope
-Occasional hemoptysis
-Signs of right sided heart failure
-Anorexia
-Abdominal pain in the RUQ
Pulmonary Artery Hypertension Tx Correct Answer: -Goal of treatment is to
manage the underlying condition related to pulmonary hypertension of known
cause
,-Anticoagulation
- oxygen therapy
-Calcium channel blockers may be used, phosphodiesterase-5 inhibitors,
endothelin antagonists, and prostanoids
--Lung transplantation is an option for all eligible patients who have severe
disease and symptoms after 3 months of receiving epoprostenol
Pulmonary Heart Disease Correct Answer: -R sided HF
-Type of pulmonary arterial hypertension due to a known cause
-Most frequent cause is COPD
Pulmonary Heart Disease s/s Correct Answer: increasing edema of the feet and
legs, distended neck veins, enlarged palpable liver, pleural effusions, ascites,
and heart murmurs
-HA, confusion, and somnolence may occur as a result of increased levels of
CO2
- complaints of increasing SOB, wheezing, cough, and fatigue
-liver enlargement, distended neck veins, wt. gain
ARDS Correct Answer: -Severe form of acute lung injury
-Characterized by sudden and progressive pulmonary edema, increasing
bilateral infiltrates on chest x-ray, hypoxemia unresponsive to oxygen
supplementation regardless of the amount of PEEP and the absence of an
elevated left atrial pressure
, -Reduced lung compliance
ARDS s/s Correct Answer: -Acute: rapid onset of severe dyspnea, arterial
hypoxemia that doesn't respond to supplemental oxygen
-Bilateral infilitrates on x-ray
-Acute lung injury then progresses to fibrosing alveolitis with persistent severe
hypoxemia
-Increased alveolar dead space and decreased pulmonary compliance
ARDS tx Correct Answer: -intubation, supportive therapy
COPD (includes chronic bronchitis & emphysema) Correct Answer: -
Characterized by airflow limitation that is not fully reversible
Chronic Bronchitis Correct Answer: -Presence of cough and sputum production
for at least 3 months in each of 2 consecutive years.
-Constant irritation leads to increased mucus production
Emphysema Correct Answer: -An abnormal distention of the airspaces beyond
the terminal bronchioles and destruction of the walls of the alveoli
-This is the end stage of a process that slowly progresses over many years
Asthma Correct Answer: -Chronic inflammatory disease of the airways that
causes airway hyperresponsiveness, mucosal edema, and mucus production
Asthma s/s Correct Answer: -Three most common symptoms are cough (with or
without mucus production), dyspnea, and wheezing.
Correct Answers
Pulmonary Artery Hypertension Correct Answer: -Occurs when the mean
pulmonary artery pressure exceeds 25 mmHG with a pulmonary capillary
wedge pressure of less than 15 mmHG
-Must be measured during a right sided heart cath.
-2 types: idiopathic and that due to a known cause
Laryngotracheitis Correct Answer: associated with an irritated, high-pitched
cough
Pulmonary Artery Hypertension s/s Correct Answer: -Dyspnea at first with exertion
and then eventually at rest
-Substernal chest pain
-Weakness,Fatigue,Syncope
-Occasional hemoptysis
-Signs of right sided heart failure
-Anorexia
-Abdominal pain in the RUQ
Pulmonary Artery Hypertension Tx Correct Answer: -Goal of treatment is to
manage the underlying condition related to pulmonary hypertension of known
cause
,-Anticoagulation
- oxygen therapy
-Calcium channel blockers may be used, phosphodiesterase-5 inhibitors,
endothelin antagonists, and prostanoids
--Lung transplantation is an option for all eligible patients who have severe
disease and symptoms after 3 months of receiving epoprostenol
Pulmonary Heart Disease Correct Answer: -R sided HF
-Type of pulmonary arterial hypertension due to a known cause
-Most frequent cause is COPD
Pulmonary Heart Disease s/s Correct Answer: increasing edema of the feet and
legs, distended neck veins, enlarged palpable liver, pleural effusions, ascites,
and heart murmurs
-HA, confusion, and somnolence may occur as a result of increased levels of
CO2
- complaints of increasing SOB, wheezing, cough, and fatigue
-liver enlargement, distended neck veins, wt. gain
ARDS Correct Answer: -Severe form of acute lung injury
-Characterized by sudden and progressive pulmonary edema, increasing
bilateral infiltrates on chest x-ray, hypoxemia unresponsive to oxygen
supplementation regardless of the amount of PEEP and the absence of an
elevated left atrial pressure
, -Reduced lung compliance
ARDS s/s Correct Answer: -Acute: rapid onset of severe dyspnea, arterial
hypoxemia that doesn't respond to supplemental oxygen
-Bilateral infilitrates on x-ray
-Acute lung injury then progresses to fibrosing alveolitis with persistent severe
hypoxemia
-Increased alveolar dead space and decreased pulmonary compliance
ARDS tx Correct Answer: -intubation, supportive therapy
COPD (includes chronic bronchitis & emphysema) Correct Answer: -
Characterized by airflow limitation that is not fully reversible
Chronic Bronchitis Correct Answer: -Presence of cough and sputum production
for at least 3 months in each of 2 consecutive years.
-Constant irritation leads to increased mucus production
Emphysema Correct Answer: -An abnormal distention of the airspaces beyond
the terminal bronchioles and destruction of the walls of the alveoli
-This is the end stage of a process that slowly progresses over many years
Asthma Correct Answer: -Chronic inflammatory disease of the airways that
causes airway hyperresponsiveness, mucosal edema, and mucus production
Asthma s/s Correct Answer: -Three most common symptoms are cough (with or
without mucus production), dyspnea, and wheezing.
