VSIM Vincent Brody Questions And Answers

VSIM Vincent Brody Qu estion s And An swers The nurse understands that the pathophysiology of chronic obstructive pulmonary disease (COPD) is related to which of the following? - Answer Chronic inflammation and narrowing of airways (rationale: COPD is a slowly progressive disease involving airway obstruction related to changes and narrowing of airways resulting from chronic inflammation and the body's attempt to repair it.) The nurse recognizes that risk factors for chronic obstructive pulmonary disease (COPD) include which of the following? (Select all that apply.) - Answer Smoking tobacco, Exposure to dust, Secondhand smoke, Air pollution (rationale: Risk factors include environmental exposures such as cigarette smoking, increased age, occupational exposure (dust and chemicals), air pollution, and gene tic abnormalities including alpha1-antitrypsin deficiency.) What deficiency is a risk factor for COPD? - Answer alpha1-antitrypsin deficiency The nurse understands that, for a patient with chronic obstructive pulmonary disease (COPD), chronic hypoxemia and thickening of the walls of the pulmonary vasculature can lead to which complication? - Answer Pulmonary hypertension (rationale: Pulmonary hypertension may occur from thickening of the lining, smooth muscle hypertrophy of the pulmonary vasculature, and chronic hypoxemia, which causes the pulmonary arteries to constrict.) In COPD patients, the loss of protective mechanisms of the airways and increased mucus can lead to which complication? - Answer pneumon ia Which complication occurs from the alveolar wall destruction and loss of recoil? - Answer atelectasis Patients can develop large bullae, which may rupture and cause a ___________ _. - Answer pneumothorax In a patient with chronic obstructive pulmonary disease (COPD), the nurse would expect to observe which of the following clinical manifestations based on the arterial blood gas (ABG) results below? pH: 7.33 PaCO2: 55 mmHg HCO3: 22 mEq/L PaO2: 78 mmHg - Answer Likely asymptomatic (rationale: The patient's values are not severe enough at this moment to cause symptoms.)