NURS 571 Final Exam Study Questions and Answers 2024

COPD is airflow limitation that is not fully reversible t/f - True __________ is characterized by reversible airflow obstruction - Asthma 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 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 COPD trifecta - 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 Which of the following is NOT a short acting bronchodilator? A. Albuterol B. Levalbuterol C. Salmeterol D. Metaproterenol E. Terbutaline - C. Salmeterol is a LABA Albuterol is the drug of choice if the patient is tachycardic t/f? - False. Xoponex is preferred in tachy patients Anticholinergics are used to help control ____________ - Secretions Dyspnea at rest RR 25 HR 110 Increased cyanosis Accessory muscle use Warrants admission to what unit? - ICU Severe dyspnea RR 35 Severe Hypoxemia PAO2 40