Medsurg exam 1 MCPHS- Questions and
Answers
COPD: Correct Ans-loss of lung elasticity and hyperinflation of the lungs, destruction of
alveoli
COPD risk factors: Correct Ans-cigarette smoking, genetics alpha 1-antitrypsin deficiency,
occupational/enviornmental exposures, asbestos exposure
COPD diagnostic tests: Correct Ans-sputum samples, chest X-ray, pulmonary function test
(PFT), completele blood count (CBC), arterial blood gas (ABG)
pH: Correct Ans-7.35-7.45
PaO2: Correct Ans-80-100
paCO2 Correct Ans-35-45
HCO2 Correct Ans-22-26
COPD assessment findings: Correct Ans-chronic bronchitis
emphysema
Increased work of breathing
,Accessory breathing
Tripod positioning
Fatigued
"hypoxia"
Orthopnea
Rapid, shallow breaths-*40-50 rpm
Increased SOB with exertion
Abnormal lungs *wheezing
Digital clubbing
Polycythemia
Barrel Chest
AP diameter non-barrel chest: Correct Ans-1:2
AP diameter barrel chest: Correct Ans-> or = to 1:1
COPD treatment non-surgical medications: Correct Ans-Bronchodilators
Steroids
Expectorants
Anxiolytics
Antibiotics
Vibratory Positive Expiratory Pressure Device
, Weight management
COPD treatment surgical: Correct Ans-Lung transplant
Lung reduction surgery
Most common procedure is VATS
COPD nursing interventions: Correct Ans-Maintenance of ABC's
Oxygen:
SpO2 <88% on RA or <2 LPM/PaO2 <55 mmHg
Monitor for changes in respiratory status
Increased monitoring for hospitalized patient
Breathing techniques
Diaphragmatic or abdominal breathing
Pursed-lip breathing
Cough/Deep breathing
Place patient in upright position
Suctioning à only when necessary
Hydration
Reduce anxiety
IV therapy uses: Correct Ans-maintaining fluid balance (or correct)
maintain electrolyte or acid-base balance (or correct)
Answers
COPD: Correct Ans-loss of lung elasticity and hyperinflation of the lungs, destruction of
alveoli
COPD risk factors: Correct Ans-cigarette smoking, genetics alpha 1-antitrypsin deficiency,
occupational/enviornmental exposures, asbestos exposure
COPD diagnostic tests: Correct Ans-sputum samples, chest X-ray, pulmonary function test
(PFT), completele blood count (CBC), arterial blood gas (ABG)
pH: Correct Ans-7.35-7.45
PaO2: Correct Ans-80-100
paCO2 Correct Ans-35-45
HCO2 Correct Ans-22-26
COPD assessment findings: Correct Ans-chronic bronchitis
emphysema
Increased work of breathing
,Accessory breathing
Tripod positioning
Fatigued
"hypoxia"
Orthopnea
Rapid, shallow breaths-*40-50 rpm
Increased SOB with exertion
Abnormal lungs *wheezing
Digital clubbing
Polycythemia
Barrel Chest
AP diameter non-barrel chest: Correct Ans-1:2
AP diameter barrel chest: Correct Ans-> or = to 1:1
COPD treatment non-surgical medications: Correct Ans-Bronchodilators
Steroids
Expectorants
Anxiolytics
Antibiotics
Vibratory Positive Expiratory Pressure Device
, Weight management
COPD treatment surgical: Correct Ans-Lung transplant
Lung reduction surgery
Most common procedure is VATS
COPD nursing interventions: Correct Ans-Maintenance of ABC's
Oxygen:
SpO2 <88% on RA or <2 LPM/PaO2 <55 mmHg
Monitor for changes in respiratory status
Increased monitoring for hospitalized patient
Breathing techniques
Diaphragmatic or abdominal breathing
Pursed-lip breathing
Cough/Deep breathing
Place patient in upright position
Suctioning à only when necessary
Hydration
Reduce anxiety
IV therapy uses: Correct Ans-maintaining fluid balance (or correct)
maintain electrolyte or acid-base balance (or correct)
