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NR 601 MIDTERM EXAM 400 QUESTIONS AND CORRECT DETAILED ANSWERS UPDATE ALREADY A+ GRADED |ACE IN YOUR EXAM ON THE FIRST ATTEMPT

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NR 601 MIDTERM EXAM 400 QUESTIONS AND CORRECT DETAILED ANSWERS UPDATE ALREADY A+ GRADED |ACE IN YOUR EXAM ON THE FIRST ATTEMPT Leave the first rating Save Terms in this set (300) What are the 3 primary physiological changes of aging? 1. Reduced physiological reserve of most body systems, esp. cardiac, resp, renal. 2. Reduced homeostatic mechanisms that fail to adjust regulatory systems (i.e. temp control, fluid/lyte balance, etc.). 3. Impaired immunological function (infection risk is greater, autoimmune dz's more prevalent) What is the preferred amount of exercise for elderly? 30min/day 5 days/wk of moderate exercise. If trying to lose wt: 60min/day. What are PFTs? Group of tests that provide quantifiable measurement of lung function, used to dx resp abnormalities or assess progression/resolution of lung dz. What is FEV1? Forced Expiratory Volume in 1 second (80 120%) What is FVC? Forced Vital Capacity (80-120%) What is normal FEV1/FVC ratio? 0.7 (70%) What is GOLD 1 criteria? Mild FEV1 /= 80% predicted What is GOLD 2 criteria? Moderate FEV1 50-79% predicted What is GOLD 3 criteria? Severe FEV1 30-49% predicted What is GOLD 4 criteria? Very severe FEV1 30% predicted What are the signal symptoms of COPD? Dyspnea Chronic cough w/sputum Decreased activity tolerance Wheezing

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NR 601 MIDTERM EXAM 400
QUESTIONS AND CORRECT DETAILED
ANSWERS UPDATE ALREADY A+
GRADED |ACE IN YOUR EXAM ON THE
FIRST ATTEMPT
Leave the first rating

Save




Terms in this set (300)


1. Reduced physiological reserve of most
body systems, esp. cardiac, resp, renal.


What are the 3 2. Reduced homeostatic mechanisms that
primary fail to adjust regulatory systems (i.e. temp
physiological control, fluid/lyte balance, etc.).
changes of aging?
3. Impaired immunological function
(infection risk is greater, autoimmune dz's
more prevalent)

What is the 30min/day 5 days/wk of moderate
preferred amount exercise.
of exercise for
elderly? If trying to lose wt: 60min/day.

, Group of tests that provide quantifiable
measurement of lung function, used to dx
What are PFTs?
resp abnormalities or assess
progression/resolution of lung dz.

Forced Expiratory Volume in 1 second (80-
What is FEV1?
120%)

What is FVC? Forced Vital Capacity (80-120%)

What is normal <0.7 (70%)
FEV1/FVC ratio?

What is GOLD 1 Mild
criteria? FEV1 >/= 80% predicted

What is GOLD 2 Moderate
criteria? FEV1 50-79% predicted

What is GOLD 3 Severe
criteria? FEV1 30-49% predicted

What is GOLD 4 Very severe
criteria? FEV1 <30% predicted

Dyspnea
What are the signal
Chronic cough w/sputum
symptoms of
Decreased activity tolerance
COPD?
Wheezing

, Common, preventable, treatable.


Characterized by persistent airflow
limitation.


Usually progressive, associated with
What are enhanced chronic inflammatory response
characteristics of in airways and lungs to noxious
COPD? particles/gases


Airway fibrosis, luminal plugs, airway
inflammation, increased airway resistance,
small airway dz.


Decreased elastic recoil of alveoli.

Smoking (increasing w/number of pack
years)
What are risk
Second hand smoke
factors for COPD?
Environmental pollution (endotoxins, coal
dust, mineral dust)

May be normal in early states


As severity progresses: lung
What is seen on hyperinflation, decreased breath sounds,
phys exam in wheezes at bases, distant heart tones (b/c
COPD? of hyperinflation, so S1/S2 sounds off in
distance), accessory muscle use, pursed
lip breathing, increased expiratory phase,
neck vein distention.

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