NURS 571 |MSN| Mid-term Exam |Question and Answer| 100% Correct

NURS 571 |MSN| Mid-term Exam |Question and Answer| 100% Correct COPD is airflow limitation that is not fully reversible t/f *Ans* True __________ is characterized by reversible airflow obstruction *Ans* 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 *Ans* D. Emphysema Sputum production daily for 3 or more months for 2 or more years is characteristic of _________________ *Ans* Chronic Bronchitis Smoking> 30 years Chronic coughing excessive sputum production 4th and 5th decade of life Genetic component Are characteristics of what? *Ans* 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 *Ans* 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 *Ans* 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 *Ans* 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 *Ans* D COPD trifecta *Ans* 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? *Ans* COPD exacerbation Which of the following is NOT a short acting bronchodilator? A. Albuterol B. Levalbuterol C. Salmeterol D. Metaproterenol E. Terbutaline *Ans* C. Salmeterol is a LABA Albuterol is the drug of choice if the patient is tachycardic t/f? *Ans* False. Xoponex is preferred in tachy patients Anticholinergics are used to help control ____________ *Ans* Secretions Dyspnea at rest RR > 25 HR > 110 Increased cyanosis Accessory muscle use Warrants admission to what unit? *Ans* ICU Severe dyspnea RR> 35 Severe Hypoxemia PAO2 <40 Severe acidosis <7.25, CO2 >60 Respiratory arrest Impaired MS