NUR 6501 PULMONARY RESPIRATORY. PATHO MIDTERM & PHARM TEST QUESTIONS AND ANSWERS

PATHO MIDTERM RESPIRATORY 1. A patient has been diagnosed with primary emphysema but claims there is no history of smoking. What action by the healthcare professional is most appropriate? Answer: Ipratropium (SA anticholinergic-long acting) for symptom control. Pg.1183- 85 2. What normal physiologic change occurs in the aging in the pulmonary system? Answer: stiffening of the chest wall. 3. A student asks why carbon monoxide causes tissue damage. What response by the professor is best? Answer: Binds to hemoglobin so that it cannot carry oxygen. 4. What is the inflammatory effect of (NO) nitrous oxide? Answer: Decreases mast cell function and decreases platelet aggregation. 5. A patient has been diagnosed with empyema. What does the healthcare professional tell the patient about this condition? Answer: We will have to drain the pus out of your pleural space. And antibiotics. ANSWERS FROM PATHO TEST #3 40. A patient has a pulmonary capillary wedge pressure of 30mmHg. What assessment finding by the healthcare professional would be most consistent with this reading? Answer: Pink, frothy sputum. 49. Which term is used to identify the movement of gas and air into and out of the lungs? Answer: VENTILATION ANSWERS FROM PATHO TEST #2 2. A healthcare professional is educating a patient about asthma. The professional states that good control is necessary due to which pathophysiologic process? Answer: Uncontrolled inflammation leads to increased bronchial hyperresponsiveness and eventual scarring. 13. Surfactant produced by type II alveolar cells facilitates alveolar distention and ventilation by which mechanism? Answer: Decreasing surface tension in the alveoli. 14. A patient is brought to the Emergency Department with a GSW-gunshot wound to the chest. The healthcare professional assesses an abnormality involving a pleural rupture that acts as a one-way valve, permitting air to enter on inspiration but preventing its escape by closing during expiration. What action by the healthcare professional is the priority? Answer: Assist with a chest tube insertion. 21. When comparing the clinical manifestations of both diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar nonketotic syndrome (HHNKS), which condition is associated with only DKA? Answer: Kussmaul respirations. This study source was downloaded by from CourseH on :28:43 GMT -05:00 professional assess for pulmonary emboli (PE) as the priority? Answer: Deep venous thrombosis. 32. A healthcare professional wants to determine the adequacy of a person's alveolar ventilation. What assessment finding is most important for the professional to consider? Answer: Arterial blood gas shows a PaCO2 of 44 mmHg. 44. A patient is having a spirometry measurement done and asks the healthcare professional to explain this test. What response by the professional is best? Answer: To measure the volume and flow rate during forced expiration. 50. The student asks the professor to explain what characteristic is demonstrated by lungs with decreased compliance. Answer: STIFFNESS. 61. A healthcare professional is caring for a patient who has continuous increases in left ventricular filing pressures. What disorder would the professional assess the patient for? Answer: Pulmonary Edema. 72. The student asks the healthcare professional to explain how pulmonary edema and pulmonary fibrosis cause hypoxemia. What description by the professional is best? Answer: Impairs alveolocapillary membrane diffusion. 81. A patient's chart indicates Kussmaul respirations. The student asks the healthcare professional what this is caused by. What response by the professional is most accurate? Answer: A compensatory measure is needed to correct metabolic acidosis. PATHO MIDTERM #3 6. Which normal physiologic change occurs in the aging pulmonary system? Answer: Stiffening of the chest wall. PHARM TEST 2. Pharm. A man who smokes one pack of cigarettes daily has been diagnosed with chronic bronchitis. He has been prescribed theophylline by his family doctor. What effect will the patient's smoking status have on the therapeutic use of theophylline? Answer: The patient may require higher doses of theophylline than a nonsmoker. 13. Pharm. A healthcare professional is educating a patient about asthma. The professional states that good control is necessary due to which pathophysiologic process? Answer: Uncontrolled inflammation leads to increased bronchial hyperresponsiveness and eventual scarring. 17. Pharm. If a patient develops acidosis, the nurse would, expect the oxyhemoglobin dissociation curve to react in which manner? Answer: Shift to the right, causing more oxygen (O 2) to be released to the cells. This study source was downloaded by from CourseH on :28:43 GMT -05:00 Powered by TCPDF ()