These vaccines produce bronchodilation and improve oxygenation. Results: Not so good. Arterial blood gas measurements reveal a pH of 7.30, a low bicarbonate level, a normal carbon dioxide level, and a normal oxygen level. Which of the following is the most appropriate nursing intervention? A hyperinflated chest on x-ray film. A nurse is caring for a client with renal failure. Which of the following nursing actions will facilitate obtaining the specimen? Metabolic acidosis Etiology . The term “blue bloater” refers to which of the following conditions? Reducing fluid volume reduces oxygen demand, Reducing fluid volume improves clients’ mobility, Restricting fluid volume reduces sputum production, Reducing fluid volume improves respiratory function. A nurse is caring for a client who is on a mechanical ventilator. Explain the procedure to the client. *Disclaimer: While we do our best to provide students with accurate and in-depth study quizzes, this quiz/test is for educational and entertainment purposes only. It’s highly recommended that clients with asthma, chronic bronchitis, and emphysema have Pneumovax and flu vaccinations for which of the following reasons? Blood gas results indicate a pH of 7.50 and a PCO2 of 30 mm Hg. Extrinsic asthma is caused by dust, molds, and pets; easily identifiable allergens. It worsens respiratory function and is discouraged. 3. View M6 Quiz Answers.txt from NURSING 02020 at Far Eastern University. Which of the following is the most appropriate nursing intervention? By accessing any content on this site or its related media channels, you agree never to hold us liable for damages, harm, loss, or misinformation. 3. Respirations that are regular but abnormally slow. Popliteal circulation If action isn’t taken quickly, she might have which of the following reactions? If action isn’t taken quickly, she might have which of the following reactions? Learn copd nursing with free interactive flashcards. Respiratory acidosis A nurse plans care for a client with chronic obstructive pulmonary disease, knowing that the client is most likely to experience what type of acid-base imbalance? These results indicate the presence of: 1. STUDY. Metabolic acidosis partially compensated. 3. Smoking is the main cause of chronic obstructive pulmonary disease (COPD), a serious illness that makes breathing difficult. In a respiratory condition, an opposite (see-saw) will be seen between the pH and the PCO2. He’s tachypneic, with a prolonged expiratory phase. 2. 1. A client with acute asthma showing inspiratory and expiratory wheezes and a decreased expiratory volume should be treated with which of the following classes of medication right away? Anonymous. COPD Assessment Test - An introduction for patients For patients with chronic obstructive pulmonary disease (COPD) Make the most of visits to your doctor with the COPD Assessment Test (CAT) Are you living life to your full potential? b. The will to succeed is important, but what’s more important is the will to prepare. Read up on COPD and try the quiz again. Respiratory alkalosis 6 L/min Chronic obstructive pulmonary disease (COPD) currently is the fourth leading cause of death in the world and the disease burden is projected to increase in the coming years. 27. Metabolic acidosis, compensated. ARDS 4. 4. Metabolic alkalosis. Respiratory arrest Circumoral cyanosis How to recognize the signs of an impending respiratory infection. A nurse is caring for a client with diabetic ketoacidosis and documents that the client is experiencing Kussmaul’s respirations. Respirations that are abnormally deep, regular, and increased in rate, Respirations that are regular but abnormally slow, Respirations that are labored and increased in depth and rate, Respirations that cease for several seconds. Answer: 1. See a GP if you have persistent symptoms of chronic obstructive pulmonary disease (COPD). First, resolve the acute phase of the attack ad how to prevent attacks in the future. Based on this documentation, which of the following did the nurse observe? Sodium level of 145 mEq/L These results indicate the presence of: Combined respiratory and metabolic acidosis. Teaching for a client with chronic obstructive pulmonary disease (COPD) should include which of the following topics? 3. 1. 40. Which laboratory value would most likely be noted in this condition? The normal pH is 7.35 to 7.45. Patients who have COPD are experiencing limited airflow due to obstructive pulmonary disease. A patient with severe COPD is having an episode of extreme shortness of breath and requests their inhaler. 1. Select-all-that-apply: A. Emergency treatment of a client in status asthmaticus includes which of the following medications? Ensure that the suction is limited to 15 seconds, Stop the procedure and reoxygenated the client. His respiratory rate is 44 breaths/minute, and he appears to be in acute respiratory distress. Potassium level of 3.0 mEq/L This quiz will test your knowledge about COPD (chronic obstructive pulmonary disease) in preparation for the NCLEX exam. 3. Femoral circulation Level of consciousness and a pulse oximetry value. 3. It enhances cardiovascular fitness. Administer bronchodilators. The patient should use the medications every 2 hours for acute episodes of shortness of breath. 4. Which of the following pathophysiological mechanisms that occur in the lung parenchyma allows pneumonia to develop? Chronic obstructive pulmonary disease (COPD) can affect many aspects of your life. Sodium level of 145 mEq/L Our online COPD trivia quizzes can be adapted to suit your requirements for taking some of the top COPD quizzes. COPD is responsible for nearly 30,000 deaths a year or around … First, the nurse should attempt to rouse the client because this should increase the client’s respiratory rate. 45. Using an incentive spirometer requires the client to take deep breaths and promotes lung expansion. Chronic obstructive bronchitis. Once you are finished, click the button below. Blood Test: To check electrolytes balance, and screen for Alpha1-Antitrypsin deficiency; CT-Scan: This is rarely done for a COPD exacerbation. 29. Chronic obstructive pulmonary disease (COPD). He’s short of breath at rest and his dyspnea increases with the slightest exertion. Before the blood is drawn, an Allen’s test is performed to determine the adequacy of the: 1. Improve cardiac output An arterial blood gas value is obtained. Clinical manifestations of respiratory alkalosis include headache, tachypnea, paresthesias, tetany, vertigo, convulsions, hypokalemia, and hypocalcemia. 2. Notify the physician immediately. Aug 25, 2018 - Right knowledge and proper nursing care can have a great impact in improving efficiency of the patient’s respiration and ventilation and increasing the chance for recovery. These questions will challenge your knowledge about t… In Text Mode: All questions and answers are given for reading and answering at your own pace. Prev; Next . The client is having an acute asthma attack and needs to increase oxygen delivery to the lung and body. Increase the breathing rate to prevent hypoxemia, B. The patient states, “I just feel like ending it all.” You assess the patient’s health history and note that the patient was recently started on which medication that could cause this side effect: 13. Moreover, in people with COPD who are overweight, the heart and lungs have to work even harder to breathe properly. 2. 2. 1. An elevated potassium level is also present. 1. Inspiratory and expiratory wheezes are typical findings in asthma. The client doesn’t notice he needs to breathe. 1. The NCLEX exam loves to ask questions about patient education, major signs and symptoms, and the different types of COPD. Chest physiotherapy “Periodic blood levels will need to be obtained.”, 47. 9. 3. Maintaining proper weight and achieving proper nutrition are important factors in coping with COPD. D. The patient coughs 2 times after using the Pulmicort inhaler. Emphysema. Don’t forget to take the COPD quiz. En español. These questions will challenge your knowledge about the concepts behi… .. Use of an incentive spirometer. How should the patient take this medication? Emphysema. Inhaled or oral steroids may be given to reduce the inflammation but aren’t used for emergency relief. “I will take the medication on an empty stomach.” Determining the trigger for the client’s attack and improving exercise tolerance are later goals. As a nurse educator since 2010, his goal in Nurseslabs is to simplify the learning process, break down complicated topics, help motivate learners, and look for unique ways of assisting students in mastering core nursing concepts effectively. 13 March, 2018 at 3:27 am. Notify the physician for further orders, D. Collect another blood sample to confirm the level. This client has symptoms of which of the following respiratory disorders? C 5. B 3. Intrinsic 12. If loading fails, click here to try again. A. Strengthen the intercostal muscles It's important to take good care of yourself if you have COPD. They may also do, or arrange for you to have, a breathing test called spirometry, plus other related tests of the lungs and airways. 3. COPD is a common respiratory disease and this quiz/worksheet combo will help you test your understanding of this disorder. 2. Registered Nurse, Free Care Plans, Free NCLEX Review, Nurse Salary, and much more. Included topics in this practice quiz are: 1. A nurse is preparing to obtain a sputum specimen from a client. The nurse has determined that the client is experiencing respiratory alkalosis. Some things you'll be assessed on … 16. Describe the mechanisms of action and clinical efficacy of HVNI. Hematuria is unrelated to this procedure. A comprehensive database of more than 14 COPD quizzes online, test your knowledge with COPD quiz questions. In the previous NCLEX review series, I explained about other respiratory disorders, so be sure to check those reviews out. Asthma Stop the procedure and reoxygenated the client 2. COPD Exacerbations: Nursing Care with Mask-Free NIV Presentation: COPD Exacerbations - Nursing Care with Mask-Free NIV (54:42) Quiz Course Evaluation Quiz Lecture content locked If you're already enrolled, you'll need to login. 12. Inhaled beta-adrenergic agents help promote bronchodilation, which improves oxygenation. Vital signs then should be checked and the physician immediately notified. Answer: 1. beta-adrenergic agents can be used but have to be monitored because of their greater systemic effects. Jul 19, 2017 - Right knowledge and proper nursing care can have a great impact in improving efficiency of the patient’s respiration and ventilation and increasing the chance for recovery. Metabolic acidosis Chronic obstructive bronchitis Blood gas results indicate a pH of 7.50 and a PCO2 of 30 mm Hg. 4. TRUE or FALSE? Answer: 4. Jan 12, 2017 - Respiratory problems are the common reasons for admission to the intensive care unit (ICU) and common comorbidity in patients admitted for acute care. 2. Here is another 50-item NCLEX style exam that covers the diseases affecting the Respiratory System. FALSE **Used in the late term therapy. The Venturi mask is the best oxygen delivery system for the client with chronic airflow limitation because it delivers a precise oxygen concentration. A 69-year-old client appears thin and cachectic. Chronic obstructive bronchitis. 1. Which statement by the client indicates a need for further teaching? 4. The nurse responds, knowing that the primary purpose of pursed lip breathing is: A nurse reviews the ABG values and notes a pH of 7.50, a PCO2 of 30 mm Hg, and an HCO3 of 25 mEq/L. His situation drove his passion for helping student nurses by creating content and lectures that are easy to digest. Nurse Salary 2020: How Much Do Registered Nurses Make? Obtaining a complete blood count (CBC) Inhaled beta-adrenergic agents, I.V. An unconscious client is admitted to an emergency room. 2. A patient is presenting with chronic obstructive pulmonary disease. Atelectasis develops when there’s interference with the normal negative pressure that promotes lung expansion. A. Don’t forget to tell your friends about this quiz by sharing it your Facebook, Twitter, and other social media. C Breath sounds and reflexes You are providing care to a patient with COPD who is receiving medical treatment for exacerbation. COPD Nurse Teaching Notes part 4.docx ; Central Washington University; NURSING 100 - Winter 2021. Answer: 2. Apply pressure over the ulnar and radial arteries. Take this quiz to find out more about COPD and how to prevent it. Take this quiz to find out more about COPD and how to prevent it. 4. Respiratory acidosis; Metabolic alkalosis; Metabolic acidosis; Respiratory alkalosis; A nurse is caring for a client who is on a … Acute asthma Ensuring individuals’ holistic needs with COPD are met requires, as Holland (2008) describes, a nursing process that utilises problem solving strategies to identify patients’ problems and needs. Altered mental status and dehydration. A client is scheduled for blood to be drawn from the radial artery for an ABG determination. Which of the following would the nurse expect to note on assessment of this client? The nurse interprets these values as indicating: In respiratory alkalosis, the pH will be higher than normal and the PCO2 will be low. Respiratory alkalosis, compensated. Tracheostomy collar. A nurse is suctioning fluids from a client via a tracheostomy tube. Respiratory acidosis is most often due to hypoventilation. NCLEX Exam: Asthma and COPD (Sections 1) A nurse understands that the excessive use of oral antacids containing bicarbonate can result in which acid-base disturbance? How much do you know about respiratory nursing? Online Test. Which of the following types of oxygen delivery systems would the nurse anticipate to be prescribed? 39. Which statement by the client indicates a need for further teaching? 14. An effusion is an accumulation of excess pleural fluid in the pleural space, which may be a secondary response to pneumonia. 2. Don’t forget to take the COPD quiz. Mediated. COPD limits gas exchange which can lead to serious complications that affect the rest of body, such as the heart. Emergency treatment for a client with impending anaphylaxis secondary to hypersensitivity to a drug should include which of the following actions first? Ulnar circulation Explain the procedure to the client. 2. fever and chills Blood-streaked sputum © 2021 Nurseslabs | Ut in Omnibus Glorificetur Deus! C 2 pages. Answer: 1. Reflexes and heart sounds will be part of the more extensive examination done after these initial actions are completed. A patient with emphysema may present with all of the following symptoms EXCEPT? A nurse is caring for a client after a bronchoscopy and biopsy. An arterial blood gas value is obtained. Nurseslabs.com is an education and nursing lifestyle website geared towards helping student nurses and registered nurses with knowledge for the progression and empowerment of their nursing careers. Take this quiz to find out more about COPD and how to prevent it. Answer: 3. Read up on COPD and try the quiz again. Answer: 3. Corticosteroids are slow-acting, so their use won’t reduce hypoxia in the acute phase. I.V. 1. C. The patient dispenses of the inhalers. Increased forced expiratory volume Blood gas results indicate a pH of 7.30; a PCO2 of 32 mm Hg, and a bicarbonate concentration of 20 mEq/L. In the meantime, his carbon dioxide levels continue to climb, and the client will pass out, leading to a respiratory arrest. 3. 3. 2. The patient should use the Spiriva first and then 5 minutes later the Pulmicort. TAGS Chronic obstructive pulmonary disease. The nurse analyzes these results as indicating: The normal pH is 7.35 to 7.45. Bronchospasm. Asking the client to obtain the specimen after eating. 6. But help is on the way-updated recommendations for the diagnosis, management, and prevention of COPD have been issued by the Global Initiative for Chronic Obstructive Lung Disease (GOLD). Because the pH is in the normal range at the high end, compensation has occurred. A 69-year-old client appears thin and cachectic. 1. 6. How to treat respiratory infections without going to the physician. 20. Firstly, a brief description of the patient is provided. Respiratory acidosis Typically, secretions aren’t a problem in status asthmaticus. 3. 1. 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