Medsurgery - [A] Questions

Front 1

asthma is best characterized as

Back 1

an inflammatory disease

Front 2

in evaluating the asthmatic patients knowledge of self care, the nurse recongize that additional instruction is needed when the patient says

Back 2

i use my CORTICOSTEROID inhaler when i feel Sob

Front 3

a plan of care for the patient with COPD could include

Back 3

EXCERCISE such as walking for a COPD care plan

Front 4

the effects of cig smoking on the respiratory system include

Back 4

hyperplasia of goblet cells and increased production of mucus

Front 5

the major advanatge of a venturi mask is that it can

Back 5

deliver a precise concentration of 02

Front 6

one of the most imp things that a nurse can taeach a patient with COPD is to

Back 6

know the early signs and symptoms of COPD exacerbation

Front 7

diagnostic studies that the nurse would expect to be abnormal in a person with C.F. are

Back 7

pulmonary function test and sweat test

Front 8

a primary goal for the patient with bronchiectasis is that the patient will

Back 8

maintain removal of bronchial secretions

Front 9

the most common lung diseases are

Back 9

obstructive pulmonary diseases
(copd, asthma)

Front 10

a chronic inflammatory lung disease that results in recurrent episodes of airflow obstructtion, reversible

Back 10

asthma

Front 11

COPD is a obstructive pulmonary disease that includes

Back 11

chronic bronchitis and
emphysema

Front 12

another form of o.p.d. a genetic disorder that produces airway obstruction b.c of changes in exocrine glandular secritions

Back 12

cystic fibrosis

Front 13

caused by dilated bronchioles resulting from years of pulmonary infections that increase sputum production

Back 13

bronchiectasis

Front 14

pt has WHEEZING, chest tightness, cough

Back 14

asthma

Front 15

approximately 40 percent of all asthma cases are related to

Back 15

ALLERGENS

Front 16

the major precipitating factor of an acute asthma attack is

Back 16

respiratory VIRAL infections

Front 17

chronic inflammation leads to

Back 17

airway hyperrespnsiveness

Front 18

the primary pathophysiologic proocess in asthma is

Back 18

chronic inflammation

Front 19

a patient that is HYPOXIC with a decrease in PACO2 and an increase in PH is experiencing what two things

Back 19

hyperventilation
and
respiratory alkalosis

Front 20

chronic inflammation resulting in structural changes in the bronchial wallis known as

Back 20

remodeling

Front 21

what occurs during an asthma attack as lung receptors respond to increased lung volume from trapped air and airflow limitiation

Back 21

hyperventilation

Front 22

severe life threating asthma attack that is refarctory to usual treatment and patient could experience respiratory failure

Back 22

status asthmaticus

gets progressively worse.

Front 23

usually within normal limits between attacks if patient has no other underlying pulmonary disease - used to diagnose asthma and measure airflow obstruction

Back 23

pulmonary function test

Front 24

supress the ifnlammatory response when chronic inflammation takes place (asthma).....most potent and effective antiinflammatory med to treat asthma

Back 24

corticosteroids

Front 25

corticosteroids decrease inflammation and reduce

Back 25

bronchial hyperrespnsiveness

Front 26

first line of therapy for patients with asthma is

Back 26

inhaled corticosteroids

Front 27

majority of asthma drugs are admistered only or preferebly by

Back 27

inhalation

Front 28

one of the problems for metered dose drugs is the potetntial for

Back 28

Overuse

Front 29

PRIMARY RN DIAGNOSE for preventing asthma attacks is to

Back 29

teach patient and family to avoid known personal triggeers for asthma

Front 30

what do you do to keep the airway open by maintaining positive pressure and abdominal pressure

Back 30

purse-lip breathing

Front 31

a genetic risk factor that leads to COPD is called

Back 31

antitrypsin

Front 32

a preventble and treatable disease state characterized by airflow limitation that is not reversible. p

Back 32

COPD

Front 33

COPD is primarily caused by

Back 33

cig smoking

Front 34

a presecence of chronic productive cough for 3 months in each of 2 consecutive years.

Back 34

chronic bronchitis

Front 35

an abnormal permanaent enlargement of the air spaces distal to the terminal bronchioles, accompanied by destruction of their walls and without fibrosis. only 10 percent have this

Back 35

emphysema

Front 36

what occurs because of antitrypsin deficiency

Back 36

emphysema

Front 37

a person with advanced COPD frequently experiences

Back 37

weight loss/anorexia

"difficulty eating and breathing"

Front 38

the single most effecive and cost effecive intervention to reduce COPD risk is to

Back 38

stop cig smoking

Front 39

Long history of smoking

chronic cough w sputum production

breathlessness on exertion

Back 39

COPD

Front 40

Diagnosis of copd can be made firmly by

Back 40

spirometry

Front 41

what originatesin the peripheral airways and in teh air spaces of the lungs?

Back 41

COPD

Front 42

Characteristic feature of asthma is

Back 42

airway inflammation

Front 43

instrument to determine lung function is a

Back 43

peak flow meter

Front 44

what detects reversibility of airflow function on a spirometry test

Back 44

FEV1

Front 45

The main symptom of emphysema is

Back 45

shrotness of breath

Front 46

SOB in emphesyma is caused by

Back 46

permanent damage to the small air sacs (alveoli) and small airways in the lungs.

Front 47

CARDINAL SIGN OF ASTHMA

Back 47

WHEEZING

Front 48

CARDINAL SIGN OF CHRONIC BRONCHITIS

Back 48

CHRONIC COUGH.BRONCHITIS

Front 49

CARDINAL SIGN OF EMPHYSEMA

Back 49

DYSPNEA, SOB, INCREASED RR

Front 50

8 TO 10 reps 3x a day , patient prolongs exhalation and prevents bronchiolar collapse and air trapping

Back 50

purse-lipbreathing

Front 51

C0PD can temperaroly be relieved with

Back 51

deep coughing to remove secretions, conserve energy

Front 52

the nurse shoudl TEACH COPD patient to

Back 52

self manage disease

Front 53

Air passing through narrowed bronchioles would produce which adventitious sounds?

Back 53

WHEEZING(Asthma)

Front 54

tachypnea, use of accessory neck muscles, prolonged expiration, intercostal retractions, decreased breath sounds, and expiratory wheezes. THis description is consistent with:

Back 54

Asthma

Front 55

Decreased breath sounds would most likely be heard:

Back 55

in patients with emphysema

Front 56

An accumulation of fluid or solid material in the lungs is known as:

Back 56

consolidation

Front 57

HYPERRESONANT percussion sounds would be expected when percussing the lungs of a patient with:

Back 57

COPD