NUR 201 Exam 8
- What is COPD?
Answer Chronic obstructive pulmonary disease, characterized by chronic airflow limitation that is not fully reversible.
- What are the GOLD classifications for COPD?
Answer
GOLD 1
Mild - FEV greater or equal to 80%
GOLD 2
Moderate - FEV 50-79%
GOLD 3
Severe - FEV 30-49%
GOLD 4
Very Severe - FEV less than 30%
- What are the different types of COPD?
Answer Chronic bronchitis, and emphysema
- What is chronic bronchitis?
Answer Develops when hypersecretion of mucous ob- structs the trachea and bronchi, caused by irritants such as cigarette smoke, air pollution, and respiratory infection. 1 / 2
- What is emphysema?
Answer Develops when the alveolar walls are destroyed leading to permanent abnormal enlargement.Pts are often underweight with a barrel chest and become short of breath with minimal exertion
- What are the nursing interventions of COPD?
Answer Improve oxygenation and re- duce carbon dioxide retention
Prevent weight loss Minimize anxiety Improve activity tolerance Prevent respiratory infection
- What are manifestation of exacerbations in COPD?
Answer Hypoxemia/tissue anoxia, acidosis, respiratory infections, cardiac failure (Cor Pulmonale-Rt side HF), and cardiac dysrhytmias
- What are the manifestations of asthma?
Answer Daytime symptoms of wheezing, dyspnea, coughing present more than twice weekly
Reliever (rescue) drug needed more than twice weekly Activity limited or stopped by symptoms more than twice weekly
- What are nursing interventions for asthma?
Answer Control and prevent episodes, improve airflow and gas exchange, and relieve symptoms.
Priority interventions are about patient education on medication and lifestyle management
- What are the manifestations of pneumonia?
- / 2
Answer Increased respiratory rate/dyspnea, hypoxemia, cough, purulent (blood-tinged, rust) colored