NURS 8022 EXAM 3 NEWEST 2024

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NURS 8022 EXAM 3 NEWEST 2024

ACTUAL EXAM COMPLETE EXAM

QUESTIONS AND CORRECT ANSWERS

(VERIFIED ANSWERS) |ALREADY

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A person has pneumoconiosis. Which information would the nurse find in the history of this person?

• Inhaled inorganic dust particles, resulting in a change in the

lungs

• Fractured ribs, causing paradoxical movement of the chest

with breathing

• Ruptured visceral pleura, which allows air or gas into the

pleural space

• Bronchial inflammation with a persistent abnormal dilation

of the bronchi - ANSWER- A. Inhaled inorganic dust particles, resulting in a change in the lungs

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POPE? - ANSWER- Postobstructive pulmonary edema.Negative pressure pulmonary edema; rare life threatening complication after relief of upper airway obstruction

Acute lung injury (ALI)/Acute respiratory distress syndrome (ARDS) - ANSWER- results from an acute, diffuse injury to the alveolocapillary membrane and decreased surfactant production, which increases membrane permeability and causes edema, atelectasis, and hypoxemia.

ARDS process - ANSWER- - rapid onset

• fluid out of blood vessels into alveoli
• damage impairs gas exchange
• lung stiffens
• increased work of breath
• alveolar collapse

A child has asthma. Which pathophysiologic process occurs in this disease?

• Acute injury to the alveoli capillary membrane, producing

severe pulmonary edema and shunting

• Chronic inflammatory disorder, causing mucosal edema and

reversible airflow obstruction 2 / 4

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• Airway obstruction, increasing resistance to airflow and

decreasing flow rates, especially inspiratory flow - ANSWER-

• Chronic inflammatory disorder, causing mucosal edema and

reversible airflow obstruction

Chronic bronchitis - ANSWER- hypersecretion of mucus and chronic productive cough that lasts for at least 3 months of the year and for at least 2 consecutive years

Two types of emphysema - ANSWER- centriacinar (centrilobular) and panacinar (panlobular)

What ion is fundamentally affected in cystic fibrosis? - ANSWER- Chloride

Four phases of pneumococcal pneumonia - ANSWER- 1.Consolidation

• Red hepatization
• Gray hepatization
• Resolution

What is pneumococcal pneumonia? - ANSWER- *Most common and most lethal* Intense inflammatory response that causes alveolar edema 3 / 4

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Understand the phases of pneumococcal - ANSWER- Bacteria introduced causing inflammatory response. Release of cytokines causes inflammatory response leading to alveolar edema.Bacteria thrives in edema, lungs fill with blood. Neutrophils and phagocytes win and clear everything out.

A person has pneumococcal pneumonia. Which pathophysiologic process has occurred?

• Continual bronchial inflammation causes bronchial edema

and increases the size and number of mucous glands and goblet cells.

• Abnormal permanent enlargement of the acini is accompanied

by the destruction of alveolar walls.

• Inflammatory cytokines cause alveolar edema, which creates

a medium for microorganisms that leads to consolidation - ANSWER- 3. Inflammatory cytokines causes alveolar edema, which creates a medium for microorganisms that leads to consolidation

A person has a pulmonary embolism. What will the NP find upon assessment? - ANSWER- Sudden pleuritic chest pain, dyspnea, unexplained anxiety

An NP recalls that cystic fibrosis is associated with

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