NURS 2003 Final Exam TRENT
UNIVERSITY
COPD management CAN involve...
(non-pharmacological) - correct answer-Pulmonary Rehabilitation: minimum 6 weeks
(exercise de-conditioning, relative social isolation, altered mood states, muscle wasting and
weight loss.
Oxygen therapy
Ventilation support (CPAP)
Surgery
Palliative care
COPD management CAN involve...
(pharmacological) - correct answer-influenza vaccine, pneumococcal vaccine, antibiotics
Define stress - correct answer-A non-specific response of the body to any demand made on
it (SEYLE)
Describe some of the language or symptoms that may be associated with stress. - correct
answer-- anxiety: the person may appear / be expressing nervous or overwhelmed
-irritated: short with people who may be posing as a distraction
-fast speech: potentially related to anxiety
Explain / Describe some of the differences between the lungs of a healthy patient and those
of a patient with COPD. - correct answer-Healthy Lungs:
- Alveoli are abundant and their walls are strong and in tact
- there are more alveoli, of a normal size
- bronchioles are a normal diameter are are clear (not clogged)
COPD patient's Lungs:
- there are less alveoli and they are larger, this is due to the walls being destroyed
- the bronchioles lose their shape and become clogged with mucus
Explain stress in regard to the theory of STRESS AS A TRANSACTION - correct
answer--there is a primary appraisal of this stressor
-if individual perceives the primary appraisal as a stressful and a threat; harm/loss;
challenge, there will be a secondary appraisal
, -this is where the coping resources come into play (+ OR -)
How do the normal FEV1 and FVC values compare to those in a COPD patient? - correct
answer-NORMAL:
FEV1 - 4150
FVC - 5200
COMBINED - 80%
COPD:
FEV1 - 2350
FVC - 3600
COMBINED - 60%
How do we treat and manage COPD in our patients? - correct answer-- stop the initial insult
- reduce exacerbations severity & frequency
- increase exercise tolerance
- improve health status
how does acute diarrhea manifest clinically? - correct answer-- watery stools, explosive with
tenesmus (feeling like one needs to dedicate paired with spasmodic contractions of the anal
sphincter)
- abdominal pain and cramping
-inflammation of the peri-anal area
- fever, nausea, vomiting, malaise
-stoll may contain leukocytes, blood and or mucus depending on the cause
How does an ulcer form? - correct answer-
how does chronic diarrhea manifest? - correct answer-persists for longer than 2 weeks or
returns more than 2-4 weeks after resolved
monitor for signs dehydration, electrolytes imbalances, malabsorption, malnutrition
How does COPD manifest clinically?
😷
⬆️
*What might we see in our patients? - correct answer-- cough
-Progressive dysnea ( work and rate of breathing, hypercapnia, hypoxemia)
- sputum production
- cough syncope (non specific)
- fatigue, weight loss, anorexia
- wheezing and chest tightness
How does peritonitis manifest? - correct answer-- sudden and dramatic onset
- sudden upper abdominal pain that spreads over abdomen
UNIVERSITY
COPD management CAN involve...
(non-pharmacological) - correct answer-Pulmonary Rehabilitation: minimum 6 weeks
(exercise de-conditioning, relative social isolation, altered mood states, muscle wasting and
weight loss.
Oxygen therapy
Ventilation support (CPAP)
Surgery
Palliative care
COPD management CAN involve...
(pharmacological) - correct answer-influenza vaccine, pneumococcal vaccine, antibiotics
Define stress - correct answer-A non-specific response of the body to any demand made on
it (SEYLE)
Describe some of the language or symptoms that may be associated with stress. - correct
answer-- anxiety: the person may appear / be expressing nervous or overwhelmed
-irritated: short with people who may be posing as a distraction
-fast speech: potentially related to anxiety
Explain / Describe some of the differences between the lungs of a healthy patient and those
of a patient with COPD. - correct answer-Healthy Lungs:
- Alveoli are abundant and their walls are strong and in tact
- there are more alveoli, of a normal size
- bronchioles are a normal diameter are are clear (not clogged)
COPD patient's Lungs:
- there are less alveoli and they are larger, this is due to the walls being destroyed
- the bronchioles lose their shape and become clogged with mucus
Explain stress in regard to the theory of STRESS AS A TRANSACTION - correct
answer--there is a primary appraisal of this stressor
-if individual perceives the primary appraisal as a stressful and a threat; harm/loss;
challenge, there will be a secondary appraisal
, -this is where the coping resources come into play (+ OR -)
How do the normal FEV1 and FVC values compare to those in a COPD patient? - correct
answer-NORMAL:
FEV1 - 4150
FVC - 5200
COMBINED - 80%
COPD:
FEV1 - 2350
FVC - 3600
COMBINED - 60%
How do we treat and manage COPD in our patients? - correct answer-- stop the initial insult
- reduce exacerbations severity & frequency
- increase exercise tolerance
- improve health status
how does acute diarrhea manifest clinically? - correct answer-- watery stools, explosive with
tenesmus (feeling like one needs to dedicate paired with spasmodic contractions of the anal
sphincter)
- abdominal pain and cramping
-inflammation of the peri-anal area
- fever, nausea, vomiting, malaise
-stoll may contain leukocytes, blood and or mucus depending on the cause
How does an ulcer form? - correct answer-
how does chronic diarrhea manifest? - correct answer-persists for longer than 2 weeks or
returns more than 2-4 weeks after resolved
monitor for signs dehydration, electrolytes imbalances, malabsorption, malnutrition
How does COPD manifest clinically?
😷
⬆️
*What might we see in our patients? - correct answer-- cough
-Progressive dysnea ( work and rate of breathing, hypercapnia, hypoxemia)
- sputum production
- cough syncope (non specific)
- fatigue, weight loss, anorexia
- wheezing and chest tightness
How does peritonitis manifest? - correct answer-- sudden and dramatic onset
- sudden upper abdominal pain that spreads over abdomen
