NURS 571 Final exam with correct answers

NURS 571 Final exam with correct answers


COPD |is |airflow |limitation |that |is |not |fully |reversible |
t/f |- |correct |answer |-True


__________ |is |characterized |by |reversible |airflow |obstruction |- |correct |answer |-Asthma


Destruction |and |permanent |enlargement |of |airspaces |distal |to |terminal |bronchioles
|characterized |by |destruction |of |alveoli |without |obvious |fibrosis |and |hyperinflation/air


|trapping |is |known |as:



A. |COPD
B. |Asthma
C. |Chronic |Bronchitis
D. |Emphysema |- |correct |answer |-D. |Emphysema


Sputum |production |daily |for |3 |or |more |months |for |2 |or |more |years |is |characteristic |of
|_________________ |- |correct |answer |-Chronic |Bronchitis




Smoking> |30 |years |
Chronic |coughing |
excessive |sputum |production
4th |and |5th |decade |of |life
Genetic |component |


Are |characteristics |of |what? |- |correct |answer |-Typical |COPD |patient

,Stage |1: |Mild |


A. |FEV1/FVC |<70%, |FEV1> |80%
B.FEV1/FVC |<70%, |FEV1 |50-79%
C.FEV1/FVC |<70%, |FEV1 |30-49% |with |or |w/o |sx
D.FEV1/FVC |<70%, |FEV1 |<30% |or |<50% |with |resp |failure |- |correct |answer |-A


Stage |2: |moderate |


A. |FEV1/FVC |<70%, |FEV1> |80%
B.FEV1/FVC |<70%, |FEV1 |50-79%
C.FEV1/FVC |<70%, |FEV1 |30-49% |with |or |w/o |sx
D.FEV1/FVC |<70%, |FEV1 |<30% |or |<50% |with |resp |failure |- |correct |answer |-B


Stage |3: |severe


A. |FEV1/FVC |<70%, |FEV1> |80%
B.FEV1/FVC |<70%, |FEV1 |50-79%
C.FEV1/FVC |<70%, |FEV1 |30-49% |with |or |w/o |sx
D.FEV1/FVC |<70%, |FEV1 |<30% |or |<50% |with |resp |failure |- |correct |answer |-C


Stage |4: |very |severe |


A. |FEV1/FVC |<70%, |FEV1> |80%
B.FEV1/FVC |<70%, |FEV1 |50-79%
C.FEV1/FVC |<70%, |FEV1 |30-49% |with |or |w/o |sx
D.FEV1/FVC |<70%, |FEV1 |<30% |or |<50% |with |resp |failure |- |correct |answer |-D

, COPD |trifecta |- |correct |answer |-Increase |cough, |dyspnea, |sputum |production


Oxygen |SPO2 |90-94% |or |PAO2 |50-60 |mm |Hg
Ipratropium |bromide
Beta |2 |agonists |
Systemic |corticosteroids |
Antibiotics
NIPPV/chest |PT


Are |treatments |for |what? |- |correct |answer |-COPD |exacerbation


Which |of |the |following |is |NOT |a |short |acting |bronchodilator?


A. |Albuterol
B. |Levalbuterol
C. |Salmeterol
D. |Metaproterenol
E. |Terbutaline |- |correct |answer |-C. |Salmeterol |is |a |LABA


Albuterol |is |the |drug |of |choice |if |the |patient |is |tachycardic
t/f? |- |correct |answer |-False. |Xoponex |is |preferred |in |tachy |patients


Anticholinergics |are |used |to |help |control |____________ |- |correct |answer |-Secretions


Dyspnea |at |rest
RR |> |25