Med-Surg 2 COPD
By:Mohamed Mamdouh
What does COPD stand for?
Chronic Obstructive Pulmonary Disease
Cardiovascular Obstruction and Pulmonary Dysfunction
Chronic Oxygenation and Pulmonary Deficiency
Cystic Obstruction and Pulmonary Disorder
Which of the following are risk factors for developing COPD?
Smoking
Exposure to air pollution
Genetic predisposition
Regular exercise
Healthy diet
Which of the following is NOT a symptom of COPD?
Persistent cough
Shortness of breath
Chest tightness
Fever
Which of the following lung conditions is NOT classified as a type of COPD?
Asthma
Chronic bronchitis
Emphysema
Bronchiectasis
How is COPD diagnosed?
Medical history and physical examination
Lung function tests
Chest x-ray
All of the above
Which of the following medications are commonly used in the treatment of COPD?
Bronchodilators
Inhaled corticosteroids
Antibiotics
Antihistamines
Painkillers
What lifestyle changes can help manage COPD symptoms?
Quitting smoking
Regular exercise
Maintaining a healthy weight
Increasing alcohol consumption
Avoiding outdoor activities
What is the main goal of COPD treatment?
To cure the disease completely
To prevent the progression of the disease
To reverse lung damage
To relieve symptoms and improve quality of life
What is the GOLD classification system used for in relation to COPD?
Determining the cause of COPD
Assessing the severity and management of COPD
Diagnosing COPD
Evaluating response to treatment
What is the primary cause of airflow limitation in COPD?
Excessive mucus production
Airway inflammation and narrowing
Lung tissue scarring
Loss of lung elasticity
Which of the following statements about oxygen therapy in COPD is true?
Oxygen therapy can improve survival and quality of life in certain COPD patients
Oxygen therapy is not effective in managing COPD symptoms
Oxygen therapy is the primary treatment for COPD
Oxygen therapy should only be used during exercise
What is a common breathing technique taught to individuals with COPD to help manage breathlessness?
Pursed-lip breathing
Rapid shallow breathing
Hyperventilation
Valsalva maneuver
Volume of air that the patient can forcibly exhale in 1 second
FEV
FVC
FEV1/FVC
All of the above
The maximum amount of air a person can expel from the lungs after maximum inhalation
FEV
FVC
FEV1/FVC
All of the above
A patient is presenting with chronic obstructive pulmonary disease. The patient has a chronic productive cough with dyspnea on excretion. Arterial blood gases show a low oxygen level and high carbon dioxide level in the blood. On assessment, the patient has cyanosis in the lips and edema in the abdomen and legs. Based on your nursing knowledge and the patient's symptoms, you suspect the patient suffers from what type of COPD?
Emphysema
Pneumonia
Chronic bronchitis
Pneumothorax
A patient with emphysema may present with all of the following symptoms EXCEPT?
Barrel chest
Hyperinflation of the lungs
Hypoventilation
Hypercapnia
The term" blue bloaters" is used to describe patients with
Pulmonary hypertension
Left-sided heart failure
Chronic Bronchitis
Emphysema
An alarm beeps notifying you that one of your patient's oxygen saturation is reading 89%. You arrive to the patient's room, and see the patient comfortably resting in bed watching television. The patient is already on 2 L of oxygen via nasal cannula. The patient is admitted for COPD exacerbation. Your next nursing action would be
Continue to monitor the patient
Increase the patient's oxygen level to 3 L
Notify the doctor for further orders
Turn off the alarm settings
You are providing teaching to a patient with chronic COPD on how to perform diaphragmatic breathing. This technique helps do the following:
Increase the breathing rate to prevent hypoxemia
Decrease the use of the abdominal muscles
Encourages the use of accessory muscles to help with breathing
Strengthen the diaphragm
Which of the following statements are incorrect about discharge teaching that you would provide to a patient with COPD? Select-all-that-apply:
It is best to eat three large meals a day that are relatively low in calories.”
Avoid going outside during extremely hot or cold days.”
It is important to receive the Pneumovax vaccine annually.”
Smoking cessation can help improve your symptoms.”
Select ALL the options that are TRUE about chronic bronchitis and emphysema
Patients with chronic bronchitis have the ability to fully exhale but have limited airflow
Emphysema and chronic bronchitis are irreversible.
An incentive spirometer is used to diagnose both chronic bronchitis and emphysema.
Patients with chronic bronchitis are sometimes referred to as “blue bloaters, while patients with emphysema are sometimes referred to as “pink puffers”.
True or False: Patients with emphysema experience hypoventilation as a compensatory mechanism to help increase oxygen levels and decrease carbon dioxide levels in the body.
True
False
Which of the following is most commonly found in a patient with emphysema
Cyanosis
Barrel chest
V/Q mismatch
Excessive productive cough
Patients with chronic bronchitis and emphysema can MOST COMMONLY experience what type of acid-base imbalance
High oxygen level and high carbon dioxide level
Low oxygen level and low carbon dioxide level
High oxygen level and low carbon dioxide level
Low oxygen level and high carbon dioxide level
In all stages of COPD FEV1/FVC is
90%
95%
80%
70%
In which stage the predicted FEV1 is 80%
Normal
Mild
Moderate
Severe
in which stage the predicted FEV1 is between 30% and 80%
Normal
Mild
Moderate
Severe
in which stage the predicted FEV1 is < 30% or < 50%
Normal
Mild
Moderate
Severe
Which of the following is a complication of COPD (select all the apply)
Anemia
Atelectasis
Cor pulmonale
Diabetes
The acuity of the onset the severity of respiratory failure depend on ?
The patient's baseline pulmonary function
Pulse oximetry or ABG values
Comorbid conditions and severity of other complications of COPD
All of the above
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