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- A patient with chronic obstructive pulmonary disease (COPD) is prescribed oxygen therapy. The nurse understands that oxygen therapy is primarily aimed at: a) Decreasing airway inflammation b) Improving gas exchange and relieving hypoxemia c) Preventing bronchospasm d) Reducing mucus production.A patient with chronic obstructive pulmonary disease (COPD) is prescribed oxygen therapy. Which oxygen delivery device is most appropriate for a COPD patient with chronic hypoxemia? a) Nasal cannula b) Venturi mask c) Non-rebreather mask d) Simple face maskWhich one of the following drugs should be administered only when resuscitative equipment such as airway control and vasoactive meds are immediately available? A) FLUmazenil B) Meperidine C) Nitrous Oxide D) Propofol
- 60 A 55-year-old woman with severe pulmonary fibrosis undergoes pulmonary function testing. Which of the following findings is most likely in this patient? OA) Decreased FEV, FVC ratio ● B) Decreased lung compliance OC) Decreased work of breathing O O O O O OD) Increased expiratory reserve volume E) Increased functional residual capacity Increased residual volume G) Normal total lung capacity OF)A 72 year old woman with recurrent respiratory disease is being evaluated by her physician. She has a reduced total lung volume and FEVI/FVC ratio 85%. She had repeatedly had a low oxygen saturation for which she put on oxygen. A) describe the mechanism involved of i) inspiration and ii) expiration B) what type of respiratory condition is she likely to have? C) Differentiate between hypoxia and hypoxemia, giving 3 examples each D) is her lung compliance likely to be low or high? Explain your answerMajor alterations in pulmonary function associated with adult respiratory distress syndrome (ARDS) include() A) Hypoxemia B) Increased pulmonary compliance C) Increased resting lung volume D) Increased functional residual capacity E) Decreased dead space ventilation
- 1) What effect does changes in compliance and resistance have the voumes and pressures delivered? A) Increased compliance, decreased resistance B) Increased compliance, increased resistance C) Decreased compliance, increased resistance D) Decreased compliance, decreased resistance 2) Identify possible clinical situations/disorders that would imitate the changes in compliance and resistance as demonstrated on the lung simulator in a patient requiring manual ventilation. A) Normal compliance, normal resistance B) Increased compliance, decreased resistance C) Increased compliance, increased resistance D) Decreased compliance, increased resistance E) Decreased compliance, decreased resistanceFibrosis is a restrictive disease characterised by abnormal formation of fibre-like scar tissue in the alveoli. How does this affect respiratory function? a) It causes a decrease in airway resistance O b) It causes a decrease in lung compliance O c) It causes an increase in airway resistance d) It causes an increase in lung complianceCh. 5: The condition which results from insufficient production of surfactant and the resulting collapse of the alveoli is: a) respiratory distress syndrome b) COPD O c) anoxia d) pneumothorax O e) pulmonary embolism
- A 38 year old female has been experiencing intermittent shortness of breath, wheezing and cough for six months. Which of the following features most strongly supports a diagnosis of asthma rather than COPD? a) Improvement of lung function with steroid therapy b) Smoking history from adolescence c) Marked diurnal variation in peak expiratory flow rate d) FEV1/FEV ration less than 70%Select the FALSE statement/s: OA) Residual volume is higher in obstructive pulmonary disease than in restrictive pulmonary diseases O B) Expiratory volume is lower in obstructive pulmonary disease than in restrictive pulmonary diseases OC) Rib cage deformities will cause restrictive pulmonary disease OD) All of the above O E) None of the aboveA patient with chronic obstructive pulmonary disease (COPD) is experiencing increased dyspnea and cough productive of thick, yellow sputum. Which nursing intervention is the priority for managing the patient's airway clearance? a) Encourage deep breathing exercises b) Administer bronchodilator therapy c) Perform chest physiotherapy d) Provide humidified oxygen therapy