COPD - questions

​COPD​

​

CMII​

​Foua Vang, MSN, RN

Multiple Select

What are the 2 main concepts related to COPD patients? Select 2.

• Fluid and Electrolytes

• Comfort

• Perfusion

• Gas exchange

Multiple Choice

• Asthma and Bronchitis

• TB and Pneumonia

• Emphysema and Atelectasis

• Bronchitis and Emphysema

Multiple Choice

Patients with chronic bronchitis will have _____PaO2 and a____ PaCO2

• High

  Low

• Low

  High

• Low

  Low

• High

  High

Fill in the Blanks

Patients with chronic bronchitis will have what acid-base imbalance?

Multiple Choice

Severe COPD can cause _____ heart failure.

• Right-sided

• Left-sided

Multiple Choice

What SpO2 level is considered safe for COPD patients?

• 80-100%

• 90-100%

• 88-92%

• 90-100%

Multiple Choice

A client with COPD has all of the following ABG changes from earlier today. Which change alerts the nurse to take immediate action to prevent harm?

• HCO3 remains the same at 29

• PH 7.21 to 7.20

• PaCO2 from 45 to 65

• PaO2 from 88 to 86

Multiple Choice

The nurse is caring for a patient with chronic bronchitis. Upon rounds, the nurse finds an O2 sat of 76%. What will the nurse do first?

• Document the findings

• Notify the RT

• Ask how long the pt has been short of breath

• Apply O2

Multiple Choice

Which goal should the nurse consider for a patient with (COPD)?

• The patient will stop smoking immediately.

• The patient will maintain oxygen saturation greater than 96%.

• The patient will demonstrate appropriate breathing patterns.

• The patient will develop only two respiratory infections per year

Multiple Choice

The nurse is caring for a COPD patient with SHOB, RR 28, and O2 sats of 92%. What intervention will be contraindicated?​

• Percussion, vibration, postural drainage

• Administer bronchodilators

• Place pt in high fowler's position

• apply O2

Multiple Choice

A patient with emphysema may present with all of the following symptoms except?

• Barrel chest

• Dyspnea

• Productive cough

• Decreased appetite

Multiple Choice

The nurse teaches pursed-lip breathing to a newly diagnosed COPD patient. This technique will assist respiration how?

• Loosen up secretions

• Increase the RR and patterns

• Tighten up alveolus

• Prolong exhalation