COPD

COPD is a combination of disease processes. What disease processes have been identified as being part of COPD?

• emphysema and asthma

• chronic obstructive bronchitis and emphysema

• chronic obstructive bronchitis and asthma

• chronic bronchitis and emphysema

Cystic fibrosis is an autosomal recessive disorder involving the secretion of fluids in specific exocrine glands. The genetic defect in CF inclines a person to chronic respiratory infections from a small group of organisms. Which organisms create chronic infection in a child with cystic fibrosis?

• Pseudomonas aeruginosa and E.coli

• Staphylococcus aureus and hepatitis C

• Haemophilus influenzae and influenza A

• Pseudomonas aeruginosa and Staphylococcus aureus

Which of the following assessment findings would help confirm a diagnosis of asthma in a client suspected of having the disorder?

• circumoral cyanosis

• increased forced expiratory volume

• inspiratory and expiratory wheezing

• normal breath sounds

A client with acute asthma showing inspiratory and expiratory wheezes and a decreased expiratory volume should be treated with which of the following classes of medication right away?

• beta blockers

• bronchodilators

• inhaled steroids

• oral steriods

A 19-year-old comes into the emergency department with acute asthma. His respiratory rate is 44 breaths/minute, and he appears to be in acute respiratory distress. Which of the following actions should be taken first?

• take a full medication history

• give a bronchodilator by nebulizer

• apply a cardiac monitor to the client

• provide emotional support

A 58-year-old client with a 40-year history of smoking one to two packs of cigarettes a day has a chronic cough producing thick sputum, peripheral edema, and cyanotic nail beds. Based on this information, he most likely has which of the following conditions?

• ARDS

• Asthma

• Chronic obstructive bronchitis

• emphysema

The term "blue bloater" refers to which of the following conditions?

• ARDS

• asthma

• chronic obstructive bronchitis

• emphysema

The term "pink puffer" refers to which of the following conditions?

• ARDS

• asthma

• chronic obstructive bronchitis

• emphysema

A 66-year-old client has marked dyspnea at rest, is thin, and uses accessory muscles to breathe. He’s tachypneic, with a prolonged expiratory phase. He has no cough. He leans forward with his arms braced on his knees to support his chest and shoulders for breathing. This client has symptoms of which of the following respiratory disorders?

• ARDS

• asthma

• chronic obstructive bronchitis

• emphysema

It’s highly recommended that clients with asthma, chronic bronchitis, and emphysema have Pneumovax and flu vaccinations for which of the following reasons?

• All clients are recommended to have these vaccines

• These vaccines produce bronchodilation and improve oxygenation

• These vaccines help reduce the tachypnea these clients experience

• Respiratory infections can cause severe hypoxia and possibly death in these clients