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WorksheetsCOPD
Total questions: 15
Worksheet time: 10mins
Medulla oblongata and pons belong to which part of the brain?
cerebellum
brainstem
cerebrum
limbic system
Patients with chronic obstructive bronchitis are given diuretic therapy as part of the treatment regimen. Which of the following choices best explains why this treatment is necessary for this type of patients.
Reducing fluid volume thus reducing the oxygen demand
Reducing fluid volume to decrease the edematous legs
Reducing fluid volume to help patients breathe comfortably
Reducing fluid volume to eliminate excess water in the body
The following are signs and symptoms for patients with Chronic bronchitis. Select all that apply.
1. right-sided heart failure
2. productive cough
3. unproductive cough
4. weight loss
5. undistended jugular veins
6. cyanotic lips and fingers
7. hyperinflated lungs
2, 5, 6, 7
1, 2, 5, 6, 7
1, 2, 6,7
1, 2, 4, 5, 6, 7
The region of the medulla oblongata that controls expiratory movements of respiration.
ventrolateral region
mid-lateral region
dorsal region
ventral region
You are the nurse on duty at the medical ward when an alarm beeps notifying that your patient with chronic bronchitis is in desaturation, O2 at 88%, upon checking your patient, he is not having dyspnea and is on O2 therapy at 2liters per minute. What is your next action?
increase O2 at 4L/min
notify the physician
place the patient in high fowlers position
regularly check & monitor the patient
The following are the medical regimens used for patients with chronic bronchitis. Select all that apply.
1. dexamethasone
2. metoprolol
3. fluimucil
4. Ipratropium bromide
5. spironolactone
6. lasix
7. paracetamol
1, 3, 4, 5, 6, 7
1, 3, 4, 6, 7
1, 2, 3, 4, 6, 7
1, 2, 3, 4, 6, 7
The following are the signs and symptoms of a patient with emphysema. Select all that apply.
1. fever
2. weight loss
3. prolonged inspiration
4. barrel chest
5. nonproductive cough
6. right-sided heart failure
7. concave inferior diaphragm
2, 4, 5, 6
1, 2, 4, 5, 6, 7
2, 3, 4, 5
1, 3, 5, 6, 7
A COPD patient is found unresponsive & has ABGs drawn & the results are the following: pH 7.12; PCO2 is 90 & HCO3 is 22
respiratory acidosis, partially compensated
respiratory acidosis, compensated
respiratory acidosis, uncompensated
respiratory acidosis, fully compensated
Which of the following are the characteristics of pulmonary emphysema?
Select All That Apply.
I. decreased surface area of alveoli
II. chronic thickening of bronchial walls
III. decreased respiratory rate
IV. hypercapnia
V. arterial blood gases (ABGs) show chronic respiratory acidosis
VI. increased eosinophils
I, III, IV, V, VI
I, III, IV, V
I, II, III, IV, VI
I, IV, V
All of the following are the risk factors for emphysema, except?
an acquired connective-tissue disorder in which the skin becomes inelastic
Marfan's syndrome
second-hand smoking
bacterial colonization
Basilar crackles are present in a client's lungs on auscultation. The nurse knows that these are discrete, non-continuous sounds that are:
Caused by the sudden opening of alveoli
Caused by the sudden closure of alveoli
Caused by the sudden collapse of alveoli
Caused by accumulation of water in the alveoli
When can we consider a patient to have chronic bronchitis?
productive cough at least three times a month for three years
productive cough for at least three months for a year for 2 consecutive years
productive cough for at least two months for a year for 3 consecutive years
productive cough for at least three months for a year for 3 consecutive years
You are providing health teaching of your patient with emphysema to use the pursed-lip method of breathing. The primary purpose of pursed-lip breathing is to promote which outcome?
Controlled breathing for the patient
helps in prolonging the expiration of breathing of patient
helps patient in having a much more comfortable breathing
it's the standard breathing technique for COPD patient
Your patient with (COPD) is prescribed a long-acting beta2 agonist inhaler and reports hating the inhaler and asks why the drug can't be taken as a pill. What is your best response?
"Drugs are taken by inhaler work more slowly and remain in the system longer."
"Drugs taken by inhaler have no side effects and are less expensive."
"Drugs taken by mouth are more expensive because they must be sterile."
"Drugs taken by mouth have systemic side effects and are harder to control."
The main typical feature of chronic bronchitis is?
stimulation of goblet cells and mucosal glands
dysfunctional cilia
hyperplasia of the respiratory wall
hyperinflation of the lungs
