Chronic Obstructive Pulmonary Diseases

Which risk factors are associated with chronic obstructive pulmonary disease (COPD)? Select all that apply.

Living with a cigarette smoker Exposure to pollution

A client is admitted to the emergency department due to shortness of breath. The client verbalizes that he has been smoking 8 cigarettes per day for the past 30 years. How many pack years is this based on the data given?

12 pack years

Select the items that are consistent with someone with chronic obstructive pulmonary disease having an exacerbation of their condition.​

An exacerbation of lung disease occurs in anyone with a history of chronic obstructive pulmonary disease (COPD) and is consistent with a smoking history and shortness of breath. Ipratropium bromide and albuterol are common medications used in lung disease. Levothyroxine is used for hypothyroidism, amlodipine is used for hypertension, and simvastatin is used for dyslipidemia. Assessment of someone with lung disease or COPD includes increased respiratory rate, low oxygen saturation, confusion, increased A/P diameter, and diminished lung sounds.

Identify history and assessment findings that indicate altered gas exchange.

COPD 20 years oxygen therapy albuterol prednisone episodes of respiratory distress increased SOB and chronically on oxygen takes prednisone daily

Which information is true regarding clients with chronic obstructive pulmonary disease (COPD)? Select all that apply.

COPD typically affects middle-aged to older adults. The client may experience periods of exacerbation with worsening clinical manifestations.. COPD is caused by long-term exposure to irritating gases or particulate matter. COPD encompasses both emphysema and chronic bronchitis.

The nurse is providing discharge education to a client who is prescribed home oxygen. Which education should be provided to the client to promote safety?

Educate the client and family members not to smoke around the oxygen.

A client with severe chronic obstructive pulmonary disease (COPD) has chronic hypoxemia and chronic hypercapnia. During an exacerbation, this client may require more oxygen. Too much oxygen in a severe COPD client can result in ____. A client living with severe COPD should have enough oxygen to maintain an oxygen saturation between ____ . Too much oxygen in a client with severe COPD can result in _____ and respiratory _______

Elevated 88-92 hypercapnia Respiratory acidosis

A client is asking for recommendations on how to prevent further complications of chronic obstructive pulmonary disease (COPD). Which preventive practice should the nurse suggest that would have the most impact?

Get pneumococcal and influenza vaccines.

Paul has a productive cough but feels that there are more secretions deep within his lungs. Which nursing actions should the nurse perform to improve the client's altered gas exchange? Select all that apply.

Perform postural drainage. Perform percussion and vibration. Administer albuterol via nebulization. Assist the client in coughing effectively.

A client underwent bedside spirometry, which resulted in a forced expiratory volume in 1 second (FEV1) of < 30. The oxygen saturation is at 86%. Which oxygen orders should be expected for this client with severe chronic obstructive pulmonary disease (COPD)?

Oxygen at 2L by nasal cannula to keep oxygen between 88% and 92%

In a client with chronic obstructive pulmonary disease (COPD), which findings would suggest that the client is improving? Select all that apply.

Oxygen saturation at 91% on room air Decreased respiratory rate

The nurse supervises an unlicensed assistive personnel (UAP) providing care for a client who is on oxygen therapy. Which task should the nurse delegate?

Reporting to the RN the level of oxygen saturation and providing comfort

A client is admitted with shortness of breath. Which diagnostic studies would help identify lung function and gas exchange changes caused by chronic obstructive pulmonary disease (COPD)? Select all that apply.

Spirometry X Ray Arterial Blood Gas

In addition to an alteration in gas exchange, which nursing diagnosis may require further nursing action in a client with uncontrolled cor pulmonale?

alternation in fluid balance

A client is admitted with chronic obstructive pulmonary disease (COPD) exacerbation. Match the nursing action with the correct rationale.

picture bitch, read it.

The client is admitted with acute exacerbation of chronic obstructive pulmonary disease (COPD). Match the medication class to the mechanism of action and nursing considerations.

read read read mf