vSIM - Vincent Brody COPD

Which of the following are initial assessments the nurse understands as potential signs and symptoms of a pneumothorax? Select all that apply.

Asymmetrical chest wall movement, tachypnea, dyspnea

The nurse assesses the patient with sudden shortness of breath. Which finding would suggest a potential left pneumothorax?

Breath sounds greater on right than left

The nurse understands that COPD is related to which of the following?

Chronic inflammation and narrowing of airways.

When assessing breath sounds in a patient experiencing COPD, the nurse would expect to find which of the following signs and symptoms?

Dyspnea with chronic cough.

The nurse recognizes that risk factors for COPD include which of the following? (Select all that apply)

Exposure to dust, secondhand smoke, air pollution, smoking tobacco

What would a comparison of the two ABGs indicate to the nurse about the patient's condition?

Improving

In a patient with COPD, the nurse would expect to observe which of the following clinical manifestations based on the ABG results below?

Likely asymptomatic

The nurse understands that tidaling in the patient assessment chamber of a chest tube is which type of finding?

Normal

The nurse understands that, for a patient with COPD, chronic hypoxemia and thickening of the walls of the pulmonary vasculature can lead to which complication?

Pulmonary hypertension.

Arterial blood gas levels may be obtained when the patient is experiencing exacerbation of COPD. How would the nurse interpret the following ABG levels?

Respiratory acidosis with no compensation and mild hypoxemia

Which of the following is the correct analysis of the most recent ABG result after insertion of a chest tube?

Respiratory acidosis, fully compensated

Vincent Brody was given Morphine 2 mg IV prior to his chest tube insertion. The nurse must monitor for which of the following adverse effects with morphine administration?

Respiratory depression, bradycardia, hypotension

Which of the following does the nurse suspect as the most likely cause for a pneumothorax in a patient diagnosed with severe emphysema?

Severe coughing episode

The nurse knows that a patient with a pneumothorax would exhibit which of the following signs and symptoms?

Sudden chest pain, tachycardia, and hypoxemia.

Bronchodilators such as Albuterol sulfate (Ventolin) are a common pharmocological treatment for patients experiencing COPD. About which common side effects would the nurse educate the patient?

Tachycardia, hypertension, tremor

A patient who currently has a chest tube in situ suddenly becomes short of breath with tracheal deviation. What does the nurse suspect has occurred?

Tension pneumothorax

Is the following statement true or false? Oxygen concentrations must be carefully titrated in patients experiencing COPD because some patients may be oxygen sensitive, which can cause an increase in carbon dioxide.

True.