Assess the patient’s past and present medical history. As a cause of death in the United States, COPD ranks: Two diseases common to the etiology of COPD are: Chronic bronchitis and emphysema belong to the old classification of COPD. Identify the occurrence of an infectious process. Since we started in 2010, Nurseslabs has become one of the … Third. Nurseslabs – NCLEX Practice Questions, Nursing Study Guides, and Care Plans, Chronic Obstructive Pulmonary Disease (COPD), 5 Chronic Obstructive Pulmonary Disease (COPD) Nursing Care Plans, Nursing Test Bank and Nursing Practice Questions for Free, NCLEX Practice Questions Test Bank (2021 Update), Nursing Pharmacology Practice Questions & Test Bank for NCLEX (500+ Questions), Arterial Blood Gas Analysis Made Easy with Tic-Tac-Toe Method, Select All That Apply NCLEX Practice Questions and Tips (100 Items), IV Flow Rate Calculation NCLEX Reviewer & Practice Questions (60 Items), EKG Interpretation & Heart Arrhythmias Cheat Sheet. 1. C. Pulmonary vasculature. Limiting fluids 2. Chronic bronchitis and emphysema. Causes of COPD includes environmental factors and host factors. Nutrition nclex practice quiz 10 items nurseslabs nclex practice questions nutrition and copd respiratory basic paeral nutrition nclex practice quiz 20 items nurseslabs nutrition nclex practice questions … Pulmonary Emphysema is a pathologic term that describes an. Pneumonia Chronic Obstructive Pulmonary Disease (COPD) is defined as “a preventable and treatable disease with some significant extrapulmonary effects that may contribute to the severity in individual patients. 7 Chronic Obstructive Pulmonary Disease (COPD) Nursing Care Plans - Nurseslabs September 2019 In this nursing care plan guide are 7 NANDA nursing diagnosis, interventions, and goals for Chronic Obstructive Pulmonary Disease (COPD). Keep environmental pollution to a minimum such as dust, smoke, and feather pillows, according to the individual situation. Therapeutic Communication Techniques Quiz. 2. Questions: 5 ; Nursing Care Plan for Atrial Fibrillation (AFib) Questions: 5 ... A nurse is caring for a client with chronic obstructive pulmonary disease (COPD) and notes that the client demonstrates an … Healthcare providers should promote cessation by explaining the risks of smoking and personalizing the “at-risk” message to the patient. There are two classifications of COPD: chronic bronchitis and emphysema. Option D: Tuberculosis and pleural effusion are not chronic pulmonary diseases. B. Parenchyma. Finding help online is nearly impossible. Elevation of the head of the bed facilitates respiratory function by use of gravity; however, patient in severe distress will seek the position that most eases breathing. Performs activities with less shortness of breath. Spend your time wisely! You are given one minute per question. She is a registered nurse since 2015 and is currently working in a regional tertiary hospital and is finishing her Master's in Nursing this June. Also, this page requires javascript. Administer bronchodilators if prescribed. Take the Pop Quiz and see how good you are at Respiratory NCLEX® Questions. Option C: Pneumonia and pleurisy are not classified under the COPD. Chronic obstructive pulmonary disease and anaesthesia. Diagnosis and assessment of COPD must be done carefully since the three main symptoms are common among chronic pulmonary disorders. Be sure to grab a pen and paper to write down your answers. Nurses care for patients with COPD across the spectrum of care, from outpatient to home care to emergency department, critical care, and hospice settings. Provides patient with some means to cope with or control dyspnea and reduce air-trapping. Demonstrate effective coughing and deep-breathing techniques. Total lung capacity (TLC), functional residual capacity (FRC), and residual volume (RV): May be increased, indicating air-trapping. Assess patient’s exposure to risk factors. 1. Increase fluid intake to 3000 mL per day within cardiac tolerance. Demonstrate chest physiotherapy, such as bronchial tapping when in cough, proper postural drainage. A patient is presenting with chronic obstructive pulmonary disease. Identifies the hazards of cigarette smoking. Hydration helps decrease the viscosity of secretions, facilitating expectoration. As an outpatient department nurse, she is a seasoned nurse in providing health teachings to her patients making her also an excellent study guide writer for student nurses. Nutritional intake meeting caloric needs. These two types of COPD can be sometimes confusing because there are patients who have overlapping signs and symptoms of these two distinct disease processes. What is the mechanism of action of anhydrous theophylline in treating a nonreversible obstructive airway disease such as COPD? Prevent complications, slow progression of condition. Practice Mode: This is an interactive version of the Text Mode. 5. If loading fails, click here to try again. Nurseslabs – NCLEX Practice Questions, Nursing Study Guides, and Care Plans, 7 Chronic Obstructive Pulmonary Disease (COPD) Nursing Care Plans, Imbalanced Nutrition: Less Than Body Requirements, Imbalanced Nutrition Less Than Body Requirements, Nursing Test Bank and Nursing Practice Questions for Free, NCLEX Practice Questions Test Bank (2021 Update), Nursing Pharmacology Practice Questions & Test Bank for NCLEX (500+ Questions), Arterial Blood Gas Analysis Made Easy with Tic-Tac-Toe Method, Select All That Apply NCLEX Practice Questions and Tips (100 Items), IV Flow Rate Calculation NCLEX Reviewer & Practice Questions (60 Items), EKG Interpretation & Heart Arrhythmias Cheat Sheet. There is sputum production and he experiences difficulty of breathing whenever he performs his daily activities. Any lung irritant can cause COPD and also exacerbate it. Get to know the nursing interventions, goals and outcomes, assessment tips, and related factors for COPD. Maintain airway patency with breath sounds clear/clearing. Answers and rationales are given below. Asthma and COPD #1 | 50 Questions; Asthma and COPD #2 | 50 Questions; Pneumonia and Tuberculosis | 60 Questions; Neurological Disorders. A nurse is preparing to obtain a sputum specimen from a client. Appendicitis is a medical condition that occurs when there is an inflammation of the finger-shaped pouch near the colon called … Management of patients with COPD should be incorporated with teaching and improving the respiratory status of the patient. C. Pneumonia and pleurisy. Inflammation, hypersecretion of mucus, and alveolar wall destruction are included in the pathophysiology of COPD. Identifies resources for smoking cessation. Option A: Inflammation occurs through the proximal and peripheral airways, lung parenchyma, and pulmonary vasculature. Assist the patient to turn every 2 hours. Document conditions that interfere with oxygen supply. Which best describes the purpose of pursed-lip breathing in the client with COPD? Provide warm or tepid liquids. Pollutants or allergens irritate the airways and leads to the production of sputum by the mucus-secreting glands and goblet cells. Two diseases common to the etiology of COPD are: A. Option B: Allergens may contribute to the development of emphysema but it is not the main factor. 4. Auscultate breath sounds. Health Details: Health Details: COPD Nursing Care Plan 5 COPD is a long-term medical condition, but it is both preventable and treatable.With the use of the nursing care plans above, the patient will have an improved oxygenation and will be able to perform his/her activities of daily living optimally. Desired Outcome. The abnormal inflammatory response in the lungs occurs primarily in the: A. Airways. Topics or concepts included in this exam are: 1. A wide range of viral, bacterial, and mycoplasmal infections can produce acute episodes of bronchitis. Chronic Obstructive Pulmonary Disease(COPD) 4. Chronic bronchitis: Widespread inflammation of airways with narrowing or blocking of airways, increased production of mucoid sputum and marked cyanosis. Assess and monitor respirations and breath sounds, noting rate and sounds (tachypnea, stridor, crackles, wheezes). Option B: The lung parenchyma undergoes an inflammatory response in COPD. B. Mucus secretion that blocks airways. Posts related to Chronic Obstructive Pulmonary Disease (COPD): This article is very helpful with nursing plans with first semester nursing students. A 69-year old with COPD who is ventilator dependent Questions about prioritization and delegation in the NCLEX are some of the most difficult for students to answer. No time limit for this exam. In this nursing care plan guide are seven (7) nursing diagnosis for Chronic Obstructive Pulmonary Disease (COPD). Assess the signs and symptoms of COPD and their severity. If you need more clarifications, please direct them to the comments section. Included topics in this practice quiz are: 1. In Exam Mode: All questions are shown but the results, answers, and rationales (if any) will only be given after you’ve finished the quiz. These techniques will prevent possible aspirations and prevent any untoward complications. Assessment of the respiratory system should be done rapidly yet accurately. D. Fifth. Document attainment or progress towardsgoals. Nurseslabs.com is an education and nursing lifestyle website geared towards helping student nurses and registered nurses with knowledge for the progression and empowerment of their nursing careers.Since we started in 2010, Nurseslabs … Option A: Air pollution is a risk factor in the development of emphysema but it is not the primary factor. Nurses care for patients with COPD across the spectrum of care, from outpatient to home care to emergency department, critical care, and hospice settings. The abnormal inflammatory response in the lungs occurs primarily in the: The airways, parenchyma, and pulmonary vasculature undergo inflammation in COPD. 4. True or False: COPD is reversible and tends to happens gradually. © 2021 Nurseslabs | Ut in Omnibus Glorificetur Deus! The patient has a chronic productive cough … He has made multiple hospitalizations with several episodes of being intubated for mechanical ventilator support. Within that broad category, the primary cause of the obstruction may vary; examples include airway inflammation, mucous plugging, narrowed airway lumina, or airway destruction. Document plan of care and specific interventions. Main article: 5 Chronic Obstructive Pulmonary Disease (COPD) Nursing Care Plans. B. COPD is also called chronic obstructive lung disease (COLD). C. Fourth. Option C: The pulmonary vasculature is affected by inflammation in COPD. Option C: Infectious agents are part of the risk factors for emphysema but it is not the main factor. You have not finished your quiz. Chronic bronchitis is a disease of the airways and is defined as the presence of. If this activity does not load, try refreshing your browser. Patients with COPD also have options for surgery to improve their condition. Read each question carefully and choose the best answer. Although asthma also involves airway inflammation and periodic narrowing of the airway lumina (hyperreactivity), the condition is the result of an individual response to a wide variety of stimuli/triggers and is therefore episodic in nature with fluctuations/exacerbations of symptoms. The chronic inflammatory process affects the pulmonary vasculature and causes thickening of the vessel lining and hypertrophy of smooth muscle. Chronic bronchitis and emphysema belong to the old classification of COPD. There are two main types of emphysema: panlobular and centrilobular. Guidelines. Chronic Obstructive Pulmonary Disease (COPD) is a condition of chronic dyspnea with expiratory airflow limitation that does not significantly fluctuate. B. Here is another 50-item NCLEX style exam that covers the diseases affecting the Respiratory System. Marianne is a staff nurse during the day and a Nurseslabs writer at night. COPD also account for the death of 125, 000 Americans every year. Option B: Hypersecretion occurs due to the increase in the number of goblet cells. 2. Option A: Air pollution is a risk factor in the development of emphysema but it is not the primary factor. Inflammation, hypersecretion of mucus, and alveolar wall destruction are included in the pathophysiology of COPD. Recommend the intake of fluids between, instead of during, meals. Option A: Asthma may be one of the chronic pulmonary diseases but atelectasis is not. Some degree of bronchospasm is present with obstructions in the airway and may or may not be manifested in adventitious breath sounds such as scattered, moist crackles (bronchitis); faint sounds, with expiratory wheezes (emphysema); or absent breath sounds (severe asthma). An additional 2 million may have COPD but remain undiagnosed. Asthma: Also known as chronic reactive airway disease, asthma is characterized by reversible inflammation and constriction of bronchial smooth muscle, hypersecretion of mucus, and edema. Answer: D. Areas identified in all of the above. Which of the following nursing actions will facilitate obtaining the specimen? has a 5-year history of chronic obstructive pulmonary disease. Welcome to our collection of free NCLEX practice questions to help you achieve success on your NCLEX-RN exam! All questions are given in a single page and correct answers, rationales or explanations (if any) are immediately shown after you have selected an answer. Assess the patient’s knowledge of the disease. An inflammatory response occurs throughout the proximal and peripheral airways, lung parenchyma, and pulmonary vasculature. Chronic Obstructive Pulmonary Disease (COPD… Chronic Obstructive Pulmonary Disease has been defined by The Global Initiative for Chronic Obstructive Lung Disease as “a. Assist with measures to facilitate gas exchange. The airflow limitation is usually progressive and associated with an abnormal inflammatory response of the lung to noxious particles or gases.” (Global Initiative for Chronic Obstructive Lung Disease or GOLD). Once you are finished, click the button below. Option B: The lung parenchyma undergoes an inflammatory response in COPD. There are two major life-threatening complications of COPD: respiratory insufficiency and failure. During his time as a student, he knows how frustrating it is to cram on difficult nursing topics. Look for keywords—Avoid answers with absolutes like … Asthma and atelectasis. Note inspiratory and expiratory ratio. Chronic obstructive pulmonary disease (COPD… Most patients with COPD receive outpatient treatment, the nurse should develop a teaching plan to help them comply with the therapy and understand the nature of this chronic disease. The nurse must appropriately administer bronchodilators and corticosteroids and become alert for potential side effects. Since we started in 2010, Nurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals. Option D: Tuberculosis and pleural effusion are not chronic pulmonary diseases. Included in this updated guide for 2021 are 1,000+ practice questions, a primer on what is the NCLEX-RN exam, frequently asked questions … Cigarette smoking is the foremost factor in the development of emphysema. Read the question and answers carefully—do not jump into conclusions or make wild guesses. Demonstrate behaviors to improve airway clearance, e.g., cough effectively and expectorate secretions. Second. Disease process/prognosis and therapeutic regimen understood. Option C: Pneumonia and pleurisy are not classified under the COPD. Position head midline with flexion on appropriate for age/condition. Its pulmonary component is characterized by airflow limitation that is not fully reversible. Article from nurseslabs.com Quiz #2: Asthma and COPD NCLEX Practice Exam (50 Questions) Respiratory problems are the common reasons for admission to the intensive care unit (ICU) and … Article by Nurseslabs Nclex Rn Practice Questions Nursing Questions … COPD is the fourth leading cause of death in the United States. The airways, parenchyma, and pulmonary vasculature undergo inflammation in COPD. Answer: B. Chronic Obstructive Pulmonary Disease (COPD) is a condition of chronic dyspnea with expiratory airflow limitation that does not significantly fluctuate. Tachypnea is usually present to some degree and may be pronounced on admission or during stress or concurrent acute infectious process. Appendicitis NCLEX Review Care Plans. Diagnosis of COPD would mainly depend on the assessment data gathered by the healthcare team members. Movement aids in mobilizing secretions to facilitate clearing of airways. Option C: Alveolar wall destruction leads to loss of alveolar attachments and a decrease in elastic recoil. More aggressive measures to maintain airway patency. Nurse Salary 2020: How Much Do Registered Nurses Make? During a routine clinic visit, the client asks the nurse how the drug works. Due to the chronic inflammation, changes and narrowing occur in the airways. Chronic bronchitis and emphysema. C. Infectious agents. Diseases such as Chronic obstructive disease, asthma, tuberculosis, influenza, mycobacterium avium complex disease, pneumonia, and allergies. Note adventitious breath sounds (wheezes, crackles, rhonchi). Approximately 12 million Americans live with a diagnosis of COPD. Encourage abdominal or pursed-lip breathing exercises. Nurse Salary 2020: How Much Do Registered Nurses Make? Suctioning clear secretions that obstruct the airway therefore improves oxygenation. Z.G. Provide information about disease process/prognosis and treatment regimen. He has a smoking history … B. The underlying pathophysiology of COPD is: Characterized by variations in all of the above. Bronchial Asthma 3. Goals to achieve in patients with COPD include: Patient and family teaching is an important nursing intervention to enhance self-management in patients with any chronic pulmonary disorder. In COPD, the airflow limitation is both progressive and associated with an abnormal inflammatory response of the lungs to noxious gases or particles. Clear, even, non-labored breathing while maintaining optimal oxygenation for patients. D. Areas identified in all of the above. The airflow limitation is usually progressive and associated with an abnormal inflammatory response of the lung to noxious particles or gases.” (Global Initiative for Chronic Obstructive Lung Disease or GOLD) Any respira… Option B: Hypersecretion occurs due to the increase in the number of goblet cells. 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