COPD management

Study Tools

COPD

C-Cigarette smoking cessation, corticoseteriods

O-Oxygen if hypoxic

P-PFTs + Pneumococcal vaccine, (flu vaccine if not given for that year) + Pulmonary Rehabilitation

D-Dilators

Premium Membership

300,000+ Students Use These Cheatsheets To Pass NCLEX

99.25% NCLEX Pass Rate vs 88.8% National Average

Join Them - Start Free Trial

200% NCLEX Pass Guarantee.
No Contract. Cancel Anytime.

The therapeutic management for a patient with COPD

Lessons Related To COPD management

Master

Obstructive Sleep Apnea for Progressive Care Certified Nurse (PCCN)

Master

COPD Exacerbation for Progressive Care Certified Nurse (PCCN)

Master

Obstruction for Certified Emergency Nursing (CEN)

Take Quiz

10 Obstruction NCLEX Questions

Question 1 of 10

Which statement about airway management is true?

Cricothyroidotomy is the formation of an opening for an artificial airway above the vocal cords

Nasotracheal intubation is a logical choice in a patient with maxillofacial injury

The carina is the landmark by which proper depth of endotracheal intubation should be measured

Tracheotomy is a less hazardous procedure than cricothyroidotomy

Question 2 of 10

Which assessment finding is a symptom of complete upper airway obstruction?

Hoarseness

Wheezing

Forceful cough

Inability to speak

Question 3 of 10

When a child in the acute stage of epiglottitis begins to exhibit airway obstruction, the nurse’s main priority would be to:

Secure intubation and tracheotomy equipment

Request the parents to leave the room

Administer oxygen via a facemask

Obtain the parents' consent to perform a tracheotomy

Question 4 of 10

Which statement about endotracheal intubation for a patient in respiratory arrest is true?

It should be performed within 2 minutes of the onset of respiratory arrest

It is necessary to ensure adequate ventilation

It should be performed as the initial step in airway management

It should be attempted only after other oxygenation methods have failed

Question 5 of 10

In a patient with atelectasis, the nurse would expect to hear bronchial breath sounds over the:

Middle of the right lung lobe

Left main-stem bronchus

Right main-stem bronchus

Carina

Question 6 of 10

The pregnant patient’s respiratory status changes during gestation; her ABG would reveal:

Increased PO2

Increased bicarbonate.

Decreased pH.

Decreased PaCO2.

Question 7 of 10

Which of the following is the most common cause of airway obstruction in the elderly?

Epiglottic Inflammation

Displaced Dentures

Tongue

Goiter

Question 8 of 10

Which nursing action is most appropriate in the initial management of a conscious adult with complete upper airway obstruction by a foreign body?

Administering abdominal thrusts until the object is relieved, or until the patient loses consciousness.

Allowing the victim to expel the foreign body through vigorous coughing

Administering four quick back blows with the heel of the hand between the victim's scapulae

Administering artificial respiration

Question 9 of 10

Which statement about esophageal obturator airway management is true?

Its removal is commonly followed by immediate regurgitation

It requires visualization of the airway for insertion

It should be removed before endotracheal intubation is performed

It may damage the trachea

Question 10 of 10

A 4-year-old boy is brought to the ED because of dysphagia, excessive salivation, mild respiratory distress, orthopnea, and fever. The child’s father reports an abrupt onset of symptoms, with the child refusing to lie down for a nap. The physician diagnoses epiglottitis and arranges for the child to be admitted to the pediatric unit. Which factor should the nurse consider when planning this patient’s care?

Laryngospasm, which may occur upon attempted visualization of the child's epiglottis

The possibility of a productive cough and vomiting

The possibility of agitation and combative behavior

Bacteremia, which occurs in almost all cases of epiglottitis

What email should we send your results to?

I understand I will receive future communications from NURSING.com and agree to the Privacy Policy.

Score an 80% or better on these Obstruction questions to master this lesson.

Master

Chronic Obstructive Pulmonary Disease (COPD) for Certified Emergency Nursing (CEN)

Take Quiz

10 Chronic Obstructive Pulmonary Disease (COPD) NCLEX Questions

Question 1 of 10

The patient wonders aloud whether it is too late to quit smoking. The nurse correctly explains that if the patient stops smoking now:

He will suffer much stress because of his illness

His cough and sputum production will decrease and his pulmonary function tests will improve

His symptoms will not improve because too much damage has been done

His symptoms will disappear and he will be cured

Question 2 of 10

Chronic cough is common in COPD. When planning the discharge instructions for a patient with COPD, the nurse should remember to advise the patient to avoid:

Hydration and aerosol humidification

Cough suppressants and self-medication with antihistamines

Chest physiotherapy and postural drainage

Spicy foods

Question 3 of 10

Which term best describes the condition of a patient with the above medical history and evidence of alveolar destruction?

Pink puffer

None of the above

Blue bloater

Hyperreactive airway

Question 4 of 10

Which nursing diagnostic category would be appropriate for a patient with COPD?

Ineffective individual coping

Altered nutrition: More than body requirements

Fluid volume excess

Potential for injury

Question 5 of 10

When auscultating a patient, the nurse notes decreased vesicular breath sounds. This is an indication of:

All of the above

Pleural effusion

Pulmonary fibrosis

Chronic obstructive pulmonary disease

Question 6 of 10

Nursing assessment of a patient with emphysema typically reveals barrel chest, which results from:

Hyperinflation and overdistension of alveoli

Hyperventilation in response to hypoxemia and hypocapnia

Hypoventilation in response to hypoxemia and hypercapnia

Distention and destruction of the primary lobules

Question 7 of 10

The nurse knows that chronic bronchitis is classified as COPD because of which pathogenic occurrence?

Hyperplasia and inflammation of goblet cells and increased production of thick mucus

Hyperplasia of bronchiolar mucus-secreting glands

Increased goblet cell production and disappearance of cilia

Increased production and stimulation of neutrophils and macrophages

Question 8 of 10

The nurse would expect the physician to order all of the following treatments for a patient with COPD except:

Diuretic therapy

Chest physiotherapy

Fluid restriction

Bronchodilator therapy

Question 9 of 10

A 69-year-old man is admitted to the ED with difficulty breathing. He has a 50-pack-year history of smoking. Upon examination, the nurse notes the patient’s reliance on accessory muscles for breathing and his barrel chest. Which history finding is the most significant factor contributing to this patient’s condition?

Activity level

Smoking

Anxiety

Occupation

Question 10 of 10

The nurse knows that cor pulmonale is a complication of COPD secondary to:

Stimulation of erythropoiesis, which decreases blood viscosity

Decreased intravascular blood volume with arterial congestion

Atrophy of the right ventricle caused by heart failure

Pulmonary hypertension caused by vasoconstriction in response to hypoxia

What email should we send your results to?

I understand I will receive future communications from NURSING.com and agree to the Privacy Policy.

Score an 80% or better on these Chronic Obstructive Pulmonary Disease (COPD) questions to master this lesson.

COPD management

COPD

300,000+ Students Use These Cheatsheets To Pass NCLEX

What email should we send your results to?

What email should we send your results to?

Welcome Back