When admitting a patient with a diagnosis of asthma exacerbation, the nurse will assess for which of the following potential triggers (select all that apply)? During an assessment of a 45-year-old patient with asthma, the nurse notes wheezing and dyspnea. The nurse would administer the right drug by selecting the inhaler with which of the following trade names? The nurse assesses for which of the following etiologic factor for this nursing diagnosis in patients with asthma? plus. Learn vocabulary, terms, and more with flashcards, games, and other study tools. The Venturi mask delivers precise concentrations of oxygen and should be selected whenever this is a priority concern. The nurse evaluates that a patient is experiencing the expected beneficial effects of ipratropium (Atrovent) after noting which of the following assessment findings? The patient has received a β-adrenergic bronchodilator and supplemental oxygen. The trade or brand name for ipratropium bromide, an anticholinergic medication, is Atrovent. Give it a try! Exam Mode – Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. Which of the following test results identifies that a patient with an asthma attack is responding to treatment? The other methods are less precise in terms of amount of oxygen delivered. Chronic Obstructive Pulmonary Disease(COPD) 4. Two questions were posed: (1) “In what percentage of patients with COPD do you think a chest CT scan should be performed for clinical purposes”? Chronic Obstructive Pulmonary Disease (COPD) is a condition of chronic dyspnea with expiratory airflow limitation that does not significantly fluctuate. Once you have the damage though its not reversible, COPD: cigarette smoking: effects on respiratory tract, 1) alpha-antitrypsin (AAT) => protects lung from injury => more prone to injury without it => predisposes people to COPD that do not smoke, should be tested for it if come into hospital with COPD and dont smoke, 1) frequent childhood diseases, low birth weight, 1) -inflammation from inhalation of noxious particles => mediators released cause damage to lung tissue => airway inflamed and parenchyma destroyed => supporting structures of lungs are destroyed => air goes in easily but remains in lungs (cant expel the air as easily) => bronchioles tend to collapse => alveoli over distended leading to air trapping, flattened diaphragm and increased chest circumference, 1) destruction of the alveoli (get overdistended and not working), 2) abnormal permanent enlargement of the airspace of alveoli and destruction of bronchioles w/out obvious fibrosis => loss of lung elasticity => decreased pulmonary capillary bed => pulmonary resistance and R sided heart failure (Cor pulmonale), -dyspnea on exertion, during ADLs and rest (always SOB), 1) inflammation and constriction of the airway, and lots of mucous blocking airway, chronic bronchitis: clinical manifestations, -frequent productive cough for at least 3 months in 2 consecutive years, happens a lot in winter, based on FEV1, goes from mild-very severe. A patient with acute exacerbation of COPD needs to receive precise amounts of oxygen. Nitric oxide levels are increased in the breath of people with asthma. The nurse interprets that the patient understands this important information to prevent medication underdosing when the patient describes which method to check the inhaler? In reviewing the use of dry powder inhalers (DPIs) with the patient, the nurse should provide which of the following instructions? Here is a quiz on the various aspects of COPD. Which of the following is the primary reason for the nurse to carefully inspect the chest wall of this patient? Chronic obstructive pulmonary disease affects millions of people worldwide and is responsible for numerous deaths due to complications. Nurses care for patients with COPD across the spectrum of care, from outpatient to home care to emergency department, critical care, and hospice settings. Available is a solution containing 2 mg/ml. This is an unprecedented time. 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