Symptoms
The medical term for when a patient says they feel "short of breath" and cannot breath deeply.
What is dyspnea?
The primary cause of COPD is...
What is exposure to gasses and particles such as cigarette smoke over a long period of time?
Your patient with COPD wants to quit smoking. You tell him to do what when he has the urge to smoke..
What is avoid situations that increase the urge to smoke, use exercise and distraction, eat health, drink lots of water, and keep his hands busy with a pen or toothpick?
The intervention a nurse should implement after reviewing the patient's vital signs - BP -130/85, HR - 87 bpm, SpO2 - 83%, temp - 98.7 F, and RR - 16
What is administer oxygen?
The reason why a patient with COPD takes Methylprednisolone (Solu-Medrol) (a corticosteroid).
What is to reduce airway inflammation?
The reason why patients with COPD may gain weight.
What is inactivity due to dyspnea?
The medical term for the secretions or "spit" a patient may have after an increase in mucus production associated with COPD.
What is sputum?
Your patient with COPD says it is hard to eat big meals because he becomes short of breath. You recommend...
What is eat several small meals, chew slowly, eat when he has the most energy, and eat sitting up?
The patient says he is so fatigued, he can barely do ADLs such as brushing his teeth and getting dressed. The interdisciplinary team member you should consider contacting is...
What is occupational therapy?
A bronchodilator for a patient with COPD helps by...
What is widens the bronchi by relaxing them?
The most common risk factor for COPD. This is associated with with the patient's social history.
What is smoking cigarettes?
Low risk for developing COPD is less than 10-15 pack years smoked.
The reason for air trapping and hyperinflation of the lungs.
What is narrowing of the bronchioles from inflammation?
The patient says he does not want to take the pneumonia vaccine. The reason the patient should receive recommended vaccines with COPD is...
What is patients with COPD have less reserve?
The patient tells you he can't quit smoking, even when he knows he needs to wear oxygen. You tell the patient he should be ____ feet from oxygen if he smokes.
What is at least 10 feet away from oxygen if smoking?
Common side effects that can occur with bronchodilators include...
What is anxiety, tachycardia, nausea, palpitations, and tremors?
What is barrel-shaped chest?
The reason it is hard to move air through the bronchi with COPD.
What is increased air resistance due to inflammation and increased mucus secretion?
Your patient with COPD says he is fully quickly during meals. To maximize his nutritional intake the patient should drink most of the liquids with a meal ...
What is after the meal?
The nurse sees a patient with a history of COPD has an SpO2 of 89%. The nurse knows she (should or should not) put the patient on high-flow nasal cannula to achieve an SpO2 of 99%.
What is should not put a patient with a history of COPD on high-flow nasal cannula?
A patient with COPD needs a hypercapnic drive to support oxygenation.
The nurse is counseling the patient on how to use their inhaler. The nurse says that the patient should (breath in / breath out) before administering the medication.
What is breath out fully?
When a patient leans over a table with their weight on the forearms or palms to relieve dyspnea.
What is "tripod" position?
Increased blood pressure in the arteries of the lungs (pulmonary hypertension) can cause increased blood pressure in the right ventricle of the heart.
What is cor pulmonale?
The right ventricle tries to push against the high pressure from the pulmonary artery (created by the arteries in the lungs), which causes an increased pressure in the right ventricle. A common side effect of advanced COPD.
The patient says he worries about becoming short of breath. You explain that .... can worsen feelings of dyspnea.
What is anxiety?
What is you should not use petroleum-based products while on oxygen?
Vick's Vapor rub and petroleum-based menthol rubs are flammable and should not be used near oxygen. Alternative rubs are water-based aloe moisturizer and saline nasal spray.
The patient's son only uses a rescue inhaler for his asthma. The patient asks you why he has to use an inhaler everyday for COPD.
What is COPD causes constant inflammation of the bronchi and asthma is inflammation caused by exposure to allergens?