A 38 year old female has been experiencing intermittent shortness of breath, wheezing and cough for six months. Which of the following features most strongly supports a diagnosis of asthma rather than COPD? a) Improvement of lung function with steroid therapy b) Smoking history from adolescence c) Marked diurnal variation in peak expiratory flow rate d) FEV1/FEV ration less than 70%
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A 38 year old female has been experiencing intermittent shortness of breath, wheezing and cough for six months. Which of the following features most strongly supports a diagnosis of asthma rather than COPD?
a) Improvement of lung function with steroid therapy
b) Smoking history from adolescence
c) Marked diurnal variation in peak expiratory flow rate
d) FEV1/FEV ration less than 70%
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- A patient with chronic obstructive pulmonary disease (COPD) is prescribed oxygen therapy. The nurse understands that oxygen therapy is primarily aimed at: a) Decreasing airway inflammation b) Improving gas exchange and relieving hypoxemia c) Preventing bronchospasm d) Reducing mucus production.A toddler is admitted to the pediatric unit with a diagnosis of bronchiolitis. The nurse monitors the child for which common complication of bronchiolitis? a) Hypotension b) Bradycardia c) Respiratory distress d) HyperglycemiaDuring a teaching session for a patient who is receiving inhaled salmeterol, the nurse emphasizes that the drug is indicated for which condition?a) Rescue treatment of acute bronchospasmsb) Prevention of bronchospasmsc) Reduction of airway inflammationd) Long-term treatment of sinus congestion
- 8) The diagnostic criteria for chronic bronchitis should be cough and expectoration() A) They occur for at least 3 months each year and last for more than 10 years B) They occur for at least 1 months each year and last for more than 2 years C) They occur for at least 2 months each year and last for more 3 years D) They occur for at least 3 months each year and last for more than 2 years E) They occur for at least 6 months each year and last for more than 4 yearsA patient with chronic obstructive pulmonary disease (COPD) is experiencing increased dyspnea and cough productive of thick, yellow sputum. Which nursing intervention is the priority for managing the patient's airway clearance? a) Encourage deep breathing exercises b) Administer bronchodilator therapy c) Perform chest physiotherapy d) Provide humidified oxygen therapyWhich one of the following is NOT a feature of chronic obstructive pulmonary disease (COPD)? Question options: A) Frequent pulmonary infections are common. B) Most patients have a genetic predisposition to COPD. C) Dyspnea becomes progressively more severe. D) Most patients have a history of smoking. E) Most COPD victims are hypoxic.
- When giving dextromethorphan, the nurse understands that this drug suppresses the cough reflex by which mechanism of action? a)decreases viscosity of bronchial secretions. b)causes depression of the central nervous system c)has direct action on the cough center in the brain d)anesthesizes the stretch receptors in the lungsDuring a long distance transfer of a 10 year old patient strugglign to breathe, you find him becoming quieter and acting tired. He seems like he is beginning to go to sleep. What should the provider think of this behavior? A) This is normal for a 10 year old B) He is compensating for high CO2 levels C) He is becoming more comfortable with his surroundings D) His condition is worseningPreviously healthy 20 year old man, develop shortness of breath and a productive cough after two hours at the summit of a 15,000 foot mountain. He is afebrile. Crackles are heard at both lung bases. Which of the following is the most likely cause of these filings? A) left ventricular failure B) pulmonary hypertension C) right ventricular failure D) sympathetic, nervous system activation E) viral pneumonitis
- which of the following is a complication associated with the presnce of tracheostomy tube? a) pneumothorex b)decresed cardiac output c) respiratory distress syndrome d) damage to laryngeal nerveThe most important fatal harm caused by inhalation injury is() A)Pulmonary edema B) Asphyxia C) Pulmonary infection D) Pulmonary dysfunction E) Tachypneais an anatomical alteration of lungs characterized by air space enlargement distal to terminal bronchioles and destructive changes to alveolar walls. A) Bronchitis B) COPD C) Emphysema D) Asthma ID#MT9E_20