Diagnosis and assessment of COPD must be done carefully since the three main symptoms are common among chronic pulmonary disorders. If you leave this page, your progress will be lost. 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). Assist the patient to turn every 2 hours. D. Areas identified in all of the above. Finding help online is nearly impossible. Within that broad category, the primary cause of the obstruction may vary; examples include airway inflammation, mucous plugging, narrowed airway lumina, or airway destruction. Patients with COPD also have options for surgery to improve their condition. COPD is also called chronic obstructive lung disease (COLD). Identify the occurrence of an infectious process. Matt Vera is a registered nurse with a bachelor of science in nursing since 2009 and is currently working as a full-time writer and editor for Nurseslabs. Answer: D. Areas identified in all of the above. D. Fifth. Pursed-lip and diaphragmatic breathing techniques help minimize air trapping and fatigue. D. Characterized by variations in all of the above. 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. Due to the chronic inflammation, changes and narrowing occur in the airways. 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. Option B: The lung parenchyma undergoes an inflammatory response in COPD. If ambulatory, allow patient to ambulate as tolerated. Also, this page requires javascript. Management of patients ith COPD takes a more reactive approach than a curative approach. The forced expiratory volume over 1 second (FEV. Chronic Obstructive Pulmonary Disease (COPD) is a condition of chronic dyspnea with expiratory airflow limitation that does not significantly fluctuate. Option D: Tuberculosis and pleural effusion are not chronic pulmonary diseases. The abnormal inflammatory response in the lungs occurs primarily in the: A. Airways. Option A: Air pollution is a risk factor in the development of emphysema but it is not the primary factor. There is impaired carbon dioxide and oxygen exchange, and the exchange results from the destruction of the walls of overdistended alveoli. 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. Note inspiratory and expiratory ratio. 1. His situation drove his passion for helping student nurses by creating content and lectures that are easy to digest. When taking care of a patient with COPD it is very important the nurse knows how to recognize the typical signs and symptoms seen in this condition, how it is diagnosed, nursing interventions, and patient education. Maintain airway patency with breath sounds clear/clearing. Many cases of COPD are the result of prolonged smoking, and as a result, smoking cessation pathways are usually required. Therapeutic Communication Techniques Quiz. Document client’s responses to treatment, teaching, and actions performed. Therapeutic Communication Techniques Quiz. A multidisciplinary intervention was required to meet Sally’s … Pursed-lip breathing helps maintain open … Management of patients with COPD should be incorporated with teaching and improving the respiratory status of the patient. Any respiratory disease that persistently obstructs bronchial airflow fall under the broad classification of COPD, also known as chronic airflow limitations (CAL). Even mild-to-moderate COPD is associated with impaired health status and it is well established that continued smoking is associated with more rapid loss of lung function and poorer outcomes (3,4). COPD also account for the death of 125, 000 Americans every year. Please visit using a browser with javascript enabled. 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