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WVC Iggy chapt 32

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characteristics of Asthma Affects smaller airways. Increased eosinophils. affects work of breathing. Intermittent bronchospasm, mucosal edema, excess mucus production, mast cell destabilization. Stimulation by allergiens.
characteristics of asthma narrowed airway lumen due to: inflammation, smooth muscle constiction. Disease triggered by NSAID.
Characteristics of chronic bronchitis Affects smaller airways. Hypercapnia. Chronic thickening of bronchial walls. Impaired mucocilliary clearance. Increased airway resistance, & secretions. Affects work of breathing. Possibly results in respiratory acidosis.
Characteristics of Pulmonary emphysema Decreased surface area of alveolar walls. Destruction of alveolar walls. Hypercapina. Increased airway resistance. Affects work of breathing. Loss of elastic recoil, Elastin broken down by proteases. Possibly results in respiratory acidosis.
the nurse is caring for the older pt with a chronic respiratory disorder. What are best to use in caring for this patient? -Provide rest periods between: bathing, meals, & ambulation. - Schedule drugs administration around routine activites to increase adherence to drug therapy. -Arrange chairs in strategic location to allow pt to walk & rest. -Encourage flu vaccine.
The nurse is caring for an older adult pt with a history of chronic asthma. Which problem related to aging can influence the care & treatment of his pt? With aging, the beta-adrenergic drugs do not work as quickly or strongly.
The nurse is presenting a community education lecture about respiratory disorders. Which statement by a participent indicates a correct understanding of the information? In bronchial asthma, an airway obstuction can be caused by inflammation.
Which statment is true about asthma adn chronic obstrctive pulonary disease (COPD) as chronic disease of the lower respiratory system? Asthma manifests as acute episodes of reversible airway obstruction.
The nurse is helping the pt learn about managing her asthma. What does the nurse instruct the pt to do? keep a symptom diary to identify what triggers teh asthma attacks.
The nurse is taking med hx on the new pt who has come to the office for a checkup. The pt states that he was supposed to take a medication called singulair (montelukast), but that he never got the perscription filled. What is the best response by nurse? "Are you having any problems with your asthma?"
The nurse teaches the pt with asthma to monitor for which problem while exercising? Wheezing from bronchospasm.
The high school student desires to participate in sports. His mother is very reluctant to give permission because her son has had asthma since early childhood. What does the nurse recommend? Avoid excercising in cold, dry air because this may trigger an attack.
An asmatic child goes day camp, & her parent packed & sent with her all of her medicine in a small bag. The child has an asthma attack that requires a rescue drug. Which medication form the child's bas is best to use for the acute symptoms? Albuterol (proventil)
What assessment findings are expected for the pt with chronic airflow limitation? Cough, Dyspnea, Tachypnea, Wheezing.
For the pt who is a nonsmoker, which classic assessment finding of chronic airflow limitation is particularly important in diagnosing asthma? Audible wheezing
The pt who is allergic to dogs experiences a sudden "asthma attack." Which assessment fiindings does teh nurse expect for this pt? Breathlessness and difficulty compleating sentences.
The Pt is eperiencing an asthma attack & shows an increased respiratory effort. Which arterial blood gas value is more associated with the early phase of the attack? Paco2 of 30mm Hg
The pt tells the nurse, "the doctor told me I had a 'barrel chest', Is that a bad thing? I don't know what that means." What is the best response by the nurse? When a person has chronic asthma,air gets trapped in the lungs adn this gradually causes a change in teh front to back shape of your chest."
Created by: wvc
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