COPD, asthma, and pneumonia nursing assessment priorities and interventions on the medical-surgical floor, distinct from the ICU ventilator-management deck.
About this set
34 basic cards for NCLEX-RN Nursing. It opens with "In a patient having a COPD exacerbation, what physical sign shows increased" and "For a stable COPD patient, what oxygen saturation range should a nurse target". Study it alongside the other NCLEX-RN sets below.
34 cards · basic cards · AI-written, checked twice. Edit anything.
- In a patient having a COPD exacerbation, what physical sign shows increased work of breathing?
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Use of accessory muscles (neck and shoulder muscles) to breathe- For a stable COPD patient, what oxygen saturation range should a nurse target with supplemental oxygen?
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88-92%- Why must a nurse use caution giving high-flow oxygen to a chronic CO2-retaining COPD patient?
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It can suppress the hypoxic drive to breathe, worsening hypoventilation- What is the purpose of pursed-lip breathing in COPD?
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It keeps airways open longer and slows exhalation to reduce air trapping- Why do COPD patients often lean forward with arms braced (tripod position)?
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It maximizes accessory muscle use and improves lung expansion- Chronic air trapping in COPD leads to a ____ deformity.
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barrel chest- Finger clubbing in a respiratory patient is a sign of what underlying problem?
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Chronic hypoxia- What acid-base pattern is expected on ABG in a patient with stable chronic COPD?
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Compensated respiratory acidosis (near-normal pH, elevated CO2, elevated bicarbonate)- Ipratropium is an example of which class of inhaled bronchodilator?
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Anticholinergic- Why are systemic corticosteroids given during a COPD exacerbation?
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To reduce airway inflammation- What is the single most important intervention to slow the progression of COPD?
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Smoking cessation- Absent contraindications, about how much daily fluid intake is recommended for a COPD patient to help thin secretions?
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2 to 3 liters per day- Why should a COPD patient eat small, frequent meals instead of large ones?
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A full stomach can limit diaphragm movement and worsen dyspnea- What is the priority nursing concern for a patient in acute COPD exacerbation?
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Impaired gas exchange- What term describes the elevated resting respiratory rate often seen in COPD patients trying to compensate for poor gas exchange?
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Tachypnea
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