On assessment of your patient you find the following:vitals: RR 16, HR 98, SpO2 88, Inspection: productive cough for large amount of foul smelling secretions, cyanotic, JVD, peripheral edemaAuscultation: coarse crackles throughoutCXR: increased bronchial vascular markings, enlarged heartLabs: polycythemiaWhat is a possible differential diagnosis for this patient?

To reduce the risk of repeat admissions for exacerbations of his COPD you would encourage the patient to:

I have drawn a line starting at coordinate 72,68. I want the end to be 65 units to the left and 23 units up from the start point, using RELATIVE coordinates, I would type _______ in the command bar to reach the next point.

What is the first step in COPD Management?

Use the following information to answer the next 5 questions.While assessing a patient on the ward you note mucosal cyanosis, a barrel chest, JVD, and mild accessory muscle use. He has a productive cough that produces 2-3 tablespoons of thick creamy secretions. The patient complains of always being short of breath and can only walk 5 – 10 feet before having to take a break.  PFT results found in the chart show an FEV1 = 38% of predicted, FEV1/FVC = 0.50 with no reversibility in FEV1 post bronchodilator. The patient is a retired farmer and has been told that he has COPD and continues to smoke 1 pkg/day despite multiple admissions for exacerbations of his condition.Based upon your initial assessment of the patient’s presentation you might expect this patient to have:

In Chronic Asthma the airways may become irreversibly damaged as a result of:

Assuming no persistent dyspnea the pharmacological management of a COPD patient classified as a GOLD grade 2, based on FEV1, with a higher symptom burden should have which of the following added to the SABA already prescribed?

You are assessing a patient in a pulmonary clinic.  You discover a variety of patient triggers, mainly seasonally associated with pollen.  This type of asthma:

Which of the following would likely benefit this patient the most at this time? 

Please review the following excerpts from the College of Nursing Examination Policy: Students are expected to take all examinations at their originally scheduled times.  Students who anticipate missing an exam or arriving late should notify the instructor prior to the scheduled start time of the exam. If students are using SAS testing services, they should also notify the SAS team. Timely communication ensures the opportunity to complete a make-up exam without penalty. If a student communicates with the instructor before the scheduled start time of the exam, they will be allowed to make up the exam. If a student does not communicate before the scheduled start time of the exam, they will still be permitted to make up the exam; however, this will result in a Performance Improvement Plan (PIP) due to the lack of timely communication. Each student is allowed one make-up exam per course. If a subsequent exam is missed, a zero will be given on the subsequent missed exam. Please refer to the syllabus for further information regarding institutional policies.