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.

WORD BANK Point of Use Processing Immediate Use Steam Sterilization Terminal Sterilization Bioburden Saturated Steam Sterility Assurance Level Permissible Exposure Limits Time Weighted Average Oxidation Aeration Residual EO Safety Data Sheet TYPE WORD AS SHOWN IN WORD BANK The maximum amount or concentration of a chemical that a worker may be exposed to under OSHA regulations

A chemical reaction where hydrogen is replaced with an alkyl group. This causes the cell to be unable to normally metabolize or reproduce, or both

WORD BANK Point of Use Processing Immediate Use Steam Sterilization Terminal Sterilization Bioburden Saturated Steam Sterility Assurance Level Permissible Exposure Limits Time Weighted Average Oxidation Aeration Residual EO Safety Data Sheet TYPE WORD AS SHOWN IN WORD BANK The amount of a substance employees can be exposed to over an 8-hour day