Chapter 29: Nursing Management: Obstructive Pulmonary Diseases Test Bank MULTIPLE CHOICE 1. The nurse teaches a patient with chronic bronchitis about a new prescription for Advair Diskus (combined fluticasone and salmeterol). Which action by the patient would indicate to the nurse that teaching about medication administration has been successful? a. The patient shakes the device before use. b. The patient attaches a spacer to the Diskus. c. The patient rapidly inhales the medication. d. The patient
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frequent cough and expulsion of phlegm indicate this first stage of chronic obstructive pulmonary disease (COPD). Effects on the Lungs The alveoli of the lungs suffer from cigarette smoking‚ eventually breaking down and losing their effectiveness in transferring oxygen to the blood. This second stage of COPD‚ emphysema‚ is characterized by shortness of breath and difficulty exhaling‚ the ALA notes. COPD
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2010): 1-3. Gale Cengage Learning. Web. 12 Apr. 2013. <http://ezproxy.nscc.edu:2169/servlet/HWRC/hits?docNum=A241780096&year2=2013&year1=1980&index3=AU&index2=TD&index1=FT&tcit=0_1_0_0_0_0&index=BA&locID=tel_a_nsti&rlt=2&text3=&text2=&origSearch=true&text1=nde+AND+muslims&op2=AND&op1=AND&t=KW&s=11&r=d&o=DateDescend&secondary=false&n=10&day2=10&l=d&day1=01&month2=04&month1=01&searchTerm=2NTA&c=1&bucket=per>
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Pulmonary Disease Chronic Obstructive Pulmonary Disease Chronic Obstructive Pulmonary Disease (COPD) is an irreversible debilitating disease of the airway that is currently the fourth leading cause of death in the United States and is rising. Chronic obstructive pulmonary disease is treatable but currently there is no known cure and it is a major cause of morbidity and mortality. COPD causes reduction in airflow during the ventilation cycle due to the loss of air way elasticity‚ narrowing
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loneliness are scientifically identified through a qualitative research study. My client had COPD‚ which was largely affecting his independence and ability to perform activities of daily living. O.D.’s dyspnea prevented
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The prescribing pyramid (National Prescribing Centre‚ 1999) is a stepwise approach that has involves seven stages (1-7)‚ and each stage should be considered carefully before climbing to the next: Consider the patient. Which strategy should be used? Consider a choice of product Negotiate a contract Review the patient Record keeping Reflection With regard the oral thrush infection‚ the patient had a full history taken and clinical examination. A holistic viewpoint that took into account the
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Oxygen is of life-saving importance in the treatment of COPD. Lung function impairment is poorly reversible; therefore‚ treatment strategies must be aimed at stabilizing the disease progression (Simmons & Simmons‚ 2004). In advanced COPD‚ like the patient at Fairview Southdale‚ hypoxemic and/or hypercapnic respiratory failure may develop and may be treated with long-term oxygen therapy (Simmons
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exorbitant $28 billion annually (Rasmusson & Renlund‚ 2006). Chronic obstructive pulmonary disease (COPD) is presently the fourth leading cause of death world wide (Kara‚ 2005). As nurses it is imperative that we educate patients and their family members on risk reduction‚ identifying early signs and symptoms and latest treatment advances made towards controlling chronic conditions such as HF and COPD. Scenario Mr. Jones 68 y/o male arrives at the Emergency Department (ED) with complaints of increased
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Melinda ENC 1101 4/September/2011 Freedom from smoking Smoking cigarettes was one of the worst if not the worst habit I ever had I am finally free from smoking. I started smoking cigarettes at the very young age of fifteen. I did it because everybody else was doing it. I thought it was the cool thing to do. I was a kid who just wanted to fit in. I remember how that first cigarette tasted. It was a menthol cigarette and it was
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BACKGROUND: Super-utilizers are individuals with disproportionately high inpatient and emergency department (ED) use‚ and mostly have multiple chronic conditions and use multiple concurrent medications. They place a substantial burden on the U.S. healthcare system and have become the focus of policy initiatives aimed at reducing their disproportionate inpatient and ED use. Medication management is critical for these patients since nonadherence to essential chronic medications is associated with poor
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