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Get Answer: Patient With Copd Question Guide

This type of question evaluates analytical and critical thinking skills.

What This Question Is About

This question relates to patient with copd and requires a structured academic response.

How to Approach This Question

Use appropriate theories and support your answer with clear reasoning.

Key Explanation

This topic involves patient with copd. A strong answer should include explanation, application, and examples.

Original Question

A patient with COPD is on a spontaneous breathing protocol. His heart rate is 98 beats /minute, oxygen saturation is 93%, respiratory rate is 35 breaths /minute, and spontaneous tidal volume is 500 ml. The nurse practitioner should continue the trial. True or False True False 1 points QUESTION 2 A patient that exhibits a dusky bluish tint from excessive amount of unsaturated hemoglobin is a sign of what? Cyanosis from hypoxemia Cyanosis from hyperoxemia Cyanosis from hypercarbia Cyanosis from hypocarbia 1 points QUESTION 3 This device focuses on delivery of adequate tidal volume and FiO2. Nasal Cannula Venturi mask Non-Rebreather Bag-Valve-Mask 1 points QUESTION 4 What are the indications for initiating mechanical ventilation? Hypoxia/Hypercarbia Seizure Airway protection Secretions Both A&C Both B&D All of the above 1 points QUESTION 5 What is the difference between CPAP and Bipap? Cpap is for hypercapnia and Bipap is for sleep apnea They are both the same, they are just different brands Cpap and bipap are different types of oxygen machines Bipap is commonly used for pts with hypercapnia and CPAP is used for sleep apnea 1 points QUESTION 6 What is the best description of minute ventilation? Volume of air exhaled in 1 second Amount of air taken over a minute Forced expiratory flow that influences the FVC curve Maximum air expired 1 points QUESTION 7 A patient presents to the ER with shortness of breath. He has a history of HTN and COPD. He states that he wears bipap at night but has not been able to wear it recently because it broke. His pulse oximetry in the ER is 85%. ABG: Ph: 7.25, PCO2: 78, HCO3: 18, Pa02: 65, SaO2: 88%. What would your next step be? Intubate the patient and start mechanical ventilation with AC 12/Tidal Volume 400/ FiO2 50/ Peep 5. Start High Flow Nasal Cannula at 40 liters 50 % for peep affect. Initiate Bipap 20 inspiratory pressure over 5 expiratory pressure with a backup rate of 12 with 100% FiO2 Place the patient on 2 liters nasal cannula 1 points QUESTION 8 What are complications of oxygen toxicity? Oxygen does not cause toxicity Pneumothorax, atelectasis Alveolar damage, loss of surfactant Blebs, hemothorax 1 points QUESTION 9 What are first lines of ventilatory assistance in the clinical setting? Airway maintenance and nasal cannula Airway maintenance and non-rebreather Airway maintenance and Bag-valve-mask Airway maintenance and Bipap machine 1 points QUESTION 10 What is significant to note regarding respiratory drive for patients with chronically high PaCO2 such as those with severe COPD? They are respond only to changes in PaCO2 Their hypercapnic ventilatory drive is lost Their hypoxia ventilatory drive is lost They will need high peep and FiO2

 
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