NCLEX COPD vs asthma care key terms

Study key terms and concepts related to the nursing care of patients with COPD and asthma for the NCLEX exam.

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COPD definition

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Chronic Obstructive Pulmonary Disease is a progressive lung disease that obstructs airflow. It includes emphysema and chronic bronchitis.

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Quiz(32 questions)

Question 1 of 32

1. What is the primary characteristic of Chronic Obstructive Pulmonary Disease (COPD)?

Terms in this Study Set(32)

COPD Care Key Terms(16)

COPD definition

Chronic Obstructive Pulmonary Disease is a progressive lung disease that obstructs airflow. It includes emphysema and chronic bronchitis.

True or False: COPD is reversible.

False - COPD is not reversible; it is a progressive condition that requires management.

Common symptoms of COPD

Shortness of breath, chronic cough, sputum production, wheezing, fatigue.

What does FEV1 stand for?

Forced Expiratory Volume in 1 second. It's a key measure of lung function.

Fill in the blank: Smoking cessation is the __________ intervention for COPD.

most effective

Cause of COPD exacerbation

Infections, air pollution, allergens, smoking.

Difference between COPD and asthma

COPD is progressive and irreversible; asthma is intermittent and reversible.

What is the purpose of bronchodilators?

To relax and open airways, improving airflow. Common examples: albuterol, ipratropium.

Key nursing action for COPD patients

Encourage effective coughing techniques to clear secretions.

True or False: Oxygen therapy can be harmful in COPD.

True - Over-oxygenation can reduce respiratory drive in COPD patients.

What is pursed-lip breathing?

A technique to help control shortness of breath by prolonging exhalation.

Normal SpO2 levels for COPD patients

Generally between 88-92%; target may differ based on individual patient needs.

What is a pulmonary rehabilitation program?

A program that includes exercise, education, and support to help manage COPD.

Signs of respiratory distress

Increased respiratory rate, use of accessory muscles, cyanosis, anxiousness.

What is the role of corticosteroids in COPD?

To reduce inflammation and improve airflow. Can be systemic or inhaled.

Create a care plan for COPD exacerbation.

Assess breathing, provide bronchodilators, monitor SpO2, educate on triggers.

Asthma Care Key Terms(16)

Asthma Attack → Trigger

Common triggers include: - Allergens - Exercise - Cold air - Respiratory infections

What is a peak flow meter?

A device measuring how fast air can be exhaled from the lungs, helps monitor asthma control.

True or False: Asthma is only a childhood disease.

False. Asthma can develop at any age.

Identify the main purpose of a bronchodilator.

To relax airway muscles and improve airflow, providing quick relief during an asthma attack.

What does the term "rescue inhaler" mean?

A fast-acting medication used to relieve acute asthma symptoms. Examples include albuterol.

Symptoms of asthma include:

- Wheezing - Coughing - Shortness of breath - Chest tightness

How often should a patient perform peak flow measurements?

At least twice daily, especially in the morning and evening, to monitor control.

Fill in the blank: Asthma is characterized by _______ and airway inflammation.

reversible airflow obstruction

Long-term control medications vs. quick-relief medications

- Long-term: Prevent symptoms - Quick-relief: Treat acute symptoms

What is an asthma action plan?

A personalized plan outlining daily management and emergency steps based on peak flow readings.

Identify a common side effect of corticosteroids.

Inhaled corticosteroids may cause oral thrush; rinse mouth after use to prevent it.

Cause → Effect: Allergens exposure →

Increased airway inflammation and asthma symptoms.

True or False: Asthma can be cured.

False. Asthma is a chronic condition, but it can be effectively managed.

What is the purpose of a spacer device?

To increase medication delivery from an inhaler to the lungs, enhancing effectiveness.

Common allergens that can trigger asthma include:

- Pollen - Dust mites - Mold - Pet dander

Signs of worsening asthma include:

- Increased wheezing - Difficulty sleeping due to symptoms - Frequent use of rescue inhaler

Questions in this Study Set(32)

1. What is the primary characteristic of Chronic Obstructive Pulmonary Disease (COPD)?

A.Airflow obstruction
B.Reversible airway constriction
C.Airway inflammation
D.Pulmonary infections

2. What is a common factor that can trigger an asthma attack?

A.Dust mites
B.Healthy diet
C.Regular exercise
D.Adequate hydration

3. True or False: COPD can be completely cured with treatment.

A.True
B.False
C.Only in early stages
D.Only with surgery

4. Which device is used to measure how fast air can be exhaled from the lungs?

A.Stethoscope
B.Peak flow meter
C.Sphygmomanometer
D.Pulse oximeter

5. Which symptom is NOT commonly associated with COPD?

A.Wheezing
B.Chronic cough
C.Fever
D.Shortness of breath

6. True or False: Asthma can occur only in children.

A.True
B.False
C.Only in teenagers
D.Only in the elderly

7. What does a low FEV1 measurement indicate in a COPD patient?

A.Normal lung function
B.Severe airflow limitation
C.Allergy response
D.Excessive exercise

8. What is the primary role of a bronchodilator during an asthma attack?

A.To reduce inflammation
B.To relax airway muscles
C.To prevent triggers
D.To increase mucus production

9. Fill in the blank: The __________ is the most significant risk factor for developing COPD.

A.Indoor air pollution
B.Smoking
C.Genetic factors
D.Viral infections

10. Which term describes a fast-acting medication for acute asthma symptoms?

A.Long-term control medication
B.Rescue inhaler
C.Corticosteroid
D.Antihistamine

11. What is a common trigger for COPD exacerbations?

A.High altitudes
B.Cold weather
C.Respiratory infections
D.Increased physical activity

12. Which of the following is NOT a symptom of asthma?

A.Wheezing
B.Chest tightness
C.Sneezing
D.Coughing

13. How does COPD typically differ from asthma?

A.COPD is reversible; asthma is not
B.COPD is progressive; asthma can improve
C.COPD has no symptoms; asthma does
D.COPD occurs only in children

14. How frequently should a patient perform peak flow measurements?

A.Once a week
B.Once a month
C.At least twice daily
D.Every hour

15. What is the primary purpose of bronchodilators in COPD management?

A.To reduce sputum production
B.To increase lung capacity
C.To relax airway muscles
D.To prevent infections

16. Fill in the blank: Asthma is characterized by _______ and airway inflammation.

A.chronic pain
B.reversible airflow obstruction
C.permanent damage
D.excess mucus production

17. Which nursing action is essential when caring for a COPD patient experiencing shortness of breath?

A.Administering antibiotics
B.Encouraging effective coughing
C.Limiting fluid intake
D.Reducing oxygen levels

18. What is the difference between long-term control medications and quick-relief medications?

A.Long-term prevents symptoms, quick-relief treats symptoms
B.Both have the same function
C.Long-term is for emergency use
D.Quick-relief is taken daily

19. True or False: Oxygen therapy can be detrimental for some COPD patients.

A.True
B.False
C.Depends on the patient
D.Only during exercise

20. What does an asthma action plan typically include?

A.Dietary guidelines
B.Daily management steps and emergency actions
C.Exercise regimes
D.Medication side effects

21. What is pursed-lip breathing primarily used for?

A.Increasing lung capacity
B.Reducing anxiety
C.Controlling shortness of breath
D.Clearing secretions

22. Identify a side effect of inhaled corticosteroids.

A.Increased energy
B.Oral thrush
C.Dry skin
D.Increased appetite

23. What is the normal target SpO2 range for COPD patients?

A.94-100%
B.88-92%
C.75-80%
D.82-86%

24. Cause → Effect: Exposure to allergens leads to what outcome in asthma patients?

A.Decreased wheezing
B.Increased airway inflammation
C.Improved lung function
D.Reduced symptoms

25. Which of the following best describes a pulmonary rehabilitation program?

A.A medication regimen
B.A surgical procedure
C.A comprehensive exercise and education program
D.Only for severe cases

26. True or False: Asthma can be completely cured.

A.True
B.False
C.Only in children
D.Only in adults

27. Which sign indicates respiratory distress in a COPD patient?

A.Increased appetite
B.Use of accessory muscles
C.Skin hydration
D.Normal respiratory rate

28. What is the purpose of a spacer device when using an inhaler?

A.To increase medication delivery to the lungs
B.To decrease medication dosage
C.To prevent coughing
D.To warm the medication

29. What role do corticosteroids play in the management of COPD?

A.To increase lung volume
B.To reduce airway inflammation
C.To induce coughing
D.To prevent infections

30. Which of the following is a common allergen that can trigger asthma attacks?

A.Pollen
B.Bananas
C.Tomatoes
D.Potatoes

31. What is one key component of a care plan for a COPD exacerbation?

A.Encouraging bed rest
B.Administering bronchodilators
C.Limiting oxygen use
D.Avoiding communication

32. Signs of worsening asthma include which of the following?

A.Increased energy
B.Frequent use of rescue inhaler
C.Weight gain
D.Improved breathing

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