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NR 507 Week 3 Assignment; Alterations in Pulmonary Function

Chamberlain University Nursing NR 507 Advanced Pathophysiology Aaron Boone 10 pages
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NR 507: Week 3: Alterations in Pulmonary Function The NP is seeing a patient with chronic bronchitis that needs spirometry on today's visit. What pulmonary function test (PFT) findings are anticipated based on the diagnosis of chronic bronchitis? 92456048422924560313852924560580552Decreased diffusing capacity. Decreased forced expiratory flow (FEV1). Decreased total lung capacity (TLC). 92456031277Increased lung compliance. 924560278928Simple spirometry can be used to measure any of the following EXCEPT: Vital capacity. 92456045883Tidal volume. 92456081443924560348143Inspiratory reserve volume. Residual volume. FEV1/FVC Ratio The NP notes that a patient’s FEV1/FVC ratio is severely reduced. Which of the following conditions is most likely the patient’s pulmonary issue? 924560142403924560409103924560674533Chronic asthma. Pulmonary hypertension. Pneumonia. 92456012597Morbid obesity. The NP reviews the results of a patient’s pulmonary function tests and notes that the FEV1, FVC, and total lung capacity (TLC) are reduced. The FEV1/FVC ratio is normal. Based on interpretation, this reflects: 92456047788924560313218Obstructive lung disease. The test is invalid. 92456013321Restrictive lung disease. 92456082078Combined obstructive-restrictive lung disease. 80% Forced Vital Capacity A patient with normal lungs should be able to exhaleof the forced vital capacity within the first second. Which of the following would indicate obstructive lung disease? 92456059217924560325917Chronic asthma. Pneumonia. 92456012228924560278928Pulmonary hypertension. Pulmonary fibrosis. FEV1/FVC Ratio The NP notes that a patient’s FEV1/FVC ratio is normal. Which of the following conditions is most likely the patient’s pulmonary issue? 924560142403924560409103924560674533Pneumonia. Chronic asthma. Emphysema. 92456012597Pulmonary fibrosis. Chronic bronchitis will decrease which of the following parameters? 924560142403924560407833924560674533Decreased total lung capacity. Decreased forced expiratory flow (FEV1). Increased lung compliance. 92456012862Decreased diffusing capacity. Simple Spirometry Simple spirometry includes a measure of residual capacity. 924560142403924560409103True False Restrictive Lung Disease Which of the following spirometry results indicate restrictive lung disease? 924560142403FEV1, FEV, and total lung capacity normal: FEV1/FVC ratio normal. 92456082078FEV1 reduced, FVC normal, total lung capacity reduced; FEV1/FVC ratio normal. 92456014133924560280833FEV1, FEV, and total lung capacity reduced; FEV1/FVC ratio reduced. FEV1, FVC, and total lung capacity reduced; FEV1/FVC ratio normal. Which of the following is considered a late effect of emphysema? 924560143038Hypercapnia. 92456059217924560325917Hypocapnia. Hypoxemia. 92456012050Hypoxemia and Hypercapnia. Alpha-Antitrypsin 1 Deficiency The effects of an Alpha-antitrypsin 1 deficiency is: 924560143038Deactivates neutrophils. 92456082077924560347507Inability to block the effects of proteolysis. Reduction in elastase production. 92456013320Inhibits the immune cell response. Chronic Bronchitis A patient with chronic bronchitis is most likely to experience: 924560142403924560407833924560674533924560939963Respiratory acidosis due to inability to exhale CO2. Respiratory acidosis due to decreased intake of O2. Respiratory alkalosis due to inability to exhale CO2. Respiratory alkalosis due to inability to exhale CO2. Chronic Bronchitis The number one cause of chronic bronchitis is cigarette smoking. Pulmonary Function Tests Which of the following pulmonary function test results are expected in a patient with chronic bronchitis? 924560144308924560409738Increased forced expiratory volume in one second. (FEV1) Decreased FEV1/FVC ratio. 92456013498924560278928Decreased residual volume. Increased vital capacity. Signs and Symptoms The signs and symptoms for chronic bronchitis and emphysema are compared in the table below. Can you identify which is which? Clinical Manifestations Chronic Emphysema Bronchitis Productive cough Classic sign Late in course with Clinical Manifestations Chronic Emphysema Bronchitis infection Dyspnea Late in course Common Wheezing

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