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Procedures and Pharmacology Practice Exercises

CASE STUDY: CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)—cont’d

Case Study Questions

1. Upon admission, Helga was: a. having chest pain

b. very short of breath c. breathing very slowly d. unconscious

2. Helga had:

a. an increased ability to breathe in b. a decreased ability to breathe in c. an increased ability to breathe out d. a decreased ability to breathe out 3. Helga’s oxygen saturation level was: a. checked by pulse oximetry b. at a normal level c. not known d. higher than normal 4. When listening to Helga’s lungs, the physician heard: a. normal sounds of air movement

b. a somewhat musical sound caused by partial airway obstruction c. a high-pitched upper-airway sound that indicates airway obstruction d. a barking, “seal-like” cough 5. Which of the following statements is true? a. Helga normally slept lying down. b. It is always safe to give high levels of oxygen to people with COPD. c. Supplemental O 2 effectively relieves dyspnea in the final stages of COPD. d. Helga’s chest cavity had most likely become more barrel-like in shape. 6. Which of the following statements is correct? a. Cilia continue to work effectively in people with late-stage COPD. b. The only cause of COPD is smoking. c. People with COPD tend to develop chronic O 2 retention. d. Arterial blood was immediately drawn to analyze the levels of O 2 , CO 2 , and pH. 7. In a person with healthy lungs, the drive to breathe is stimulated by: a. low levels of oxygen b. a drop in blood pH caused by high levels of CO 2 c. a feeling of emptiness in the lungs d. a neurological message sent from the brain to the lungs 8. Describe how COPD could impact a person’s activities of daily living (ADLs). 9. The person with COPD may not be interested in exercise or an active lifestyle due to difficulty with breathing. Identify some consequences of inactivity.

Learning Tip Find videos about the respi- ratory system, and patholo- gies affecting the respiratory system, to supplement this text. Have discussions with friends or family members who have respiratory condi- tions. Associating new infor- mation with a good video or someone you know has been shown to improve recall.

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