MRCP UK EXAMINATIONS

RESPIRATORY

CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A nurse determines the interventions to promote airway clearance in a client with chronic obstructive pulmonary disease (COPD) are successful based on which of the following findings?
A
Improved mental status
B
Effective productive cough
C
ABG’s within normal range
D
Absence of dyspnea
Explanation: 

Detailed explanation-1: -Smoking cessation. This is the single most cost-effective intervention to reduce the risk of developing COPD and to stop its progression. Healthcare providers should promote cessation by explaining the risks of smoking and personalizing the “at-risk” message to the patient.

Detailed explanation-2: -The best interventions for COPD are smoking cessation to decrease damage, nebulizers, and inhalers to open the lungs and decrease inflammation, careful oxygen supplementation, and a BIPAP or CPAP to blow off built-up carbon dioxide from the body.

Detailed explanation-3: -Controlled coughing helps maintain a patent airway by helping to mobilize and remove secretions. A moderate fluid intake (usually 2 quarts [2 liters] or more daily) and moderate activity help liquefy and mobilize secretions.

Detailed explanation-4: -The single most important intervention in modifying the course of COPD in patients who smoke is smoking cessation.

There is 1 question to complete.