Author Question: How are asthma and chronic obstructive pulmonary disease (COPD) different? a. COPD is a genetic ... (Read 87 times)

jwb375

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How are asthma and chronic obstructive pulmonary disease (COPD) different?
 
  a. COPD is a genetic disease whereas asthma is largely caused by allergies.
  b. Breathing problems with asthma are reversible but those with COPD are perma-nent.
  c. Asthma is a disease of children and younger adults whereas COPD is found only in older adults.
  d. Breathing problems with COPD can lead to death, whereas those with asthma are not severe enough to be fatal.

Question 2

A patient who has been on antibiotic therapy for 3 weeks has a cottage cheeselike coating on the teeth, gums, and roof of the mouth. What is the nurse's best action?
 
  a. Take a specimen and send it to the laboratory for culture.
  b. Hold the dose and notify the prescriber immediately.
  c. Document this expected finding as the only response.
  d. Assist the patient to perform frequent mouth care.



jrpg123456

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Answer to Question 1

B
Asthma is a problem of airway obstruction caused by constriction of the bronchial smooth mus-cles that surround the airways and by inflammation in the airways. It occurs in episodes or at-tacks. Between attacks, the airways are open. Thus the problem is intermittent and reversible. COPD, however, has permanent airway changes and is not cured by therapy. Both disorders can cause such severe airway obstruction that death occurs.

Answer to Question 2

D
Prolonged antibacterial therapy can cause an oral yeast infection (thrush) by killing off the normal flora of the mouth. This infection causes a white, cottage cheeselike coating on the gums, roof of the mouth, or insides of the cheeks, which is not an allergic reaction nor is it a reason to stop the drug therapy. Help the patient use good oral hygiene with tooth-brushing and mouthwash at least every shift.



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