Chapters 22 & 23: Respiratory

Question 1

Which drug helps reduce the craving to smoke?

Answer 1

Bupropion

Question 2

what is Pulmonary Function Tests (PFTs)?

Answer 2

PFTs are useful to determine the cause of dyspnea

Question 3

dyspnea

Answer 3

shortness of breath, or difficulty breathing.

Question 4

Pleural Friction Rub

Answer 4

is heard as a loud, rough, grating, scratching sound on auscultation.

Question 5

Bupropion s/e to watch out for

Answer 5

can cause changes in behavior, including manic behavior and hallucinations.

Question 6

what is Tympany?

Answer 6

it is a high pitched sound of short duration that has a musical, drum like quality. when heard over a lung, it indicates pneumothorax.

Question 7

Class II Dyspnea

Answer 7

is experienced only when the patient has dyspnea restricted to some nonessential ADLs

Question 8

Class I Dyspnea

Answer 8

has no restrictions

Question 9

Class III Dyspnea

Answer 9

occurs with daily ADLs

Question 10

A patient is being transported to an emergency department after
a motor vehicle crash that resulted in severe head and neck
injuries. Which procedure will be used by emergency medical
services (EMS) if it is the only way to secure the patient’s airway?
Tracheotomy

Answer 10

Cricothyroidotomy is a procedure performed by EMS to hold an airway open until trachetomy can be performed.

Question 11

Which treatment is a last resort for very severe obstructive sleep
apnea (OSA) that does not respond to moderate interventions?

Answer 11

Tracheostomy

Question 12

Which device delivers low-flow oxygen?

Answer 12

Nasal cannula

Question 13

Which value indicates clinical hypoxemia?

Answer 13

Partial pressure of arterial oxygen (Pao2) of 50 mm Hg indicates low levels of oxygen in the blood.

Question 14

Which intervention would the nurse include in the plan of care for
a patient receiving oxygen via a high-flow oxygen delivery system?

Answer 14

Auscultate breath sounds every 2 hours to look for signs of atelectasis.

Question 15

Which oxygen delivery equipment could provide a fraction of
inspired oxygen (Fio2) greater than 80%?

Answer 15

Nonrebreather mask

Question 16

Which respiratory device can be used to provide a patient with
an 80% fraction of inspired oxygen (Fio2)?

Answer 16

Face tent.
Aerosol Mask.
High flow nasal cannula

Question 17

Which device is an example of a low-flow oxygen delivery system
used for long-term therapy?

Answer 17

nasal cannula

Question 18

Which test is most often used to diagnose obstructive sleep apnea?

Answer 18

polysomnography

Question 19

what is true about chest tube?

Answer 19

An increase in drainage after ambulation is normal but should be monitored closely.

Question 20

When transporting a patient with a mediastinal tube, which action is the most appropriate?

Answer 20

Ensuring that the CDS is below the thoracic level

Question 21

When managing a CDS, which action should the nurse take?

Answer 21

Ensure that the chest tube is not stripped.

Question 22

Which condition is a complication of stripping the entire length of a pleural chest tube?

Answer 22

Damage to the pleural tissues

Question 23

pneumothorax

Answer 23

Air in the pleural space, causing a loss of negative pressure.

Question 24

What is another potential cause of traumatic pneumothorax?

Answer 24

needle biopsy of the lung

Question 25

The most dangerous or life-threatening type of pneumothorax is:

Answer 25

Tension pneumothorax is a medical emergency that can lead to severe respiratory distress, hemodynamic instability, and even death if not treated promptly

Question 26

Common sign/symptom of pneumothorax is:

Answer 26

chest pain
SOB

Question 27

The nurse is caring for a client after a motor vehicle accident. Which assessment findings lead the nurse to call the provider and obtain chest tube supplies?

Answer 27

dyspnea and absent breath sounds.

Question 28

Pleural effusion can be caused by:

Answer 28

Infection

Hypoalbuminemia

Heart failure

Question 29

an assessment finding most consistent with a pleural effusion

Answer 29

sharp chest pain with inhalation.