Common: Respiratory/Pulmonary Flashcards
Resp: A pt with thick mucus secretions is educated to increase fluid intake. What is the rationale?
Increasing fluid intake will thin secretions and make them easier to excrete.
Resp: The nursing priority for any assessment, and especially when there is known respiratory compromise is:
Hemodynamics- Airway, Breathing, Circulation (ABCs)
Resp: A pt with any disease process or treatment that contributes to immunocompromise is at highest risk for:
acquiring opportunistic infection like pneumonia
Resp: The nurse is admitting a patient with community-acquired bacterial pneumonia and determines that their respiratory status is stable. What is the next priority action?
Administer the first dose of IV antibiotic therapy
Resp: List at least 3 nursing interventions that should be used for patients at risk for developing pneumonia.
- Turn, cough, deep breath
- Use of an incentive spirometer
- Regular ambulation if possible
- Encourage fluid intake
Resp: Describe hospital (HAP) & ventilator-acquired pneumonia (VAP)
Pneumonia that develops after at least 48 hrs of hospitalization is considered a HAP. Pneumonia that occurs at least 48 hrs after intubation is a VAP.
Resp: Describe the latent phase of TB
TB is considered latent when the virus lives in the body but is not growing, is not spreadable, and does not cause symptoms
Resp: The type of drug that is most effective in the treatment of persistent asthma
Inhaled corticosteroids are more effective in improving asthma than any other drug and are indicated for all patients with persistent asthma.
Resp: Describe the rationale for teaching patients to rinse their mouths after using an inhaler for asthma.
Inhaled corticosteroids can cause oral candidiasis which leaves white patches on the tongue and cheeks.
Resp: The rationale for recommending pursed lip breathing to patients with COPD.
Pursed lip breathing is a technique that prolongs exhalation and maintains positive airway pressure
Resp: why might a pt with COPD also have peripheral edema?
Right ventricular failure (Cor Pulmonale) causes peripheral edema secondary to pulmonary hypertension
Resp: The most effective primary care method of preventing community-acquired pneumonia is?
Pneumococcal vaccine
Resp: Diagnoses such as TB and COVID require which type of isolation?
Airborne precautions are used for patients with airborne diseases like TB and COVID.
Resp: Why Pts should be cautioned about the overuse of albuterol inhalers.
Overuse of albuterol can cause rebound bronchoconstriction
Resp: Describe the relationship of O2 and CO2 in patients with COPD
Pts with severe COPD are considered CO2 retainers, meaning that they are not able to blow off CO2 appropriately and high amounts of supplemental O2 can lead to respiratory acidosis.
