Gas Exchange

Question 1

an expectorant used to aid in the expectoration of excessive mucus that has accumulated in the respiratory tract

Answer 1

guaifenesin

Question 2

albuterol (beta agonist) relieves symptoms of an asthma attack by…

Answer 2

dilating the bronchi

Question 3

positive response to guaifenesin?

Answer 3

increased sputum production

Question 4

decongestants have adrenergic effects that may result in what?

Answer 4

hypertension

Question 5

when using a metered-dose inhaler, what helps the patient coordinate the activation of the inhaler with their breathing?

Answer 5

using the MDI with a spacer device

Question 6

what physiological process protects the lower respiratory system?

Answer 6

goblet cells secrete mucous to trap particles and irritants

Question 7

what med blocks the action of histamine?

Answer 7

cetirizine

Question 8

what med can help with inflammation

Answer 8

prednisone

Question 9

what is the #1 action in reducing the incidence of lung disease?

Answer 9

use of protective equipment

Question 10

narrow airway lumen due to inflammation, intermittent bronchospasms, stimulation of disease process by allergies

Answer 10

characteristics of asthma

Question 11

increased AP diameter, decrease appetite, unexplained weight loss, sitting in a chair leaning forward with elbows on knees

Answer 11

COPD findings

Question 12

anticholingeric effects (dry mouth, nose, throat), mild drowsiness

Answer 12

cetirizine side effects

Question 13

teaching points of cetirizine

Answer 13

fluids, hard candy for dryness, do not drive until know effects

Question 14

this med dilates the bronchi

Answer 14

albuterol

Question 15

tremors, jittery, tachycardia, heart palpitation

Answer 15

side effects of albuterol

Question 16

guaifenesin client education:

Answer 16

increase fluids, take with food for GI upset, change positions gradually, sit/lay down if dizzy

Question 17

what do you use dextromethorpan for?

Answer 17

nonproductive cough

Question 18

teaching points of? taper off, report high blood sugar signs, report weight gain/edema, weight bearing exercises, vitamin C

Answer 18

prednisone

Question 19

what is phenylephrine?

Answer 19

decongestant

Question 20

CNS stimulation, HTN, rebound congestion poss. with nasal sprays, tachycardia

Answer 20

phenylephrine side effects

Question 21

Increased AP diameter, tripod position, decreased appetite, weight loss, pursed lip breathing, decreased breath sounds, wheezing

Answer 21

s/s of COPD

Question 22

smoking cessation, oxygen (keep sats > 90%), evaluate for irritants, vaccine (flu & pneumonia), RT, PT, nutrition therapy, teach pursed lip breathing for anxiety

Answer 22

nursing interventions for COPD