med surge exam 7

Question 1

tripod position facilitates

Answer 1

easier breathing by displacing the diaphragm

Question 2

Compare sounds on each side, can help identify

Answer 2

normal vs abnormal sounds (lungs

Question 3

Coarse crackles

Answer 3

moist bubbling sounds heard on inspiration and expiration

Question 4

placing a patient in high fowlers position will help with

Answer 4

ventilation while contacting HCP. Patient’s immediate needs come 1st

Question 5

place people in high fowlers position for

Answer 5

maximum lung expansion

Question 6

Non-rebreathers work properly when both

Answer 6

side vents are closed during inhalation and reservoir bag is inflated

Question 7

Know that use of an adrenergic bronchodilator, MDI, more often than prescribed can

Answer 7

worsen symptoms

Question 8

chest tube drainage system goes

Answer 8

below chest level

Question 9

vigorous bubbling in water seal chamber indicates

Answer 9

an air leak

Question 10

Maximum time for suctioning a trach is

Answer 10

15 seconds

Question 11

• If you hear a ventilator alarm in a patient’s room check

Answer 11

the patient, then the machine

Question 12

resting tidal volume is

Answer 12

400 – 600 mL

Question 13

wheezes and stridor indicate

Answer 13

airflow obstruction

Question 14

Crepitus

Answer 14

air leaking into chest wall and feels like rice krispies

Question 15

how to care for a patient with epistaxis

Answer 15

lean forward not back( the stomach does not like blood)

Question 16

post op nasal, tonsil, or thyroid surgery, a patient that swallows frequently

Answer 16

could be bleeding

Question 17

• No sedatives for

Answer 17

sleep apnea patients, worsens sleep apnea by relaxing muscles of pharynx

Question 18

strepp throat can lead to

Answer 18

glomerulitis

Question 19

warm or hot fluids can cause dilation of

Answer 19

blood vessels (epistaxis)

Question 20

• Pt diagnosed with influenza that develops wheezes and crackles may indicate

Answer 20

pneumonia

Question 21

in post op the nurse will reinforce careful use of

Answer 21

narcotics to promote deep breathing and coughing

Question 22

pollutants such as powders, chemical and hair can enter a trach and

Answer 22

cause irritation or infection

Question 23

after a laryngectomy, the nurse will conclude the nutritional status is

Answer 23

adequate if alternative feeding methods are tolerated.

Question 24

when a patient with West Nile virus is improving, they are

Answer 24

alert and oriented

Question 25

Pneumonia – important labs are

Answer 25

CBC and ABG

Question 26

pleural effusion is excess fluid in

Answer 26

pleural space

Question 27

a patient with pleural effusion and SOB

Answer 27

Thoracentesis

Question 28

the cause of atelectasis

Answer 28

blockage of the air passages

Question 29

how to do pursed lip breathing with

Answer 29

someone with SOB

Question 30

when a patient has COPD do not give antitussives

Answer 30

interferes with ability to cough up secretions

Question 31

Increasing fluid intake helps to

Answer 31

thin secretions

Question 32

If you believe a patient has a PE, and are gasping and anxious

Answer 32

call for help apply o2

Question 33

Bilateral lung sounds are present when a

Answer 33

pneumothorax is improving

Question 34

what to do in viral rhinitis

Answer 34

Saline nasal sprays

Question 35

what esophageal speech is and who uses it

Answer 35

a technique for producing speech sounds without using the larynx, for people whose larynges are lacking or disabled