mod 1 Flashcards

1
Q
  1. The key anatomic landmark that separates the upper respiratory tract from the lower respiratory tract is the
A
  1. carina
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2
Q
  1. A patient asks, “How does air get into my lungs?” The nurse bases her answer on knowledge that air moves into the lungs because of
A

d. a decrease in intrathoracic pressure from an increase in thoracic cavity size.

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3
Q
  1. The nurse can best determine adequate arterial oxygenation of the blood by assessing
A

c. arterial oxygen partial pressure.

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4
Q
  1. Defense mechanisms that help protect the lung from inhaled particles and microorganisms include the (select all that apply)
A

a. cough reflex.
b. mucociliary escalator.
c. alveolar macrophages.
d. reflex bronchoconstriction.

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5
Q
  1. A student nurse asks the RN what can be measured by arterial blood gas (ABG). The RN tells the student that the ABG can measure (select all that apply)
A

a. acid-base balance.
b. oxygenation status.
c. acidity of the blood.
d. bicarbonate (HCO3–).

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6
Q
  1. To detect early signs or symptoms of inadequate oxygenation, the nurse would examine the patient for
A

b. apprehension and restlessness.

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7
Q
  1. During the respiratory assessment of an older adult, the nurse would expect to find (select all that apply)
A

c. increased residual volume.
d. decreased lung sounds at base of lungs.
e. increased anteroposterior (AP) chest diameter.

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8
Q
  1. When assessing subjective data related to the respiratory health of a patient with emphysema, the nurse asks about (select all that apply)
A

b. dyspnea during rest or exercise.
c. pulmonary function test results.
e. prescription and over-the-counter medication.

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9
Q
  1. When auscultating the chest of an older patient in mild respiratory distress, it is best to
A

b. begin listening at the lung bases.

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10
Q
  1. Which respiratory assessment finding does the nurse interpret as abnormal?
A

d. Bronchial breath sounds in the lower lung fields

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11
Q
  1. The nurse is preparing the patient for a diagnostic procedure to remove pleural fluid for analysis. The nurse would prepare the patient for which test?
A

a. Thoracentesis

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12
Q

which diagnostic test measures efficiency gas transer in lungs and tissue oxygenation

A

arterial blood gases

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13
Q

nose primary function

A

filter small particles from entering lower airway

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14
Q

interconnected structure allows movement aire btw alveoli

A

pores of kohn

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15
Q

decreased tactile fremitus would indicate pt may be experiencing which condition?

A

pleural effusion

decreased vibrations felt when pt talks

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16
Q

older adult may experience which age-related change resp system defense mechanism

A

decreased cilia function
decreased cell-mediated immunity

**look for defense mechanism answers only

17
Q

may cause pleural effusion?

A

blockage lymphatic drainage

imbalance btw intravascular and oncotic fluid pressure

18
Q

which condition associated with wheezing?

A

COPD

fine crackles- atelectasis
diminished - pleural effusion
fine/coarse crackles - pulmonary edema

19
Q

questions for pt’s sleep/rest pattern related to respiratory health?

A

trouble falling asleep?
awaken abruptly?
sleep with head elevated?

20
Q

which med may be prescribed for pt presents with fever, muscle aches, cough, sore throat, purulent sputum, and pos rapid flu test?

A

zanamivir - neuraminidase inhibitor acts by preventing budding and spreading virus to adjacent cells

21
Q

which anticholenergic nasal spray prescribed for pt w/nonallergic rhinitis?

A

ipratropium bromide

22
Q

coritcosteroid for pt diagnosed with sinusitis

A

flunisolide
triamcinolone
fluticasone mometasone

23
Q

septal deviation manifestations

A

epistaxis
facial pain
nasal congestion

24
Q

finding of flu

A

muscle aches
sore throat
temp 102.4F

25
Q

correlate asthma exacerbation w/ sinusitis?

A

postnasal drip in sinusitis can exacerbate asthma

26
Q

cromolyn usage for known allergy to dog?

A

15 min before contact

  • mast cell stabilizers inhibits secretion histamine and other inflammatory mediators
27
Q

which trach tube has openings on surface of cannula to permit airflow?

A

fenestrated trach tube

permits air flow over vocal cords - allows speech by connecting a port to compressed air, which flows over vocal cords

28
Q

humidification of air w trach pt

A

warms secretions
moisturizes secretions
prevents formation mucous plugs

29
Q

which pt data will rn monitor when suctioning pt w trach

A

HR

SpO2