Module 2 Jeopardy Game Review Question/Answers Flashcards

1
Q

The normal body pH level and normal PCO2 levels are noted as these valves.

A

What is pH 7.35 to 7.45 and PCO2 35 to 45?

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2
Q

As the nurse caring for a client who has experienced a stroke and now has dysphagia you understand that when feeding this client you should be concerned this potential complication that could result in pneumonia.

A

What is aspiration?

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3
Q

When a client has a bluish discoloration of the skin, nail beds, and mucous membranes the findings would be charted in the electronic medical record as this medical term.

A

What cyanosis?

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4
Q

When reading a client’s orders placed by the physician the nurse understand that continuous monitoring of oxygen saturation is completed with a ___________ (invasive or non-invasive) pulse oximetry monitoring device.

A

What is non-invasive?

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5
Q

Diastole is the period in time when the ventricles relax and fill with blood. True or false.

A

What is true?

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6
Q

The nurse understands that nitroglycerin can relieve chest pain in a patient with stable angina because it has this effect in the body.

A

What is dilation of blood vessels to allow more blood flow and therefore oxygen, nutrients, and the removal of waste?

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7
Q

The most terminal air space that is the site of gas exchange between the air and blood within the lungs that the nurse would complete a focused assessment in any client experiencing an airway gas exchange issue.

A

What is alveoli?

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8
Q

Pneumonia has occurred in a patient admitted to the critical care unit 48 hours ago which would be documented in the patient chart as ______.

A

What is hospital-acquired?

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9
Q

Cool humidified air is used in the treatment of this respiratory condition.

A

What is croup? The cool humidified air reduces the airway spasms that are occurring in these patients.

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10
Q

This is the structure in the respiratory system also known as the windpipe.

A

What is trachea? The trachea is the central structure which then has two bronchus branching off with secondary bronchi extending further until the terminal bronchioles are reached.

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11
Q

Cardiac tamponade and pericardial effusion can be life-threatening when this change occurs in the pericardial sac.

A

What is the pericardial sac fills rapidly and compresses the heart?

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12
Q

This medication can be given to a client with heart failure to improve the force of contraction and therefore improve cardiac output.

A

What is digoxin?

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13
Q

The right and left lungs are soft, spongy, cone shaped organs located in the chest cavity which are divided into lobes. The number of lobes each lung has is necessary for the nurse to understand due to patient assessment. You would advise a new nurse that the right lung has _____ lobes and the left lung has _______ lobes.

A

What is the right lung has 3 lobes and the left lung has 2 lobes.

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14
Q

The nurse is teaching a client about treatment of the common cold. In educating the client the nurse states that the common cold is a ______ and therefore is treated by following these recommendations.

A

What is the common cold is a virus and treated with symptom management through the usage of antipyretic (fever reducing) medications, decongestants, saline nasal spray, rest, and fluids.

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15
Q

A client who is 12 hours post surgery complains of sudden onset chest pain, shortness of breath, and feeling of impending doom. Upon assessment the nurse notes the client’s skin appears cyanotic and the vital signs are as follows Temp 99, RR 40, HR 165, BP 89/55, O2 sat 84% on RA, and pain 10/10. The nurse knows that the client is most likely experiencing a serious complication that may have been prevented by the following measures.

A

What is the client is most likely experiencing a pulmonary embolism (PE) which may have been prevented with prophylactic anticoagulants, early ambulation, and sequential compression device (SCD) usage.

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16
Q

Barrel-chest (increase in a-p diameter), pursed-lip breathing, shortness of breath, and clubbing of the nails are findings noted in this pulmonary disease.

A

What is COPD (chronic obstructive pulmonary disease)? Specifically this could indicate emphysema.

17
Q

The nurse is caring for a client in a busy intensive care unit who has been diagnosed with having a MI (heart attack) and is awaiting transport to the cardiac cath lab for treatment. The client cardiac monitor at the central desk shows ventricular fibrillation. The nurse knows that the treatment for this conduction disorder is the following _________.

A

What is immediately defibrillation due to the fact that this is a deadly rhythm if treatment is delayed?

18
Q

A client with a history of a-fib is at an increase risk for this complication.

A

What is DVT, PE, MI, CVA?

19
Q

A nurse caring for a preterm infant born at 26 weeks gestation would prioritize the infants respiratory status because the infant’s lungs may be under developed and the type II alveolar cells may not produce this substance that decreases surface tension in the alveoli.

A

What is surfactant?

20
Q

A 4 year-old child presents to the emergency department with symptoms of difficulty breathing, drooling, sore throat, and high fever. The child is currently sitting in the tripod position appearing “air hungry.” The nurse understands what the most likely diagnosis is for this patient; therefore, when the laboratory technician enters the room to lay the child back and to draw blood the nurse would advise the following.

A

What is wait to complete any procedure on a child who has a suspected airway obstruction such as epiglottitis because laying the child flat, assessing the throat, or causing the child to cry may result in complete airway obstruction and cardiopulmonary arrest?

21
Q

This condition is a risk for hospitalized clients confined to a bed and preterm infants. Prevention is key. In preterm infants we administer betamethasone as an injection to the pregnant mother to assist in lung maturation. In bed bound hospitalized patients we encourage turn, cough, and deep breathing.

A

What is atelectasis? This condition results in an incomplete expansion of a lung or portion of the lung. This condition is also noted as a complete or partial collapse of the entire lung or lobe of the lung. It occurs when the alveoli within the lung become deflated or possibly filled with alveolar fluid.

22
Q

A child presents with wheezing, chest tightness, accessory muscle usage, and increased respiratory rate after being exposed to cat dander at a friends home. The nurse knows that the child is experiencing an acute exacerbation of this chronic disorder of the airways that results in airway inflammation.

A

What is asthma attack? The correct treatment is to provide quick acting relief medications beta 2 adrenergic agonists (albuterol), avoid triggers, potentially administer steroid medications or racemic epi in severe attacks.

23
Q

A client complains of a chronic cough, blue discoloration of the skin, wheezing, and increasing episodes of shortness of breath when going to his mailbox. The echocardiogram reports a EF of 40%. The nurse anticipates the client will have a diagnosis of _______.

A

What is left sided heart failure?

24
Q

Which of these clients will be at risk for a venous thrombosis related to venous stasis:

  1. Pregnant female
  2. Dehydrated client
  3. Client on bed rest
  4. Client with sinus tachycardia
A

What is client on bed rest?

25
Q

This breathing pattern is abnormal and characterized by cyclical episodes of apnea and hyperventilation which may be seen in a patient who is dying.

A

What is Cheyne-stokes respirations?

26
Q

This is the organism that results in pneumonia from warm standing water rising into the air.

A

What is Legionnaire?

27
Q

The nurse is caring for a client who was the unrestrained driver in a MVA. The client is holding his chest, appears short of breath, and upon further assessment is noted to have asymmetry of the chest and diminished breath sounds on the affected side. The following images are a visual representation of the patients trachea assessment and chest x-ray results. Note the black line drawn on the patient’s skin indicates the trachea. The most likely diagnosis for this client is ___________.

A

What is a tension pneumothorax which is a result of air in the pleural spaces most commonly from trauma. This is an emergency condition.

28
Q

This respiratory condition is highly contagious from droplet transmission and causes symptoms of fever, night sweats, persistent cough, bloody phlegm, and shortness of breath.

A

What is TB (Tuberculosis)?

29
Q

A client is admitted to the post surgical care unit following a left popliteal embolectomy completed to resolve the patient’s symptoms of rapid onset of left lower leg numbness, paralysis, and non-palpable left lower leg pulses. The nurse understands that a popliteal embolectomy can be used to treat this medical condition experienced by the client and documented as _________ in the patient’s chart.

A

What is acute arterial occlusion?

30
Q

Describe the correct sequence of blood flow through the heart.

A

What is the:

  • superior / inferior vena cava,
  • right atrium,
  • tricuspid valve,
  • right ventricle,
  • pulmonary semilunar valve,
  • pulmonary artery,
  • lungs for oxygenation,
  • pulmonary vein,
  • left atrium,
  • bicuspid /mitral valve,
  • left ventricle,
  • aortic valve,
  • aorta
  • systemic circulation to the body