NUR 118 - Week 8 KAHOOT - Respiratory Flashcards
What stimulates a normal person to breathe?
Elevated carbon dioxide levels
What stimulates a patient with COPD to breathe?
Low O2
Respiratory centers located WHERE, control breathing using feedback from chemo and lung receptors?
Brainstem
What are respiratory meds that relax smooth muscles lining the airways?
Bronchodilators
Respiratory distress can be determined by which s/s?
Restlessness
Cyanosis
Dyspnea
O2 Saturation less than 90
What are examples of independent nursing interventions for respiratory?
HOB @ 90 degrees
Monitor Pulse Oximetry
Suction
NOT Applying O2. May be done independently initially, but ALWAYS requires order, even 2L O2
If a patient is unable to move secretion’s from their respiratory tract what should you do?
Suction
Which are possible complications of suctioning?
hypoxemia
atelectasis
bronchospasms
mucosal trauma
infection
pneumothorax (Collapsed lung)
PATIENT HEALTH EDUCATION FOR CHRONIC RESPIRATORY DISEASES INCLUDE? SATA
INFECTION CONTROL PRACTICES
LIMIT EXPOSURE TO CROWDS
IMMUNIZATIONS
A CLIENT WITH CHRONIC HYPOXIA MAY PRESENT WITH WHICH S/S?
- Clubbing of fingers
- Cyanosis
What are interventions that mobilize secretions?
Provide humidified oxygen
Increase fluids
Encourage deep breathing & coughing
WHAT LUNG SOUND DOES THE NURSE ANTICIPATE TO HEAR FOR A PATIENT WITH A PARTIAL UPPER AIRWAY OBSTRUCTION?
Strider
WHAT LUNG SOUND DOES THE NURSE ANTICIPATE TO HEAR FOR A PATIENT ADMITTED WITH Bronchitis?
Rhonchi (in the bronchi)
WHAT LUNG SOUND DOES THE NURSE ANTICIPATE TO HEAR FOR A PATIENT ADMITTED WITH EMPHYSEMA?
Rales
WHEN ASSESSING RESPIRATORY EFFORT WHICH DO YOU LOOK FOR?
ACCESSORY MUSCLE USE
INTERCOSTAL RETRACTIONS
NASAL FLARING
CONVERSATIONAL DYSPNEA
A PATIENT WITH COPD FROM EMPHYSEMA CAN PRESENT WITH? SATA
GRUNTING
BARREL CHEST
CYANOSIS
DIGITAL CLUBBING
GRUNTING
BARREL CHEST
DIGITAL CLUBBING
S/S OF SLEEP APNEA INCLUDE? SATA
CYANOSIS
MORNING HEADACHE
10-120 SECONDS OF APNEA
SNORING
MORNING HEADACHE
10-120 SECONDS OF APNEA
SNORING
ADMINISTERING TOO MUCH O2 TO A COPD PATIENT CAN CAUSE? SATA
HYPERCAPNEA
HYPOCAPNEA
HYPOXIA
APNEA
HYPOXIA
APNEA
DUE TO HYPOXIC DRIVE, THE BEST OXYGEN DELIVERY SYSTEM FOR A COPD PATIENT IS?
VENTURI MASK
What are the normal breathing sounds?
BRONCHIAL
VESICULAR
BRONCHO-VESICULAR
TO POSITION FOR MAXIMUM VENTILATION A PATIENT IN THE LATERAL POSITION SHOULD HAVE WHAT
PILLOWS TO SUPPORT THE UPPER ARM
Normal arterial blood oxygen levels
80-100mmHG
What interventions mobilize secreations. SATA
increase fluid intake
turning & positioning
postural drainage
chest physiotherapy
All of the above
