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NURS 1355 > Passpoint > Flashcards

Passpoint Flashcards

1
Q

Clients chest tube disconnects from the drainage tube. What should the nurse do first

A

Put tube in water or clamp tube near the client

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2
Q

Which condition happens after severe multiple trauma to the body and is characterized by low blood gases that don’t respond to high levels of therapeutic oxygen

A

ARDS

Acute respiratory Distress syndrome

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3
Q

PPD Test

High risk:

Suspect TB
TB contact
Immunocompromised (HIV)

Positive Reading:

A

> 5mm

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4
Q

PPD Test

Medium risk:

Endemic country
Live/work in large-group setting
Healthcare settings
IV drug use4
<4 yrs old
Comodidades

Positive test

A

> 10mm

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5
Q

PPD Test

Low risk

Healthy Person

Doesn’t fall into other categories

Positive test

A

> 15

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6
Q

What is a high risk person for a PPD test

A

Suspected TB
Contact with TB
Immunocompromised (HIV)

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7
Q

Why must clients be weeded off steroids

A

To prevent Acute Adrenocortical insufficiency

Low cortisol levels

Shock
Low BP
Weakness confusion

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8
Q

What can a nurse teach a client with pneumonia who has severe pleuritic chest pain?

A

Splint the ribs when coughing

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9
Q

Type of diet appropriate for a COPDer

A

High protein

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10
Q

How to diagnose CF.

A

Sweat chloride test

> 60 millimoles per liter =POSITIVE
59 - 30 Borderline
<30 normal

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11
Q

Name an intervention that a nurse does to help clear the airway in a client with CF

A

Chest physiotherapy

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12
Q

What does a positive tuberculin skin test mean…

A

Client has produced an immune response

It means that they have come into contact with TB, either through vaccination or exposure

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13
Q

Vesicular, Bronchial, Tracheal, Bronchovescular

Harsh, discontinuous sounds over trachea (in & exhale)

Soft, low pitched Lower lobes of lungs

Loud,high pitched over trachea, discontinuous, loudest during expiration

Medium-pitched continous sounds during (in & exhale) upper third of sternum between scapula

A

Vesicular
Soft, low pitched Lower lobes of lungs

Bronchovescular
Medium-pitched continous sounds during (in & exhale) upper third of sternum between scapula

Tracheal
Harsh, discontinuous sounds over trachea

Bronchial

Loud,high pitched over trachea, discontinuous, loudest during expiration

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14
Q

Soft, low pitched Lower lobes of lungs

A

Vesicular

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15
Q

Medium-pitched continous sounds during (in & exhale) upper third of sternum between scapula

A

Bronchovescular

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16
Q

Harsh, discontinuous sounds over trachea

A

Tracheal

17
Q

Loud,high pitched over trachea, discontinuous, loudest during expiration

A

Bronchial

18
Q

What is the priority nursing diagnosis for a client with pneumonia

Risk for falls
Ineffective breathing pattern
Impaired tissue integrity
Ineffective Airway Clearance

A

Ineffective Airway Clearance

19
Q

1 priority of New Tracheostomy

Tracheostomy care

A

Check tightness of ties

Fit 1 finger under ties

20
Q

Which is incorrect with Tracheostomy care

Change soiled tied and replace with 1 finger width space

Suction Tracheostomy tube before preforming care

Remove inner cannula and clean using universal precautions

Replace inner cannula and clean stoma site

A

Remove inner cannula and clean using universal precautions

Use STERILE precautions

21
Q

Is constant bubbling in the water seal chamber of a chest drain normal?

Is tidling (up & down levels of water) Normal in water seal area

A

Is constant bubbling in the water seal chamber of a chest drain normal?

No, slight intermittent bubbles normal

Is tidling (up & down levels of water) Normal in water seal area

Tidaling is normal in water seal area

22
Q

Acid base imbalance associated with Status Asthmaticus

A

Respiratory Acidosis

23
Q

Malignant hyperthermia (MH) ….

Occurs…

A

Rare but life-threatening condition

Severe reaction to anesthesia drugs

24
Q

Rhabdomyosis is the breakdown of muscles from (Strenuous Activy, hyperthermia, crush & burn injuries)

The consequence is leakage of creatine kinase, muscle enzymes, and myoglobin into the bloodstream.

What severe consequence can happen and how can we prevent this.

A

AKI acute kidney injury

Isotonic fluids

25
Q

With rhabdomyosis what happens to the K levels

A

Increase

They are relased into blood from the broken muscle cells

26
Q

Neuropletic malignant syndrome happens from….

S/S

A

Adverse reaction to Antipsychotic drugs.

S/S: high fever, sweating, tachycardia/penia, muscle rigidity.

27
Q

Myxedema coma is a rare and life-threatening complication of
______that can cause organ abnormalities and altered sensorium.

It occurs when____ hormonelevels drop to very low levels, causing symptoms like confusion,drowsiness,andhypothermia.

Myxedema coma is usually seen in the elderly, and can be triggered by stressful events

A

hypothyroidism

thyroid

NURS 1355 (12 decks)

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