Quiz 2 - Resp Disorders Part 1

Question 1

what is the second most common nosocomial

Answer 1

HAP (hospital acquired PNA)

Question 2

what position is at risk for aspiration PNA

Answer 2

supine

Question 3

sign of PNA unique to elderly

Answer 3

confusion

Question 4

dx for PNA

Answer 4

CXR (pus in alveoli)

Question 5

nursing responsibility with PNA

Answer 5

give antiRX within 4 hours of admission

Question 6

with influenza it is important for the nurse to do what upon admission?

Answer 6

ask about vaccination history

Question 7

latent TB will have ___ PPD test but the pt will be ____

Answer 7

positive PPD test but the pt will be asymptomatic (and not contagious)

Question 8

TB is ____, not spread by fomites

Answer 8

airborne

Question 9

in the early stages of active TB there are no

Answer 9

symptoms

Question 10

sx of active TB

Answer 10

fever, perfuse night sweats, weight loss, anorexia, fatigue

Question 11

dx of TB (hint not screening)

Answer 11

3 sputum samples positive for acid fast bacilli (cultures confirm dx but may take up to 8 weeks)

Question 12

antiTB drugs can cause

Answer 12

hepatotoxicity

Question 13

nursing responsibility to watch for a hx of _____ and ____ with antiTB drugs

Answer 13

liver dz and alcoholism

Question 14

sign of a tension pneumo

Answer 14

deviated trachea

Question 15

3 classic signs and sx of pulmonary embolism

Answer 15

CP, dyspnea, hemoptysis

Question 16

pulmonary fungal infections are treated with drugs that end in

Answer 16

azole

Question 17

___ pressure draws air into lungs

Answer 17

negative

Question 18

on inspiration muscles _____ and thoracic cavity ____

Answer 18

contract and thoracic cavity expands

Question 19

_____ is the measure of ease of expansion of lungs

Answer 19

compliance

Question 20

NORMAL ABG values
pH
CO2
O2
HCO3
SaO2

Answer 20

pH = 7.35-7.45
CO2 = 35-45
O2 = 80-100
HCO3 = 22-26
SaO2 = 95% and greater

Question 21

yellow/tan/green sputum = sign of ___/___

Answer 21

bronchitis/PNA

Question 22

Brown sputum = a sign of _____/_______

Answer 22

aspiration/bacterial PNA

Question 23

Bloody sputum = a sign of ____, ____, ____, ____

Answer 23

PNA, TB, lung CA, trauma

Question 24

pink and frothy sputum is a sign of ____/____

Answer 24

CHF, pulmonary edema

Question 25

for a CT you need a ____ and ____

Answer 25

IV and creat level