Respi And Infection Precautions

Question 1

Stridor is

If stridor occurs after extubation
This is a symptom that patient may need to

It is common for patients after extubation

Answer 1

A high pitched, CROWING noise during inspiration caused by laryngospasm or edema around the glottis.
Be reintubated

Must call immediately the rapid response team before airway becomes completely obstructed

To have a hoarse and sore throat for a few days

Question 2

When is the best time to discontinue droplet precautions with patients who have meningococcal meningitis?

Answer 2

Appropriate antibiotics have been given for 24 hours

Question 3

Cdc recommends order of donning PPE?
Gomagogglo

Removing PPE?
Glogog goma

Answer 3

Handy hygiene
Gown 
Mask 
Goggles
Gloves

Gloves
Goggles
Gown 
Mask
Hand hygiene

Question 4

Can LPN auscultate?

Answer 4

Yes! Those who have been trained

Question 5

Does a nonrebreather mask deliver 100% oxygen?

Answer 5

Yes

Question 6

The institute of safe medications indicate that trailing zero is is not appropriate ( warfarin 1.0 mg PO) why?

Answer 6

Because it can be mistaken as a larger dose ( like 10 mg ). The order should be clarified before administration

Question 7

Dietary changes for TB

Isoniazid is taken for 6 months

Answer 7

Foos rich in Iron, protein and vitamin c

Question 8

PPE in disseminated herpes zoster?

Why not surgical face mask?

Answer 8

Gloves
Goggles
N95 respirator mask - because it is spread through airborne and direct contact with the lesions.

It only filters large particles

Question 9

Zika virus is spread by

Guidelines for pregnant women in relation to zika virus

Answer 9

Moquito bite. So must use insect repellant

All pregnant women be assessed for zika exposure at each prenatal visit

Women who may have been exposed be tested

Women who are anticipating pregnancy avoid travel to areas where they might be exposed to zika virus

Barrier methods such as condoms be used if sex partner has been exposed to zika virus

Question 10

Anthrax is a

First thing to do if patient has possible anthrax exposure

Then assess for

Security must be

Antibiotics is given if

Answer 10

Spore forming bacteria caused by Bacillus Anthracis

Decontaminating the client by removing clothes and showering to prevent infecting others

Signs and symptoms

Notified in the case it is bioterrorism,but only after decontamination

Antibiotics is given if there is signs of infection or contaminating substances tests positive for anthrax

Question 11

Ppe when changing bed linens of patient who has sacral wound infected by MRSA(methycillin resistant staphylococcus aureus)

Answer 11

Gown and gloves because splashes or droplets or airborne will not happen when bed is changed

Question 12

Antivirals are most effective in influenza infection when?

Answer 12

When it is used early. Example is OSELTAMIVIR

Question 13

“Red Man” syndrome occurs when

Answer 13

Vancomycin is being infused too quickly, it must be slowed down

Question 14

Clorhexidine solution

It is also used on

Answer 14

Used to clean mouth daily

(.5% clorhexidine in alcohol)Skin. To disinfect skin site before PICC insertion and more effective in reducing bloodstream infections compared to alcohol and betadine

Question 15

Patients with COPD often have food intolerance like:

Meal related
Early

Protein calorie malnutrition, why?

Answer 15

Dyspnea
Satiety or feeling too full to eat

The increased work of breathing needs consumes calorie and protein needs, so increase diet to high protein and calorie

Question 16

Is tracheostomy care standard precautions?

Answer 16

No. It must be sterile precautions because tracheostomy tube is directly connected to the lungs.

Question 17

Asthma patients must avoid

Answer 17

MSG or monosodium glutamate

Question 18

Anterior Nosebleed interventions:

Position
Pressure on
Standard body
Ice
Dont blow

Answer 18

Upright and leaning forward to prevent aspiration
Direct lateral pressure on the nose for 5 mins
Standard body precautions is maintained
Applying ice or cool compress
Dont blow the nose especially vigorous blowing

Question 19

Hydroxyzine and hydralazine

Hydroxyzine is

Hydralazine is

Answer 19

They are look alike, sound alike medications that is usually involve in medication error

Hydroxyzine is an antihistamine used to treat anxiety and pruritus.

A potent vasodilator that is used to treat hypertension

Question 20

When suctioning patient on mechanical ventilator what no. Of french catheter is used?

Suction should be applied

Sterile or standard?

Answer 20

Standard for adult is no. 12 to 14 French

Twirling,while withdrawing and no more than 10 seconds

Sterile precautions

Question 21

Hoarseness and difficulty speaking after radiation therapy diagnosed with laryngeal cancer is

Answer 21

Improved within 6 to 8 weeks

Question 22

When there is need for oxygen in tissues it curves to the

Answer 22

Right. This means that oxygen is dissociated from hemoglobin faster. The hemoglobin uloads oxygen to tissues to support higher needs- this is a tissue protection that increases oxygen delivery to tissues

Question 23

When oxygen delivery is higher than 4 L/min

Treat by

Answer 23

The mucous membranes can dry out.

Add humidification to the oxygen delivery system. ALSO applying water soluble jelly to nares can help decrease irritation

Question 24

Why COPD clients should be encourage not to raise arms when working?

Dont rush when

Answer 24

Activities involving arms decrease exercise tolerance because the accessory muscles are used to stabilize the arms and shoulders rather than to assist breathing

Doing activities. Dont do it ALL at once then rest but do activities ONE at a time with periods of rest

Question 25

ET tube should be marked at the

Gold standard in evaluating and confirming ET position in patients who have adequate tissue perfusion?

Answer 25

LEVEL of the tube where it touches incisor tooth or nares

Using an END-TIDAL carbon dioxide detector

Question 26

Maximum delivery of nasal cannula

Non rebreather mask can deliver

Answer 26

GiO2 of 44%. Which can be achieved by 6 L/min and increasing it to 10 L/min will not do anything

Oxygen to 95-100%