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adult health 1 > respiratory 1 > Flashcards

respiratory 1 Flashcards

1
Q

what are some things the RN assesses during the intiial intake?

A

onset, severity, etc

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2
Q

what are some things to keep in mind about vaccines?

A

vaccines that are not taken in childhood can contribute to adult respiratory issues

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3
Q

why should we be looking at the skin?

A

if the person is cyanotic, we can then hypothesize about their oxygen intake/saturation

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4
Q

how do we assess our patients with darker skin?

A

look at their mouth

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5
Q

how does one ascultate the breath and lung sounds?

A

in a zig zag paattern, making sure you get the sides of the rib cage

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6
Q

when is the best time to take a sputum culture and why?

A

morning time because the patient is free of food and we can get a relatively clear sample

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7
Q

what does it mean to do blood cultures x2

A

we do blood cultures in 2 spots to ensure that our primary site was not contaminated

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8
Q

why is it important to detect early with respiratory disorders?

A

early detection can save on unnecessary complications with disorders

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9
Q

is the common cold a highly infectious disease that requires hospitalization and iv ABX?

A

no. it is mainly caused by the influenza virus, and this can be saved by VACCINATIONS, and ANTIVIRALS

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10
Q

what is epistaxis?

A

hemorrhage from the nose

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11
Q

why is epistaxis serious?

A

it can result in loss of airway and extreme loss of blood

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12
Q

what is going to be the medical management of epistaxis?

A

pinching the nose, tilting the head back, and administering phenylephrine (afrin) for its vasoconstriction

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13
Q

what are some complications associated with upper respiratory infections?

A

hemorrhage, sepsis, etc

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14
Q

what should we make sure we assess when thinking about upper respiratory infections?

A

assessing the mouth, throat, etc

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15
Q

what are some nursing interventions that we can use to help relieve our patients with upper respiratory infeciotns?

A

ice packs, elevating hob, gargling, analgesics, topicals, etc

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16
Q

what is the RN’s number 1 priority when it comes to treating patients with upper respiratory infections?

A

maintaining a patent airway

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17
Q

what are some important things to teach our patient when it comes to preventing infections?

A

vaccines and hand hygiene

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18
Q

what is atelectasis?

A

a collapse of the alveoli in the lungs

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19
Q

when is the client most at risk for the collapse of the alveoli?

A

usually during post op?

20
Q

what are some things that we can do to prevent atelectasis?

A

turning, good ambulaiton, using the incentive spirimoter

21
Q

what is obstructive sleep apnea?

A

when the pt has trouble getting air to their body during the night due to an airway obstruciton

22
Q

what are some manifestations of sleep apnea?

A

snoring, daytime drowsiness, loss of breathing for >10 secs

23
Q

what are some things that the nurse can teach the patient about with sleep apnea?

A

to stay away from things like smoking and alcohol, to try to reduce their comorbitities, to be COMPLIANT with their cpap and bipap

24
Q

how do we define community acquired pneumonia?

A

when the pneumonia is acquired in the community setting or 48 hours after the hospitilization

25
Q

how are we defining hospital acquired pneumonia?

A

when the pneumonia is contracted 48 hrs after hospitilization

26
Q

what is a reason that the person may have Hospital acquired pneumonia?

A

the person may have been exposed to multiple antimicrobial treatments, thus leaving their immune system susceptible to the pneumonia

27
Q

what are some manifestations of pneumonia?

A

cough, dyspnea, confusion

28
Q

what is confusion in our clients with pneumonia caused by?

A

hypoxia

29
Q

what are some diagnostic things that we can do for our patients with pneumonia?

A

cxr, blood cultures, abg, bronchoscopy

30
Q

what can we do to prevent pneumonia?

A

VACCINATION

31
Q

what are going to be some of the medical management for the patient experiencing penumonia?

A

the appropriate abx, oxygen(if indicated for hypoxia), fluids possibly

32
Q

what are some nursing interventions that we can do for the pneumonia pt?

A

place them in high fowlers, encourage coughing, encourage incentive spiromiter?

33
Q

why do we encourage coughing with our pneumonia pts?

A

to clear secretions

34
Q

what is the ammount of fluid intake our pts with pneumnonia should be intaking?

A

2-3L/day if not containdicated

35
Q

what is the severity like for a person experiencing covid 19 infeciton?

A

they can range from asymptomatic to severe

36
Q

can atelectasis occur from sars cov2?

A

yes! the collapse of the alveoli is serious and can occur from covid 19

37
Q

when thinking about the connection of hypoxemia and sars cov-2, what is going to be the connection there?

A

the hypoxemia is going to be a lingering affect

38
Q

what is aspiration pnemonia?

A

when foreign objects, often food, makes it into the lungs via the trachea

39
Q

what are some nursing interventions we can do to prevent aspiration pneumonia?

A

hob elevated, food in small bites, check the pt’s mouth before feeding, etc

40
Q

what is rifmapin used for?

A

tberculosis

41
Q

what should we keep in mind with rifampin as it pertains to bodily fluids?

A

they will be red to orange

42
Q

what is a lung abcess?

A

a pocket of puss that forms due to an in infection

43
Q

what are some symptoms of lung abcess?

A

cough, dyspnea, foul sputum

44
Q

what are some diagnostics we can do for a lung abcess?

A

cxr, sputum sample

45
Q

what is a pleural effusion?

A

when fluid collects in the pleural space

46
Q
A

adult health 1 (6 decks)

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