Respiratory

Question 1

define splinting

Answer 1

post chest surgery difficulty breathing due to pain

Question 2

Why use an incentive spirometer

Answer 2

INHALE FROM DEVICE measure how much they breathe in, helps incentivize coughing. do it ten times every hour or so. Set goal and do it slowly (keep it within range)

Question 3

What is the O2 level of room air?

Answer 3

20-21%

Question 4

what does the rising ball scale in the O2 wall mount mean?

Answer 4

litters of air per minute released

Question 5

green vs. yellow wall air indicators mean

Answer 5

green is O2, yellow is room air. Use room air for nebulizer.

Question 6

is oxygen a drug?

Answer 6

yes

Question 7

what is the nursing process

Answer 7

assessment, nursing dx, planning, implementation, evaluation

Question 8

which way do the prongs go on a nasal cannula?

Answer 8

downwards

Question 9

what is the max amount of O2 you can put in a nasal cannula?

Answer 9

6 litrs

Question 10

1 ltr O2 generally improves pulse ox by…

Answer 10

3-4% increase

Question 11

when do you NEED to use humidification

Answer 11

pt is on greater than 4 ltrs

Question 12

what do you use next if your patient needs more than 6ltrs?

Answer 12

high flow nasal cannula. Respt therapist delivers and checks on patients. Used for progressive/end of life care

Question 13

what value do you use instead of LPM when using a face mask?

Answer 13

percentage of oxygen

Question 14

what specifal things can you do with a face mask

Answer 14

screw on albuterol, mix room air with o2,

Question 15

why would you use a face tent over a face mask?

Answer 15

if your patient is claustrophobic

Question 16

how do you attach the humifier to O2?

Answer 16

take off the “christmas tree” and scree humidifier on

Question 17

when do you use a nonrebreather mask?

Answer 17

when a patient quickly de-stats. Use in an emergency

Question 18

how many ltrs for a nonrebreather

Answer 18

15ltrs (100%). Be sure to cover air exit to fill up air balloon

Question 19

how many ltrs for a nonrebreather

Answer 19

15ltrs (100%). Be sure to cover air exit to fill up air balloon. Don’t keep patient on for a long time. KEEP AWAY FROM COPD pt’s

Question 20

oropharyngeal airway

Answer 20

used to keep tongue away from obstructing airway. Also used to make sure they don’t bite down on breathing tube. Use w/ BVM

Question 21

nasopharyngeal airway

Answer 21

provide another airway

Question 22

What is a BVM

Answer 22

Bag valve mask, Use when they need assistance breathing

Question 23

define CTA

Answer 23

clear to auscultation

Question 24

How do you calculate pack years?

Answer 24

years that the patient smoked x #
packs of cigarettes per day

Question 25

What type of questions are included in a symptom analysis?

Answer 25

 Onset
 Location
 Duration
 Characterization
 Aggravation factors
 Related symptoms
 Treatments
 Severity

Question 26

What is Cheyene-stokes breathing?

Answer 26

varying periods of increasing depth interspersed with apnea

Question 27

What is Kussmaul

Answer 27

rapid, deep, labored

Question 28

What is biot

Answer 28

irregularly interspersed periods of apnea in a disorganized sequence of breaths

Question 29

What is ataxic

Answer 29

Significant disorganization with irregular and varying depths of respiration

Question 30

Hyperventilation is

Answer 30

faster than 20 breaths per minute

Question 31

Bradypnea is

Answer 31

slower than 12 breaths per minute

Question 32

what should ribcage look like

Answer 32

ribs should be 45 degree angle to spine

Question 33

Where do you auscultate the lungs?

Answer 33

Auscultate posterior and lateral thorax for breath sounds.

Question 34

What are the three types of normal breath sounds for adults?

Answer 34

 Bronchial (tracheal or tubular)
 Bronchovesicular
 Vesicular
 Note the normal location of the 3 types of breath
sounds on the chest wall.

Question 35

Define Adventitious sounds

Answer 35

crackles (also called rales),
wheezing, rhonchi (also called sonorous
wheeze) or a pleural friction rub.

Question 36

How do you note adventitious sounds?

Answer 36

LUL, LLL, RUL, RML, RLL, BUL, BLL, THROUGHOUT

Question 37

How do you measure thoracic expansion?

Answer 37

Butterfly hands at lower back hands should be drawn apart for norm value. May be different for older adults

Question 38

Define tactile fremitus

Answer 38

When you can feel the vibrations of talking

Question 39

Define resonance

Answer 39

low-pitched, clear, hollow sound that
predominates in healthy lung tissue in adult