Respiratory Flashcards
list four common symptoms of pneumonia the nurse might note on physical examination
Tachypnea, fever with chills, productive cough, bronchial breath sounds
state four nursing interventions for assisting the client to cough productively
encourage deep breathing, increase fluid intake to 3 L/day, use humidity to loosen secretions, suction airway to stimulate coughing
what symptom of pneumonia might the nurse expect to see in an older adult
confusion, lethargy, anorexia, rapid respiratory rate
how does the nurse prevent hypoxia during suctioning
deliver 100% O2 (hyperinflating) before before and after each endotracheal suctioning
during mechanical ventilation, what are the three major nursing interventions
monitor clients respiratory status and secure connections, establish a communication mechanism with the client, keep airway clear by coughing and suctioning
when examine a client with emphysema, what physical findings is the nurse likely to see
barrel chest, dry or productive cough, decreased breath sounds, dyspnea, crackles in lung fields
what is the most common risk factor associated with lung cancer
smoking (cigs or weed)
describe the preoperative nursing care for a client undergoing laryngectomy
involve family and client in manipulation of tracheaostomy equipment before surgery , plan acceptable communication methods, refer to speech pathologist, discuss rehabilitation program
list 5 nursing interventions after chest tube insertion
maintain a dry occlusive dressing on chest tube. Keep all tubing connections tight and taped. Monitor clients clinical status. Encourage the client to breathe deeply periodically. Monitor the fluid drainage and mark the time of measurement and the fluid level.
what immediate action should the nurse take when a chest tube becomes disconnected from a bottle or suction apparatus. What should the nurse do if a chest tube is accidentally removed from the client
place the end of the tube in sterile water container at 2 cm level. Apply an occlusive dressing and notify HCP stat
what instructions should be given to the client after radiation therapy
do not wash off lines. Wear soft cotton garments, avoid use of powders and creams on radiation site
what precautions are required for a client with TB when placed on respiratory isolation
a mask for anyone entering room, private room, client must wear mask if leaving room
list four components of teaching for the client with TB
cough into tissues and dispose of immediately in special bags. Long term need for daily meds. Good handwashing technique. Report symtoms of deterioration, for example, blood secretions
