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adult health > respiratory assessment > Flashcards

respiratory assessment Flashcards

1
Q

how much fluid should be in the pleural space?

A

no more than 15mL

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2
Q

subjective feeling of discomfort, SOB; can be sudden or gradual, aggravated/alleviated by different things

A

dyspnea

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3
Q

thick yellow-green sputum signifies

A

bacterial infection

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4
Q

pink frothy sputum signifies

A

pulmonary edema

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5
Q

chest pain that gets worse on inspiration

A

pleuritic pain

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6
Q

blood in sputum

A

hemoptysis

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7
Q

fluid in alveoli sounds

A

crackles

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8
Q

constriction pf bronchi/bronchioles, generally associated with asthma; musical & high-pitched noises

A

wheezing

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9
Q

heard in neck, indicative of narrow/constricted airways

A

stridor

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10
Q

sounds like snoring; low-pitched, generally in larger bronchi/bronchioles, will most likely clear with coughing

A

rhonchi

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11
Q

early signs of hypoxia

A

symptoms of restlessness, tachycardia, increased RR, increased BP, pale skin/mucous membranes, adventitious breath sounds w

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12
Q

late signs hypoxia

A

confusion/stupor, decreased RR, arrhythmias, cyanotic skin/mucous membranes, decreased HR, hypotension

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13
Q

if giving IV contrast, what should you check for?

A

shellfish/iodine allergy, metformin use, BUN & Cr

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14
Q

lighted scope with camera into lungs

A

bronchoscopy

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15
Q

T/F: blood-tinged sputum and a low-grade fever are expected within 24h of a bronchoscopy

A

T

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16
Q

after sedation, a nurse must assess that the _____ reflex has returned

A

gag

17
Q

aspiration of the pleural space

A

thoracentesis

18
Q

possible complications thoracentesis

A

pneumonia, infection

19
Q

T/F: nurses need an order for O2 therapy

A

T

20
Q

nasal cannulas can administer up to ____ O2

A

6L

21
Q

if a pt has been on a ventilator for over 2 weeks, that is an indication for a ___________

A

tracheostomy

22
Q

connected to face plate that’s surgically inserted; outermost portion trach

A

outer cannula

23
Q

either disposable or reusable; goes inside outer cannula & gets changed

A

inner cannula

24
Q

should always be at bedside; keeps airway patent if trach becomes dislodged

A

obturator

25
Q

what should be at the bedside of a tracheostomy pt?

A

obturator, extra trach of same size or smaller, extra inner cannula, suction supplies, ambu bag

26
Q

4 parts of trach care

A

dressing/face plate, changing inner cannula, suctioning, trach ties

27
Q

T/F: suction on way IN

A

F

28
Q

pulmonary hygiene

A

incentive spirometer; turn, cough, deep breathe; chest percussion/vibration; suctioning

adult health (10 decks)

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