respiratory assessment

Question 1

normal O2 sat range

Answer 1

95-100

Question 2

normal breath sounds are

3

Answer 2

bronchial (over the trachea)

bronchal vesicular

Question 3

bads sounds

Answer 3

fine crackles (formally known as rales)
coarse crackles
friction rub
sonorous wheeze (rhonchi)
sibilant wheeze (high pitched musical sound)
stridor (really high pitched)
atelectasis (alveoli collapsing - immobility related)

Question 4

chain stokes occure durring what??

Answer 4

often during impending death

Question 5

orthopnea

Answer 5

inability to breath except in an upright or standing position

Question 6

hypoxemia

Answer 6

reduced levels of O2 in the blood can measure with o2 sat

Question 7

hypoxia

Answer 7

inadequite tissue oxygen at a cellular level

Question 8

cynanosis

Answer 8

hypoxia and hypoxemia left untreated cyanosis develops

Question 9

what can we do to help in oxygenation promotion

Answer 9

if mobile get them moving
fluids (promotes circulation and prevents thick secretion)
coughing
deep breathing

Question 10

safety for oxygen therapy

Answer 10

tank has enough oxygen to last duration of the patients move

beware of sparks or flames

Question 11

oxygen delivery devices

Answer 11

nasal cannula (nasal prongs) - good to help talk and eat
simple oxygen mask
venturi-mask system (for specific O2 percentage and flow rate)
partial and nonrebreather masks (just b4 intubation or ICU)
ambu bag

Question 12

CPAP and BiPAP

Answer 12

used for sleep apnea (dart vader sleep machine)
cpap is continuous pressure
BiPAP is bi levels

Question 13

why use a chest tube

Answer 13

drain fluid

Question 14

hemothorax

Answer 14

fluid or blood in the lungs

Question 15

nurses job in preop phase

Answer 15

get consent (informed)
get the doctor doing the surgery to explain procedure
teach before the surgery

Question 16

different ways to check respiration rate

Answer 16

auscultation

observation