Respiratory Assessment

Question 1

Factors affecting Respiratory Assessment

Answer 1

• Age
• Exercise
• Acid Base Balance
• Brain Lesions
• Increased Altitude
• Respiratory Or Cardiovascular Diseases
• Anemia
• Anxiety
• Medications
• Enviornmental Causes
• Acute Pain

Question 2

Newborn respiratory rate…

Answer 2

30-55 breaths per minute

Question 3

Adult respiratory rate…

Answer 3

12-20 breaths per minute

Question 4

Acidosis results in…

Answer 4

hyperventilation

Question 5

Brain lesions result in…

Answer 5

Cheyne-Strokes

Question 6

Anemia results in…

Answer 6

decrease on O2 carrying hemoglobin, causes increase rate in respiration’s.

Question 7

Anxiety increases the…

Answer 7

depth and rate; sighing type.

Question 8

Medicines that affect respiratory rate…

Answer 8

narcotics, sedatives, general anesthetics

Question 9

Respiratory interventions that can be done without a physician’s order…

Answer 9

• Positioning of head
• Cough and deep breathe
• Get up and move around
• Pursed lip breathing

Question 10

This device helps to increase lung volume and inflation of alveoli and facilitates venous return

Answer 10

Incentive Spirometer

Question 11

often ordered for patients having surgery, and the proper technique for using it should be practiced preoperatively.

Answer 11

Incentive Spirometer

Question 12

Finds peak excretory volume, measures how much someone exhales, must be doctor ordered.

Answer 12

Peak Flow Meter

Question 13

Routinely used for patients with moderate or severe asthma to measure the severity of the disease and degree of disease control.

Answer 13

Peak Flow Meter

Question 14

How is a Peak Flow Meter used?

Answer 14

With the patient standing or sitting with the back positioned as straight as possible, the patient takes a deep breath and places the peak flow meter in the mouth, closing the lips tightly around the mouthpiece. The patient forcibly exhales into the peak flow meter, and an indicator on the meter rises to a number. The patient is asked to repeat this three times, and the highest number is recorded.

Question 15

The Peak Flow Meter produces a measurement in ___________.

Answer 15

Liters

Question 16

The Peak Flow Meter measurement indicates….

Answer 16

the maximum flow rate during a forced expiration.

Question 17

sterile cup, sterile technique during a sputum for culture and sensitivity, 48 hours for final result to come. best done in the early morning, as food can alter results.

Answer 17

Pure Sputum Sample

Question 18

Solution for preservatives, take sterile sample and dump into cup with formalin

Answer 18

Sputum for Sitology

Question 19

quick palpate of the hand beforehand, measures the percent of O2 that is bound to hemoglobin, we rely on capillary flow, s a noninvasive technique that measures the arterial oxyhemoglobin saturation (SaO2 or SpO2) of arterial blood. The reported result is a ratio, expressed as a percentage, between the actual oxygen content of the hemoglobin and the potential maximum oxygen-carrying capacity of the hemoglobin

Answer 19

Pulse Oximetry

Question 20

measurement of CO2 a person is exhaling, close to the face, if a person is not taking deep breaths, their CO2 level will rise

Answer 20

Capnography

Question 21

note how long it takes to get the air out

Answer 21

Pursed Lip Breathing

Question 22

encourage them to use belly muscles, have them cough out mucus

Answer 22

Abdominal Breathing

Question 23

the procedure of puncturing the chest wall and aspirating pleural fluid. The pleural cavity is a potential cavity because it is normally not distended with fluid or air. The physician or other advanced practice professional can perform a thoracentesis at the bedside with the nurse assisting, or it can be performed in the radiology department.

Answer 23

Thoracentesis

Question 24

is used to assess the position of the lungs, density of lung tissue, and identify changes in the tissue

Answer 24

Percussion

Question 25

Frequently remind patients to perform effective coughing throughout the day. Develop a specific schedule for coughing on the patient’s plan of care. Coughing early in the morning after rising removes secretions that have accumulated during the night. Coughing before meals improves the taste of food and oxygenation. At bedtime, coughing removes any buildup of secretions and improves sleep patterns. For a patient who is unable to cough voluntarily, manual stimulation over the trachea and prolonged exhalation can be helpful. If neither of these methods is successful, mechanical endotracheal suctioning with a catheter may be necessary.

Answer 25

Voluntary Coughing

Question 26

often accompanies respiratory tract infections and irritations. Many times respiratory infections lead to the production of respiratory secretions. These secretions can trigger the cough mechanism. When the cough is productive, it helps clear the airway. However, when the cough is nonproductive, it can be fatiguing and irritating. Medications may control involuntary coughing

Answer 26

Involuntary Coughing