Respiratory Rationales Flashcards

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1
Q

After you identify the client and apply a pulse ox to the client you should perform ______ ______.

A

perform hand hygiene

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2
Q

before you suction the clients trach you need to do what?

A

suction small amounts of NS solution

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3
Q

ipratropium bromide is a _____ ______.

A

bronchial relaxer

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4
Q

Hemophilia is a deficit factor ______.

A

VIII

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5
Q

If a client has hemophilia B the client would require the replacement of _____ _______ concentrates.

A

factor IX concentrates

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6
Q

to facilitate the placement of a tube thoracotomy the client should be positioned ____ with the HOB elevated to ____ to _____ degrees.

A

supine / 30 to 45

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7
Q

With a tube thoracotomy notify the physician for any drainage greater than _____ mL/hr

A

70 mL/hr

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8
Q

Do you clamp a chest tube when a client is repositioned?

A

NO - it can cause tension pneumothorax

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9
Q

What is the criteria of output for a chest tube to be disconnected? A 24 hour output of ____ ml

A

40 ml (when drainage is less than 100-150 ML in 24 hours)

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10
Q

An absence of bubbling in the water-seal chamber during expiration indicates?

A

No air leak

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11
Q

What is hemothorax?

A

bleeding in the chest cavity

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12
Q

Tiotropium is typically administered ____ ______.

A

once daily

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13
Q

A crucial part of mitigating the symptoms of OSA is for a client to ____ _____.

A

lose weight

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14
Q

Prior to a chest tube being removed the nurse should admin ____ _____.

A

pain medication

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15
Q

Albuterol can lower serum ______.

A

potassium

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16
Q

decongestants can make clients?

A

jittery, nervous, or restless.

17
Q

A client with carbon monoxide poisoning would be expected to have a _______.

A

HA

18
Q

periods of apnea with periods of gradually increasing and decreasing breaths is defined as ______ - _______>

A

Cheyne - Stokes

19
Q

Ataxic breathing is ______ and ______.

A

irregular and unpredictable

20
Q

apneustic breathing is characterized by prolonged _____ and ______ exhalation.

A

inhalation and shortened

21
Q

What is the therapeutic goal of non-invasive positive pressure ventilation (NIPPV)?

A

Reduce the work of breathing and improving ventilation

22
Q

poractant alfa promotes the production of _______.

A

surfactant

23
Q

How do you assess for tactile remits?

A

ask the client to say “ninety-nine” while palpating the intercoastal spaces

24
Q

The two diagnostics test for a pulmonary test are ______ and ____ _____.

A

D-dimer and CT scan

25
Q

Diffuse inspiratory and expiratory wheezes throughout the lung fields means ______ _______.

A

increased airflow

26
Q

respirations that are abnormally deep, regular, and increased in rate is ______.

A

Kussmaul’s

27
Q

apnea that alternates with periods of rapid breathing is _____ - ______.

A

Cheyne-Stokes

28
Q

client is gasping for air

A

Agonal

29
Q

RBC count is elevated to compensate for ____ ____ ____.

A

low oxygen levels or hypoxia

30
Q

______ are a adverse effect of montelukast.

A

hallucinations (also depression, aggression, and thoughts of suicidality)

31
Q

One of the toxic effects of theophylline is ____ ____.

A

cardiac arrhythmias

32
Q

Patients with COPD have ______ ______.

A

hyper inflated lungs (barrel chest)

33
Q

when a client takes tiotropium bromide inhalation capsules make sure they hold their breath for ______ seconds.

A

10 seconds

34
Q

Prior to a getting a pulmonary function test the client should not use their ______.

A

bronchodilators four to six hours before the test

35
Q

Albuterol can increase the ______.

A

HR

36
Q

When a client with pneumothorax has clear bilateral breath sounds this indicates?

A

both lungs have fully expanded

37
Q

Formoterol may cause ________.

A

insomnia

38
Q

One common cause of fluctuation cessation in a water seal column is?

A

fibrin clots in the tubing

39
Q

Patients with LHF should not take _____ because it reduces myocardial contractility.

A

Dilitazem