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LVN SEMESTER II > Respiratory System Disorders > Flashcards

Respiratory System Disorders Flashcards

1
Q

Good technique to aid ingestion for COPD requiring increased protein and calories.

A

Encourage rest 30 minutes before meals.

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2
Q

Explain cor pulmonale to COPD.

A

Not an MI, but heart has been damaged because of long term respiratory disorder causing heart damage and pain.

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3
Q

Patient teaching 1st week post op adult tonsillectomy.

A

No coughing or clearing throat.

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4
Q

Patient positioning after tracheotomy placement.

A

Semi-fowler’s.

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5
Q

Nursing diagnosis for pulmonary emboli.

A

Impaired gas exchange.

Anxiety.

Risk of hemorrhage r/t ineffective protection AEB anticoagulation therapy.

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6
Q

Use of epinephrine after nasal surgery.

A

Vasoconstriction prevents bleeding.

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7
Q

Fluctuating water level on respiration of a chest tube drainage system.

A

Normal.

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8
Q

Necessity of low flow O2 for COPD.

A

High flow will result in respiratory arrest.

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9
Q

Define pharyngitis.

A

Sore throat, inflammation of the pharynx.

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10
Q

Nursing action for epistaxis.

A

Position sitting up, head forward, pinch below nasal bone.

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11
Q

Clinical breath sounds for pneumonia.

A

Crackles, wheezing, diminished lung sounds, use of accessory muscles, wet cough, increased respiratory rate.

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12
Q

First line of drugs for TB.

A

INH (Isoniazid).

Rifampin.

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13
Q

Signs of acute rhinitis.

A

High WBC, fever, nasal drainage, red inflamed throat.

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14
Q

Procedure for fiber optic scope inserted into bronchi.

A

Bronchoscopy.

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15
Q

Caution for patient taking decongestant with HTN.

A

Vasoconstriction will increase BP.

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16
Q

Signs that Albuterol is effective.

A

No more SOB, back to sleep, decreased anxiety, increased HR (as side effect).

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17
Q

Position contraindicated for pulmonary edema.

A

On back with feet elevated.

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18
Q

Nursing action for thick sputum.

A

Hydrate 2-3L.

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19
Q

Technique for sputum collection.

A

Early morning, before meals, 3 deep breaths and cough on last breath.

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20
Q

Major sign of larynx carcinoma.

A

Hoarseness, persistent and progressive.

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21
Q

Reason for barrel chest of emphysema patient.

A

Expanded alveoli increase diameter of chest from lungs always being hyperinflated (alveoli never relax).

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22
Q

Nursing intervention for walking with active TB.

A

Mask patient, negative airflow isolation, acid fast bacillus isolation.

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23
Q

Likely cause of pulmonary embolism post-op when immobilized.

A

DVT becomes dislodged.

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24
Q

Nursing intervention done for a patient in respiratory distress after surgery?

A

Incentive spirometer, cough and deep breathing.

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25
Q

Patient teaching for home oxygen with emphysema.

A

Low flow 2L, keep on at all times.

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26
Q

Signs of atelectasis.

A

SOB, pleural friction, increased respiratory rate.

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27
Q

Risk factors for TB.

A

Low income community, foreign countries, alcoholism, malnourishment, homelessness.

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28
Q

Diagnostic tests to identify pulmonary embolus.

A

Helical CT scan.

Pulmonary angiography.

Ventilation perfusion scan.

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29
Q

Cause of sudden SOB and tachypnea during insertion of subclavian central line.

A

Pneumothorax from punctured lung.

30
Q

Diagnostic test using radio isotope to outline pulmonary vasculature to identify pulmonary embolism.

A

V/Q, ventilation perfusion scan.

31
Q

Medication used as long acting B2 receptor agonist in maintenance therapy for asthma.

A

Salemeterol (Serovent).

32
Q

Diagnostic procedure used to determine lung volume and ventilation.

A

PFT (pulmonary function test).

33
Q

Short acting B2 receptor agonist to treat acute asthma.

A

Albuterol.

34
Q

Anti-inflammatory agents used for respiratory disease.

A

All corticosteroids.

35
Q

Nursing action for pneumonia and chest pain.

A

Lay on unaffected side to cough.

36
Q

Nursing action for chest tube underwater drainage system that has fallen out.

A

Cover with dressing.

37
Q

Patient with COPD has lead to cor pulmonale due to what complication.

A

Emphysema.

38
Q

Patient preparation for bronchoscopy.

A

Explain procedure.

NPO 8-12 hours.

Signed consent.

Remove dentures.

39
Q

Minimum wait time following Mantoux test.

A

48 hours.

40
Q

Precautions handling TB patient.

A

Wear gloves and filter mask at all times.

41
Q

Patient precautions with TB.

A

No isolation in negative pressure room. Must wear a mask outside the room and keep the door closed at all times. Hand washing after direct contact with patient.

42
Q

Respiratory rate considered tachypneic.

A

Normal range is 12-20.

> 21 respiratory rate.

43
Q

Reason for listening to bilateral breath sounds and chest movement following thoracentesis.

A

Examining for lung collapse or puncture during the procedure.

44
Q

Nursing diagnosis for productive cough, wheezing, and copious amounts of phlegm.

A

Ineffective airway clearance.

45
Q

Initial stages of acute respiratory failure.

A

Hypercapnia (CO2 increase).

O2 level decrease.

Respiratory rate increase.

46
Q

Therapeutic result for B2 adronergic agonist following an acute asthma attack.

A

Clear lung sounds.

47
Q

In AFB TB isolation (negative airflow) will doors and windows be open?

A

No, and everyone must wear a particulate mask.

48
Q

Nursing instructions for epistaxis at risk for aspiration.

A

Encourage expectorate, cough, or spit out blood. Ingestion can cause nausea and vomiting, aggravating the nose bleed.

49
Q

Effect of CO2 with history of obstructive sleep apnea.

A

Hypercapnia (high CO2) stimulates the respiratory center, causing the patient to wake.

50
Q

Patient teaching for sleep apnea.

A

No alcohol, no sleeping pills, as these depress the respiratory center.

51
Q

Program referral for sleep apneic obese patient.

A

Weight loss program.

52
Q

Permanent placement for laryngectomy of cancerous larynx.

A

Tracheostomy.

53
Q

First clinical sign associated with SARS.

A

Fever >100.4 F.

54
Q

Criteria differentiating TB infection from Tb disease.

A

TB infection has no clinical signs or symptoms.

55
Q

Term for pleural space filled with pus.

A

Empyema.

56
Q

Suspected condition for emphysema with severe pain after several coughing episodes 8 hours ago.

A

Pneumothorax.

57
Q

Priority nursing assessment for pneumothorax.

A

Assess airway and auscultation of the lungs.

58
Q

Signs of COPD.

A

Barrel chest.

Clubbed fingers and toes.

SOB.

59
Q

Unknown accumulation of fluid in the pleural space.

A

Pleural effusion.

60
Q

Suspected condition of COPD with PCO2 49, pH 7.2, PO2 50, Bicarb 22, and O2 sat 84%.

A

Respiratory acidosis.

61
Q

Primary sign of pulmonary edema.

A

Pink frothy sputum.

62
Q

Distress indication during respiratory assessment.

A

Use of accessory muscles, flared nares, cyanosis, clubbed fingers and toes, chest retractions, restless and agitated.

63
Q

Postural drainage.

A

Treatment method for bronchitis. Position the patient to help with drainage of mucus out from lungs. Best done when stomach is empty.

64
Q

Signs of acute bronchitis.

A

Inflammation of the trachea and bronchial tree. Dyspnea, productive cough, fatigue, and fever.

65
Q

Example of nasal corticosteroids.

A

Flonase.

Nasocort.

Nasonex.

Veramyst.

66
Q

Aminophylline (theophylline).

A

Bronchodilator.

67
Q

Positioning for chest tube drainage.

A

Patient lay on unaffected side.

Drain below level of chest.

68
Q

Signs of upper airway obstruction.

A

Classic choking hand sign, cyanotic, stridor, wheezing.

69
Q

Operation of pulse ox.

A

Measure of light through oxygenate blood capillaries.

70
Q

Safe to eat post bronchoscopy.

A

Return of cough reflex.

71
Q

Nursing action for COPD on 2L in respiratory distress.

A

Do assessment.

Obtain vital signs.

72
Q

Conditions that alter a pulse ox.

A

Hypothermia.

Hypotension.

Vasoconstriction.

LVN SEMESTER II (8 decks)

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