test6 various info per SLATE lectures

Question 1

Define Thoracentesis and where is this done(anatomically)

Answer 1

…/pleural space..(not inside the lung)

Question 2

Best nursing acx for thoracentesis positioning

Answer 2

client to lean over side table feet lfat on floor

Question 3

t/f…client needs to be NPO before and after procedure?

Answer 3

NO,,Client can remain on regular diet as tolerated.

Question 4

define bronchoscopy

Answer 4

.

Question 5

Does client need sedation for bronchoscopy?

Answer 5

.

Question 6

Nursing acx for bronchoscopy

Answer 6

Consent

• NPO 6-8 prior
• sedation
• lay flat –SUPINE
• Check gag reflex post procedure before meals use tongue depressor
• monitor pulse ox
• Monitor breathe sounds

Question 7

Educate overweight clients require what kind of oxygenation to tissues?

Answer 7

Increased o2 tissue demand

Question 8

Malnourished clients

Answer 8

weak muscles

Question 9

Monitor If client has weak

Answer 9

cough

Question 10

Nutrition: diet high in calories?

Answer 10

…can increase CO2 levels

Question 11

Nursing/UAP acx for better oxygenation

Answer 11

add pillows

Question 12

Nursing acx for various o2 sats 88/92-93/100/95

Answer 12

depending on facility policy, 1.always document, 2. {normal s 93-95 to 100} if less than

Question 13

Suck or blow for incentive spirometer and how often

Answer 13

suck…..during commercials 10x kg (lol) spread time

Question 14

tidal volume(according to slate)

Answer 14

15-2000 is good` (yes slate said 15 but I think its wrong)

Question 15

<500 tidal volume?

Answer 15

not good

Question 16

Nursing Monitoring: COPD

Answer 16

use diaphragmatic breathing; pursed lips-exhale, this allows increased longer held pressure in alveoli to increase o2 entry (copd) air trapping

Question 17

cascade cough?

Answer 17

.

Question 18

HUFF cough?

Answer 18

.

Question 19

Quad cough?

Answer 19

.

Question 20

Lung sound description:

-Ronchi

Answer 20

.

Question 21

Lung sound description:

Wheezing

Answer 21

.

Question 22

Educate CLIENT on

Answer 22

.rx/positioning/nutrition/(oscilating fan=PSUEDO rx)

Question 23

nursing acx

Answer 23

suction/mouhcare-pneumonia)

Question 24

What to look out for in COPD clients

Answer 24

barrel chest pigeon chest/decreased breath sound/lowo2/dyspnea/SOB/orthopnea/hypoxia

Question 25

COPD dx tests:

Answer 25

chest xray/ABG/pulm funx test amt in/out

Question 26

COPD Rxs:

Answer 26

bronchodilator, b2 agonist, mucolytic/anti-cholinergic/glucocorticoids/steroids/ remember o2 is a med. need an order.

Question 27

best position for copders?

Answer 27

tripod

Question 28

keep copders well-…?

Answer 28

hydrated

Question 29

Monitor Carb intake which may

Answer 29

retain co2

Question 30

take homes from test5 and seem to be redundant question types:

Answer 30

fluid ml items: applesauce jello / ice cream NOT a liquid…..1pint is 2 cups
Question type: PREVENTION measures vs tx.
Don’t go back and erase: go with gut instinct move forward with test (remember there so much info..study questions are best policy for an 80. specific itructions are what is added…watch out for verbage