Upper Respiratory And Assmnt

Question 1

Gerontological considerations for respiratory

Answer 1

Structural - barrel chest;
Defense MEchanisms - dec cough effectiveness, risk for aspiration;
Respiratory control - lose ability to compensate for changes in respiratory function leading to inability to maintain ABG control

Question 2

Pulse oximetry reading below _____ indicate client may be experiencing hypoxemia

Answer 2

94%

Question 3

What are some things to assess during inspection of respiratory system

Answer 3

Shape of chest; RR, depth and rhythm

Question 4

What are some things to assess during palpating of respiratory system

Answer 4

Determine tracheal position; chest expansion; tactile fremitus

Question 5

Vibration of the chest wall produced by vocalization

Answer 5

Tactile fremitus

Question 6

Hyperresonance

Answer 6

Low-pitched, louder than resonant; seen in patients w/ hyperinflated lungs (COPD)

Question 7

Tympany

Answer 7

Drum-like sound over air-filled area;

Pneumothorax

Question 8

Dull

Answer 8

Consolidation;

Pneumonia

Question 9

Diagnostic Studies Respiratory

Answer 9

Sputum Studies;
Skin Test;
CT, MRI, PET, CXR, Pulmonary Angiogram

Question 10

Pulmonary Function Test Nursing Care (BEFORE)

Answer 10

NPO - 6 hr minimum;
No Bronchodilator 6 hr before;
Eat light dinner night before

Question 11

PFT Nursing Care - AFTER

Answer 11

Assess for respiratory distress;
Rinse mouth after;
Provide rest

Question 12

S/S Respiratory Distress

Answer 12

Rapid/Shallow Breathing;
Wheezing; 
Hypoxia; 
Labored Breathing; 
Sweaty