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Exam 2 nur 265/105 Questions and Answers Distinction Graded
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Exam 2 nur 265/105 Questions andAnswers Distinction Graded
PE - -Collection of matter lodged in pulmonary vessels (patho]
-pe - -Causes include smoking, hormone therapy, and mobility, increase
clotting time, Obesity, and big bone fractures.
-pe - -Unique symptom, RESPIRATORY ALKALOSIS
-pe - -Expected interventions: xray, blood thinners, inferior vena cava filter
-Pleural Effusion - -Patho: collection of fluid in the pleural space of the lungs
-Pleural effusion - -Causes: CHF, Chronic kidney disease, pneumonia, chest
trauma, and tuberculosis.
-Pleural effusion - -S/s specific: dull sound percussion on effected side, and
1/2 breath sounds
-Pleural Effusion - -Interventions: Xray and Thoracentesis
-ARF - -Patho: Ventilation failure and oxygenation failure,
-ARF - -Causes: Sedation (meds included), COPD, asthma, Pulmonary
embolism, and pneumonia.
-ARF - -Specific s/s: RESPIRATORY ACIDOSIS
Criteria- ABGS must be PaO2 <60 or PaCO2 > 45, AND have a O2Sat or
<60%.
-ARF - -Intrventions: ABGs, Metered dose inhailer, Corticosteroids, Xray,
Ventilation
-ARDS - -Patho: Respiratory failure synthetic inflammatory response.
-ARDs - -Causes: Sepsis, ventilation, toxic fumes, pancreatitis, shock,
trauma, drowning, inhaling gastric contents.
-ARDS - -Specific s/s: Hypoxemia on 100% FiO2, and pulmonary edema (no
crackles)
-ARDS - -Expected interventions: Xray, ABGs, and PEEP.
, -Pneumothorax - -Patho: collapse of the lung
-Pneumothorax - -Causes: Blunt force trauma,, and complication with
medical procedures.
-Pneumothorax - -decreased or no breaths sounds on affected side.
-Pneumo/Hemo thorax - -Expected Intervention: Xray for dx, and Chest
tube.
-Hemothorax - -Patho: blood collects on pleural space collapsing lung.
-Hemothorax - -Causes: blunt force trauma, lung penetration/laceration, rib
Fx
-Hemothorax - -s/s: decreased or no lung sounds on affected side. dull
sounding on percussion.
-tension pneumothorax - -condition in which air entrapped in the pleural
space puts pressure on the lung and heart
-tension pneumothorax - -cause: blunt force trauma, PEEP, complications of
chest tube
-tension pneumothorax - -s/s: trachea deviation, sub q air, decreased
cardiac output, NO BREATH SOUNDS.
-tension pneumothorax - -specific interventions: chest tube, needle
thoracentesis, xray
-flail chest - -paradoxical chest wall movements
-flail chest - -cause: fracture of atleast 2 ribs. blunt force trauma
-flail chest - -Interventions expected: O2 therapy, chest tube, x ray for
diagnosis
-flail chest - -Clinical manifestations: paradoxical wall chest movement.
-Tracheal trauma - -Tear in trachea with massive mediastinum air leak.
Increase airway collapse.
-Tracheal trauma - -Caused by blunt force trauma and intubation
-Tracheal trauma - -specific s/s: stridor(high pitched breath sounds) and sub
q air
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