NUR350 Respiratory,Pulmonary Exam Questions And Correct Answers What is the hilus of the lung and why is it important? - Answer en try of brinchi, pulmonary vessels, and nerves into the lungs What are the compnents of the Upper respiratory Tract - Answer - nose - mouth - pharynx - epiglottis - larynx - trachea What lung is aspiration more likely in? - Answer right lung What are the geriatric considerations of the pulmonary/respiat ory system - Answer - reduces immune function - reduced chest expansion What is the S/S of acute viral rhinopharyngitis? - Answer - sneezing - watery eyes - sore throat - nasal congestion What is tuberculosis? - Answer - Gram positive - aerobic - acid fast bacillus What are the S/S of tuberculosis? - Answer - chest pain - chills - weakness - weight loss - productive cough - nigh sweats - bloody phlegm What is pneumonia? - Answer inflammation of the lungs What are the nursing interventiosn for pneumonia? - Answer - Teach patient to cough and deep breath (if healthy) - Chest phisiotherapy - incentive spirometer - PO fluids - Get up and move - humidifier - Elevate HOD What are the S/S of pneumonia ? - Answer - high fever, chills - claminess - headache, loss of appetite, mood swings - cough w sputum (yellowish), SOB, hemoptysis - nausea/vomiting - low BP - hIgh HR - muscle aches How is tuberculosis spread? - Answer airborne and droplet What are nursing considerations for tuberculosis? - Answer - neg pressure iso room - N95, gown, and gloves What are the nursing interventions and treatments for URIs? - Ans wer - rest - fluids (H2O, thin out mucous) - antipyretics (Tylenol, 103F) - analgesia - decongestants - cough suppressants What does coughing and deep breathing do for a patient? - Answer Increase oxygen What do we do for a patient in respiratory distress with an URI? - Answer - high Fowler - incentive spirometer What is cystic fibrosis? - Answer Autosomal recessive genetic disorder with altered transport of sodium and chlorideions in and out of epithelial cells . Whap happens in the mucus lining with cystic fibrosis? - Answer d ehydrated, tenacious, and defects in chloride secretion and sodium absorption What is asthma? - Answer - Constricting of the airway due to in flammation and muscular contraction of the bronchioles. - Either cant get enough air in or enough air out. What are the S/S of asthma? - Answer - severe SOB - accessory muscle use - stridor - severe hypoxemia What is COPD? - Answer Irreversible decrease in the ability to force air o ut of the lungs. What are the most important patient teachings for COPD patients? - Answer - can be living at a low oxygen - CO2 is circulating more, hypoxic them to hypoxemia What interventions do we use if a patient is hypoxic? - Answer - tr ipod positioning - diaphoratic breathing What are bronchodilators? - Answer they relax bronchial smooth muscle, which causes dilation of the bronchi and bronchioles that are narrowed as a r esult of a disease process What are the nursing interventions for bronchodilators? - Ans wer - Assess BP, pulse, respiration, and lung sounds - secretions - ECG and chest pain What are corticosteroids? - Answer - most effective for short acting - dont use for asthma attacks What are the teatments for tuberculosis? - Answer Active TB: eth ambutol, rifampin Drug resistant: streptoycin, aminoglycocides, injectable ABX or flu oroquinolones What are the medications/treatments for pneumonia? - Answer - AB X What are the medications/treatments for cystic fibrosis? - Answer - NO CURE - ABX - Cough suppressants - Dietary supplements - Bronchodilators What are the medications/treatments for COPD? - Answer - bronchod ilators - corticosteroids - lifestyle changes - tripod position What are the medications/treatments for acute viral rhinopharyngiti s? - Answer - cough suppressants - analegesics - antipyretics What are the medications/treatments for influenza? - Answer - D econgestants - Antiyretics - Antivirals - Acetaminophen/ibuprofen What are medications for COPD? - Answer - 1st- breathing treatm ent (bronchiodilators) corticosteroids after the bronchioles are open to work on inflammation
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