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NURS 4110 PRIMARY CONCEPTS OF ADULT NURSING II FINAL LATEST UPDATED STUDY GUIDE ARIZONA COLLEGE OF NURSING $17.39   Add to cart

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NURS 4110 PRIMARY CONCEPTS OF ADULT NURSING II FINAL LATEST UPDATED STUDY GUIDE ARIZONA COLLEGE OF NURSING

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NURS 4110 PRIMARY CONCEPTS OF ADULT NURSING II FINAL LATEST UPDATED STUDY GUIDE ARIZONA COLLEGE OF NURSING

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  • September 13, 2024
  • 27
  • 2024/2025
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  • NURS 4110
  • NURS 4110
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NURS 4110 PRIMARY CONCEPTS OF
ADULT NURSING II FINAL LATEST
UPDATED STUDY GUIDE ARIZONA
COLLEGE OF NURSING

, lOMoAR cPSD| 19857451




MED SURG II FINAL STUDY GUIDE
*What’s in bold she verbally mentioned*

20- Respiratory

Asthma (3 questions)

*Bronchodilator teaching- appropriate time?

• Can used prophylactic before activity such as walking and eating
• Prescribed for PRN or for regular basis
• Proper usage: exhale first, seal lips around pump, press down and inhale and hold for 10
seconds, repeat puffs as directed but allow 15-30 in between.

Asthma patho

• Chronic inflammatory disease, reversible condition, causes airway hyper responsiveness,
mucosal edema and mucous production.
• Inflammatory response occurs= mast cells, macrophages, t lymphocytes, neutrophils,
eosinophils, IgE(causes direct bronchoconstriction)
S/S

• Cough, chest tightness, wheezing (on expiration), dyspnea

*Monitor airway patency due to mucous from the inflammatory process.

Status Asthmaticus- is when an asthma attack doesn’t respond to therapy. Rapid onset severe and
persistent.



Atelectasis

*prevention (post op)

• Atelectasis can arise from abdominal/thoracic surgery
o Teach pt. cough deep breathing (splint pillow on incision)
o Incentive spirometer
o Frequent turning
o Ambulating
o PEEP for pt. that cannot perform the basic measures (listed above)- positive end
expiratory pressure.

Pneumonia

*Nursing Interventions

• Remove secretions (if pt. cant cough, possible suctioning)
• Encourage hydration/humidifier-lossens secretions
• High humidity face mask
• Encourage coughing
• Lung expansion maneuvers- IS, deep breathing and coughing

, lOMoAR cPSD| 19857451




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