(Verified)
Elderly & Respiratory Complications-SATA Right Ans - Decreased cough
reflex
Decreased Ciliary Action
Muscle Atrophy
If 02 levels drop what actions will you take, in which order? Right Ans -
•Raise Head of bed
Where else can we put a o2 probe if you cant use fingers or toes Right Ans -
•Earlobe, or pinna
•
•Do not use the forehead - this is incorrect on the quiz
O2 Sensor Troubleshooting Right Ans - Move the pulse oximetry sensor if
O2 is low but patient is alert and laughing/moving/etc.
Early sign of low oxygen Right Ans - confusion
Respiratory system defense mechanisms-SATA Right Ans - •Mucus
•Surfactant
•Coughing
•Sneezing
Prioritizing patients Right Ans - •Airway, breathing, circulation
•Maslow's
•Acute vs Chronic
•A patient with dyspnea (SOB)
Which breath sounds are heard over anterior third of the chest near the
sternum and around the scapula, with equal inspiration and expiration
Right Ans - •Bronchovesicular are the only equal breath sounds on inspiration
and expiration. THIS IS NORMAL
Abnormal breath sounds= Right Ans - Adventitious
, Crackles : Fine snap/popping sound in lungs
Rales
Wheezing
Diminished
Rhonchi
Stridor: Trachea Obstruction
Pleural Friction Rub
Fine snap/popping sound in lungs Right Ans - Crackles : Fine
snap/popping sound in lungs
Trachea Obstruction Sound? Right Ans - •Stridor - striving to breathe
Contraindication for IVP dye? Right Ans - Shellfish
Things to watch for after a tonsillectomy that require immediate intervention?
Right Ans - Frequent coughing
Frequent swallowing
Due to bleeding, can compromise breathing
What types of food/drink should not be given to a tonsillectomy patient-SATA
Right Ans - Jello- not red, can be confused for blood
Pudding
Popsicle
What should a post-tonsillectomy patient not use? Right Ans - •Do not use
straws, cause negative pressure by sucking in which can burst stitches
Priority when Changing trach ties Right Ans - •Always hold the
tracheostomy tube in place. PROTECT THE AIRWAY.
•If patient can hold it cool, if a second nurse is needed no worries.
•
•Ties can be too tight, if not changed often can embed in skin, very gross.
When can a patient eat after a laryngoscopy? Right Ans - •When the gag
reflex returns - usually a few hours
•
•Numb the throat to stick a tube and a camera down the larynx