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Respiratory System (MED SURG) questions with correct answers.
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Respiratory System (MED SURG) questions with correct answers.
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Respiratory System (MED SURG)questions with correct answers.
PFT (Pulmonary Function test) ANS - Test that assesses respiratory function & determine extent of
dysfunction. Used before surgical procedures to identify respiratory risks.
1. Pt that smoke, stop 6-8 hrs prior to test
2. Pt that uses inhaler, withhold 4-6 hrs prior to test)
Allen test ANS - Test performed to assess the patency of the collateral circulation of the hands.
Compress the ulnar and radial arteries simultaneously while client makes a fist. Instruct the client to
relax the hand to assess palm/fingers for blanching. Next, release pressure on the ulnar artery and
observe the hand for flushing and capillary refilling. The client's hand should turn pink within 15
seconds.
Arterial puncture, Heparinized, Allen ANS - A puncture of an artery to obtain blood for ABG testing. This
test uses a ________________________ syringe and the ______________ test must be performed prior
to procedure.
5 ANS - After an arterial puncture, hold direct pressure over the site for _____ mins (20 mins for people
on anticoagulation therapy) to reduce risk of hematoma development. Monitor ABG site for bleeding,
loss of pulse, swelling, and change in temp/color. Administer Oxygen.
B (This could indicate an air embolism. Trendelenburg position helps release air pressure from the lungs)
ANS - A client presents with sudden SOB, decreased O2 sat, Chest pain, and anxiety after an arterial
puncture for ABG analysis. What should the nurse do?
A) Administer Oxygen
B) Place client on their left side in Trendelenburg position
C) Place the client on their right side
D) Lift the client's HOB to high fowlers
,Bronchoscopy ANS - Visualization of the larynx , trachea, and bronchi through a bronchoscope to
visualize tumors, inflammation, or strictures. Patient will be sedated during procedure.
1) Maintain NPO status for 8-12 hrs
2) Administer preprocedure meds (Anxiolytic, Atropine, Lidocaine, Local anesthetic throat spray)
3) Assess gag reflex and LOC often
4) Offer ice chips for sore throat once gag reflex returns from anesthetics
5) Encourage deep breathing and coughing q.2h
C ANS - What position would a client be in for a bronchoscopy?
A) Trendelenburg
B) High fowlers
C) Supine or sitting up
D) Prone
A ANS - Immediately following a bronchoscopy, a client presents with a temperature of 101 and a small
amount of blood tinged sputum. What should the nurse do?
A) This is a normal finding postop
B) Call the provider.
C) This is indicative of hemorrhage. Administer Ondansetron.
D) Monitor H&H levels
Thoracentesis ANS - Surgical puncture of the chest wall with a needle to obtain fluid from the pleural
cavity. Percussion, auscultation, radiography, and sonography is used to locate effusion and needle
insertion. Client sits upright with arms raised above the head COMPLETELY still.
*Amount of fluid removed is limited to 1L at a time to prevent re-expansion pulmonary edema
*Apply dressing over the puncture site
*Monitor VS and Resp. status
, *Auscultate lungs for reduced breath sounds on thoracentesis side (pneumothorax)
*Obtain a post procedure chest xray
Pneumothorax ANS - *Diminished breath sounds
*Distended neck veins
*Asymmetry of chest wall
*Cyanosis
*Deviated trachea and pain on affected side
*Increased HR
*Rapid shallow respirations
*Nagging cough
Acute Bronchitis ANS - Inflammation of the bronchi.
*Persistent cough (3-5 weeks)
*Clear sputum
*Fever, Malaise, Hoarseness
*Rhonchi, crackles, wheezes
Mantoux test ANS - An intradermal test for TB that indicates exposure to tuberculosis, not that the
patient has the actual illness. The shot site is assessed 48-72 hours after initial test was given. A positive
test presents as a 10mm or greater bump on the skin. A 5mm bump means the patient is
immunocompromised.
**To test if the patient has the actual disease, a sputum culture and chest xray must also be positive
Pertussis, Zithromax ANS - A highly contagious respiratory tract infection manifested by uncontrollable,
violent coughing and must be treated with antibiotics (__________________).
The CDC recommends all adults have at least one time dose of the TDap vaccination.
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