Wheezing - ANSWER-are short high pitched sounds made on expiratory
Abnormal Breathe sounds - - ANSWER-used to describe bronchial or
bronchovesicular sounds heard in the peripheral lung fields.
Adventitous sounds - - ANSWER-are extra breath sounds that are abnormal
The presence of bronchovesicular breath sounds in the peripheral lung fields is
described as? - - ANSWER-abnormal lung sounds
To prepare the patient for a thoracentesis, the nurse positions the patient - -
ANSWER-sitting upright with the elbows on an over-the-bed table.
,Bronchoscopy - ANSWER-After procedure keep the patient NPO until gag reflux
returns.
Hypoxemia - - ANSWER-PaO2 is at 55% and SpO2 is 88
What test do you use to verify pulmonary embolus? - - ANSWER-CT scan
A patient with an SaO2 of 85% has a PaO2 of 50mm Hg. This indicates? - -
ANSWER-shift to the left in the oxygen-hemoglobin dissociation curve that
could be caused by hypothermia.
Normal Arterial Blood Gases - - ANSWER-pH 7.35-7.45, PaO2 80-100mm Hg,
SaO2 >95%, PaCO2 32-48 mm Hg, HCO3- 22-26 mEq/L
To determine when the patient with a tracheostomy tube can be effectively
swallow, the nurse deflates the cuff and? - - ANSWER-has the patient drink a
small amount of blue-colored water, observing for coughing and colored
secretions.
When obtaining a health history from a patient with possible cancer of the
mouth, the nurse would expect the patient to report? - - ANSWER-Heavy
tobacco and alcohol use.
The most normal functioning method of speech restoration in the patient with
a total larynectomy is - - ANSWER-a voice presthesis
A patients tracheostomy tube becomes dislodged with vigorous coughing. The
first action by the nurse is to? - - ANSWER-attempt to replace the tube
,What will the nurse teach a patient with pneumonia? - - ANSWER-Deep
breathing and coughing
Fine Crackles - - ANSWER-short-duration, discontinuous, high pitched sounds
heard just before the end of inspiration. In pneumonia or heart failure.
Coarse Crackles - - ANSWER-long duration, discontinuous, low pitched sounds
caused by air passing through airway intermittently occluded by mucus,
unstable bronchial wall, or fold of mucosa; evident with inspiration. COPD,
heart failure, and pneumonia.
Absent breath sounds - - ANSWER-no sound evident over entire lung or area of
lung. Pleural effusion or lobectomy
Peritonsillar abscess - - ANSWER-is a complication of acute pharyngitis or acute
tonsillitis when bacterial infection invades one or both tonsils. The tonsil may
enlarge sufficiently to threaten airway patency. Also known as the hot potato
voice. The patient experience a high fever, leukocytosis, and chills.
Sputum Test for TB - - ANSWER-3 seperate sputum test over 3 days. Airborne
precautions until 3 negative sputum samples. HEPA mask required.
INH - - ANSWER-latent TB and treat 6 to 9 months.
Rifampin side effects and considerations - - ANSWER-Hepatitis,
thrombocytopenia, orange discoloration of bodily fluids (Sputum, urine, sweat,
tears).
BCG or Bacille Calmette-Guerin - ANSWER-Immigrants have been vaccinate in
parts of the world with high TB. Do not give TB test only chest x-ray.
, A patient with pneumonia has a nursing diagnosis pf ineffective airway
clearance related to pain, fatigue, and thick secretions. An appropriate nursing
intervention for the patient is to - - ANSWER-Encourage fluid intake of 3L/day
Diagnose Pulmonary Emboli - ANSWER-with at CAT scan or MRI
Hypothermia - - ANSWER-SPO2 96%. What is the nurse going to do? Turn
oxygen up.
Symptom of primary pulmonary hypertension - - ANSWER-dyspnea with
exertion
Sepsis - - ANSWER-2 blood draws from 2 different sites before start ABT
Pseudomonis - - ANSWER-thick green mucous
Proventil side effects - - ANSWER-tachycardia, BP changes, nervousness,
palpitations, muscle tremors, nausea, vomiting, vertigo, insomnia, dry mouth,
headache, hypokalemia.
On examining a patient 8 hours after formation of a colostomy, the nurse would
expect to find - - ANSWER-a brick-red, puffy stoma that oozes blood.
A patient is admitted to the emergency department with acute abdominal pain.
The nursing intervention that should be implemented first is - - ANSWER-
measurement of vital signs
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