NURS 642 /AGACNP EXAM 1 2024/ACTUAL EXAM WITH 100% CORRECT ANSWERS/LATEST UPDATE 2024
Pneumothorax - Correct Answer-occurs when air is allowed into the pleural space
Caused by trauma, medical procedures, or spontaneously - Correct Answer- penumothorax
perforation of chest wall or pleur...
NURS 642 /AGACNP EXAM 1 2024/ACTUAL EXAM WITH 100% CORRECT ANSWERS/LATEST UPDATE 2024 Pneumothorax - Correct Answer -occurs when air is allowed into the pleural space Caused by trauma, medical procedures, or spontaneously - Correct Answer - penumothorax perforation of chest wall or pleura: trauma (sucking chest), blunt (air enters form lung to pleura), iatrogenic, - Correct Answer -causes of penumothorax Pneumothorax risk factors - Correct Answer -trauma, iatrogenic, intrinsic lung disease, young, thin males, smoking, HIV with penumocystis jiroveci penumonia Iatrogenic causes - Correct Answer -Central line , bronchoscopy(with needle bx) needle insertion (bx liver, lung, thoracentesis) surgery (chest,neck abdominal) Mechanical ventilation Tension Pneumothorax - Correct Answer -air pressure builds within the pleura space (unable to exit) pressure rises lung collapses causing shifting of the mediastinum and impairment of venous blood return to the heart - Correct Answer -tension pneumothorax Pneumothorax HPI - Correct Answer -acute onset of dyspnea and pain. agitation or apprehension may cause tachypnea, tachycardia developing a tension pneumothorax - Correct Answer -hemodynamic instability (hypotension, CV collapse with distended neck veins, tracheal shift) and mediastinal shift may be noted. reduced breath sounds, splinting, reduced respiratory expansion, tracheal/mediastinal shift, subcutaneous empheysema, hemodynamic instability with impaired venous return - Correct Answer -tension pneumothorax mainstay for diagnosing pneumothorax - Correct Answer -CXR what is the preferred position of CXR for penumothorax - Correct Answer -upright position increased translucency, visible lining collapse demarcation, mediastinal shift. (looks like lung pushed inwards) - Correct Answer -findings on CXR for pneumothorax Diff. diagnosis for penumothorx include (think of causes for acute sob) - Correct Answer -PE and Pneumonia pneumothorax diagnostic criteria - Correct Answer -significant history and exam findings may be sufficient to proceed with treatment without CXR. pneumothorax in a stable patient - Correct Answer -CXR is diagnostic criteria Pneumothorax goals of care - Correct Answer -stabilization and intervention in the unstable pt pneumothorax goals of care for the stable patient - Correct Answer -decision made to intervene or monitor based on the amount of lung volume lost. tension pneumothorax Acute management - Correct Answer -emergent intervention : needle decompression, 14-16G needed, 2nd ICS, anterior at MCL and chest tube placement - Correct Answer -tension penumothrox management open penumothorax - Correct Answer -three sided occlusive dressing placement until definitive treatment can be performed (surgical permanent chest tube) Acute management for the stable pneumothorax - Correct Answer -determine underling etiology and evaluate extent. decision made on percentage of lung involvement chest tube placement (thoracostomy) - Correct Answer ->20% collapse (2cm). unstable pt, 4th or 5th ICs and mid -axillary line. closed chest drainage (water seal), chest tube indication with negative pressure - Correct Answer -if water seal insufficient after 24 -48 hours, clinically unstable, persists hypoxemia/hypercapnia. surgical consideration pneumothroax - Correct Answer -not responding to other measures and reduce recurrence Mnemonic causes of pneumothorax - Correct Answer -SIT, 3As, 3Cs Spontaneous Iatrogenic Trauma Asthma Alevolitis Aids COPD Carcinoma Cyhstic fibrosis
Voordelen van het kopen van samenvattingen bij Stuvia op een rij:
Verzekerd van kwaliteit door reviews
Stuvia-klanten hebben meer dan 700.000 samenvattingen beoordeeld. Zo weet je zeker dat je de beste documenten koopt!
Snel en makkelijk kopen
Je betaalt supersnel en eenmalig met iDeal, creditcard of Stuvia-tegoed voor de samenvatting. Zonder lidmaatschap.
Focus op de essentie
Samenvattingen worden geschreven voor en door anderen. Daarom zijn de samenvattingen altijd betrouwbaar en actueel. Zo kom je snel tot de kern!
Veelgestelde vragen
Wat krijg ik als ik dit document koop?
Je krijgt een PDF, die direct beschikbaar is na je aankoop. Het gekochte document is altijd, overal en oneindig toegankelijk via je profiel.
Tevredenheidsgarantie: hoe werkt dat?
Onze tevredenheidsgarantie zorgt ervoor dat je altijd een studiedocument vindt dat goed bij je past. Je vult een formulier in en onze klantenservice regelt de rest.
Van wie koop ik deze samenvatting?
Stuvia is een marktplaats, je koop dit document dus niet van ons, maar van verkoper PurityKauri. Stuvia faciliteert de betaling aan de verkoper.
Zit ik meteen vast aan een abonnement?
Nee, je koopt alleen deze samenvatting voor €14,22. Je zit daarna nergens aan vast.
