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Med Surg - Upper and Lower Respiratory questions with actual answers. $8.99   Add to cart

Exam (elaborations)

Med Surg - Upper and Lower Respiratory questions with actual answers.

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  • Course
  • Medical surgical nursing
  • Institution
  • Medical Surgical Nursing

Med Surg - Upper and Lower Respiratory questions with actual answers.

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  • August 16, 2024
  • 10
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Medical surgical nursing
  • Medical surgical nursing
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Professorkaylee
Med Surg - Upper and Lower Respiratory
questions with actual answers.

atelectasis ANS - Collapsed, airless alveoli



Who is at risk for Atelectasis ANS - Bed ridden and postop abdominal and chest surgery patients



How do you prevent atelectasis ANS - Deep breathing exercises, incentive spirometry, early mobility



Pleurisy ANS - Pleuritic pain is a sharp pain that happens with inspiration. Will most likely hear a pleural
rub



Atelectasis manifestation ANS - decreased breath sounds and crackles over the affected area



Atelectasis Nursing Interventions ANS - -Frequent turning

-Early mobilization

-Strategies to expand lungs and manage secretions

-Incentive spirometer

-Voluntary deep breathing

-Secretion management

-Pressurized metered-dose inhaler



Atelectasis Medical Management ANS - improve ventilation, suctioning, deep breathing, coughing,
bronchodilators, and humidification; oxygen



Pleural effusion ANS - caused by fluid in pleural space which causes increased pulmonary pressure and
decreased oncotic pressure

, Pleural effusion manifestations ANS - Dyspnea, chest pain, tachypnea, tracheal deviation, absent lung
sounds and dullness over affected area, tachycardia, and pleural friction rub



Pneumonia ANS - Acute infection of the parenchyma



What are the three ways that organisms reach the lungs ANS - 1. Aspiration of normal flora from
nasopharynx or oropharynx

2. Inhalation of microbes present in air

3. Hematogenous spread from primary infection elsewhere in the body



Pneumonia streptococcal manifestation ANS - Sudden onset of chills, fever, pleuritic chest pain,
tachypnea, respiratory distress



Pneumonia viral manifestation ANS - Headache, low grade fever, pleuritic pain, myalgia, rash and
pharyngitis



Pneumonia: Assessment and Diagnosis ANS - • History

• Physical exam

• Chest x-ray

• Blood culture

• Sputum examination

• Bronchoscopy may be used for acute severe infection



Pneumonia prevention and education ANS - vaccine



community acquired pneumonia (CAP) ANS - acute infection of the lung occurring in patients who have
not been hospitalized or live in a long-term care facility



Hospital-acquired pneumonia (HAP) ANS - occurs 48 hours or longer after hospitalization and not
present at the time of admission (x-ray is used to diagnose)

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