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NURSADN2 Test #3: Study Guide – Questions With Accurate Answers (100%)
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NURSADN2 Test #3: Study Guide – Questions With Accurate Answers (100%)
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NURSADN2 Test #3: Study Guide – Questions WithAccurate Answers (100%)
(Respiratory, eye/ear (sensory), cardiac and fluid/electrolytes)
Dyspnea can be defined as: Right Ans - Abnormally labored breathing;
Difficulty breathing
What are the 6 P's of Dyspnea?
(Potential causes of dyspnea) Right Ans - * Pulmonary bronchial
constriction
* Pneumothorax
* Pump failure
* Pneumonia
* Pulmonary embolus
* Possible foreign body
What are the signs and symptoms of dyspnea? Right Ans - Accessory
muscles, retraction, nasal flaring, abnormal breathing patterns, activity
intolerance, tachycardia, low 02 saturation
After a bronchoscopy, visual examination of the inside of the bronchi that uses
an instrument called a bronchoscope, what position should a patient be placed
in?
A. Supine
B. Fowlers
C. Semi-fowlers
D. Sitting Right Ans - C. Semi-fowlers
What kind of assessments/monitoring should be made following a
bronchoscopy? Right Ans - Vital signs (including pain), ability to swallow,
postop complications (sedative reactions, spasms, bleeding, aspiration, etc.)
What kind of *infections* impair gas exchange in the lungs?
,*Hint: (PAECTBAAC) Perry And Emma Can Travel By Airplane And Car*
Right Ans - Pneumonia, Atelectasis, (pulmonary) Edema, COPD, Tuberculosis,
Bronchitis, ARF, ARDS, Cystic fibrosis
What is ventilation-perfusion ratio (VQ Ratio)? Right Ans - The ratio of the
amount of air reaching the alveoli to the amount of blood reaching the alveoli
What does an abnormal VQ ratio indicate? Right Ans - A normal V/Q ratio
is around 0.80. Roughly four liters of oxygen and five liters of blood pass
through the lungs per minute. A ratio above or below 0.80 is considered
abnormal. 3 Higher-than-normal results indicate reduced perfusion; lower-
than-normal results indicate reduced ventilation.
What is hypoxia? Right Ans - Inadequate oxygen supply in the tissues
What is hypox*emia*? Right Ans - Inadequate oxygen supply in the blood
(Low PaO2)
Symptoms of *hypoxia* can be remembered by the mnemonic *RAT BED*,
where RAT is early signs and BED is late signs. What does this mnemonic
stand for (i.e. what are the symptoms of hypoxia)? Right Ans -
*R*estlessness
*A*nxiety
*T*achycardia
*B*radycardia
*E*xtreme restlessness
*D*yspnea (severe)
How should a nurse assess for *hypoxia*? Right Ans - Skin color changes,
level of consciousness, cough, vital signs, sweating, altered breathing rate, etc.
How should sputum be collected? Right Ans - Ideal to collect sputum in the
morning due to higher yield, collect daily sputum for 3 consecutive days,
smear after staining, may take 2-6 weeks for it to grow, drug susceptibility
results may take another 3 weeks, only requires 10-100 bacilli for positive
result.
, What should be avoided when collecting a sputum culture? Right Ans -
Contamination from saliva/nasal drainage
Strained, high-pitched sound heard on inspiration caused by obstruction in
the pharynx or larynx:
A. Stridor
B. Rales
C. Ronchi
D. Wheeze
E. Pleural rub Right Ans - A. Stridor
Discontinuous crackles; wet crackling noise in lungs heard more on
inspiration:
A. Stridor
B. Rales
C. Ronchi
D. Wheeze
E. Pleural rub Right Ans - B. Rales
Continuous, low pitched, coarse, loud, snoring tone during expiration:
A. Stridor
B. Rales
C. Ronchi
D. Wheeze
E. Pleural rub Right Ans - C. Ronchi
Continuous or discontinuous creaking or grating sound heard on auscultation
(two balloons rubbing together):
A. Stridor
B. Rales
C. Ronchi
D. Wheeze
E. Pleural rub Right Ans - E. Pleural rub
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