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NURS 642 EXAM 1 STUDY GUIDE COMPLETE RATED A. $15.49   Add to cart

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NURS 642 EXAM 1 STUDY GUIDE COMPLETE RATED A.

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  • NURS 642
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  • NURS 642

NURS 642 EXAM 1 STUDY GUIDE COMPLETE RATED A.

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  • November 6, 2024
  • 32
  • 2024/2025
  • Exam (elaborations)
  • Unknown
  • nurs 642
  • NURS 642
  • NURS 642
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saraciousstuvia
NURS 642 EXAM 1 STUDY GUIDE
COMPLETE RATED A.
Slow Onset Pleural Effusion
✔✔Malignancy, Chronic Disease


Acute Onset Pleural Effusion
✔✔Iatrogenic, Traumatic


Pleural Effusion PE
✔✔Diminished lung sounds @ base when upright


Dullness to percussion


Decreased tactile fremitus


Pleural Friction Rub


Appears Anxious


Increased WOB: tachypnea, accessory muscle use


Hypoxemia

,Fever


Severe PE causes tracheal shift, confusion


Pleural Effusion Radiology Testing
✔✔CXR: Upright, PA/LAT preferred


Lateral Decubitis with affected side down to assess if fluid is free flowing
and may help identify small amounts


US: Provides target for thoracentesis, locates smaller effusions and
loculated effusions


CT: Non-contrast unless contrast is required for ddx (malignancy)
provides detailed assessment of lungs


Minimal Fluid Amounts for XRay detection
✔✔75mL Lateral


175mL PA


small volumes may be see in lateral decubitis view

,Transudative Pleural Effusion
✔✔D/T increased hydrostatic pressure or decreased oncotic pressure


Causes of Transudative PE
✔✔CHF
Cirrhosis
Hypoalbuminemia


Exudative PE
✔✔D/T Increased production of fluid d/t abnormal capillary permeability or
decreased lymphatic clearance from pleural space


Causes of Exudative PE
✔✔Malignancy


Rheumatoid Arthritis


Vasculitis


Lupus


Empyema
✔✔Infection and Pus in pleural space

, Hemothorax
✔✔Blood in pleural space


Chylothorax
✔✔Chyle in the pleural space d/t ruptured thoracic ducts


Types and Surface Glycoproteins of Influenza
✔✔Types: ABC
Surface Glycoproteins: H & N


Human Influenza Viruses
✔✔B & C


Influenza A
✔✔A is primarily Avian, but can infect human and other animals


Is further classified by H and N subtypes


Influenza High Risk groups
✔✔Young <24 months; 6 months-5 years
Older Adult >50
Long Term Care
Pulmonary Dx
Cardiac Dx

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