Nurs 401 Final Exam Study Guide: pt. 1 Questions With Complete Solutions
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Course
NURS 401
Institution
NURS 401
Nurs 401 Final Exam Study Guide: pt. 1
Questions With Complete Solutions
goal of chest physiotherapy remove bronchial secretions, improve ventilation, and
increase efficiency of respiratory muscles
what does chest physiotherapy include? postural drainage, chest percussion, vibration, and
bre...
Nurs 401 Final Exam Study Guide: pt. 1
Questions With Complete Solutions
goal of chest physiotherapy remove bronchial secretions, improve ventilation, and
increase efficiency of respiratory muscles
what does chest physiotherapy include? postural drainage, chest percussion, vibration, and
breathing retraining
Breathing retraining for COPD pursed lip and diaphragmatic breathing
Pneumothroax air fills pleural space (space between visceral and parietal pleura of the
lung)
-a collapsed lung
Signs of pneumothorax dyspnea (labored breathing), one sided chest pain, absent or
decreased breath sounds
Pulmonary embolism blood clot breaks off and circulates through the venous system
-ventilation perfusion mismatch --> cyanosis
, Nurs 401 Final Exam Study Guide: pt. 1
Questions With Complete Solutions
-alveolar dead space is increased. area is ventilated by receives little or no blood
signs of pulmonary embolism dyspnea (most common symptom)
tachypnea, tachycardia, and anxiety
Pulmonary embolism- nursing role -death occurs within 1 hour after symptoms onset-
early detection is important
-prevent- leg exercises, ambulation, anti-embolism stockings
-oxygen, IV access, ECG, blood draw
pleural effusion collection of fluid in between lungs and lining that surrounds lungs
-caused by irritation, infection, or cancer
signs of pleural effusion chest percussion- dullness over involved area, diminished breath
sounds, possibly a friction rub
Pleural effusion- nursing management support medical regimen
, Nurs 401 Final Exam Study Guide: pt. 1
Questions With Complete Solutions
Breathing interventions assess for underlying problems, position high, oxygen as needed
Atelectasis - what is it? closure or collapse of alveoli
Atelectasis- who is at risk? post op patients (pain, analgesic agents- shallow breathing)
-impaired cough mech or bedridden
-excessive pressure on the lung tissue
Atelectasis Clinical Manifestations dyspnea, cough, and sputum production
-increased WOB and hypoxemia
-decreased breath sounds, crackles
-low SpO2
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