Pulmonary Exam 2 Nur 265 Test Questions With Verified Solutions.
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Course
NUR 265
Institution
NUR 265
causes of pulmonary embolism - Answer - usually caused by DVT that has been freed and moved to the lungs. Can be air or tumor tissue.
Risk factors of PE - Answer Known DVT, PMHx of DVT or PE, FHx, Recent surgery, Cancer, A-Fib, Immobility, Pregnancy, BCP, Smoking
Treatment of PE - Answe...
Pulmonary Exam 2 Nur 265 Test
Questions With Verified Solutions.
causes of pulmonary embolism - Answer - usually caused by DVT that has been freed and moved to the
lungs. Can be air or tumor tissue.
Risk factors of PE - Answer Known DVT, PMHx of DVT or PE, FHx, Recent surgery, Cancer, A-Fib,
Immobility, Pregnancy, BCP, Smoking
Treatment of PE - Answer Unfractionated heparin given IV is standard treatment.
Enoxaparin (outpatient treatment)
Transudative pleural effusions should make you think of what diagnosis? - Answer CHF, PE, cirhhros and
kidney issues.
Pleural effusion causes - Answer -Heart, Liver, or renal Failure
-Chest wall trauma
-TB/PE
-Complication of anticoagulant therapy after chest surgery
Symptoms of pleural effusion - Answer -dyspnea on exertion
-non-productive cough
-diminshed breath sounds
-dullness to percussion
-may or may not hear crackles
Treatment for pleural effusion - Answer -thoracentesis- remove fluid so lung can expand
-sent fluid sample to lab
, - chest tube can be placed
Thorancentesis - Answer Pt sit at edge of bed and hold breath during needle insertion and duration.
- if blood, bleeding is concern.
-emphysema is a group of WBC. We need to prevent sepsis.
Causes of pneumothorax - Answer Spontaneous
smoking
complications from existing disease
trauma
surgery
What is a pneumothorax? - Answer air in the pleural space, changes the pressure in the thoracic cavity
and decreases the surface area for oxygen exchange.
open pneumothorax (sucking chest wound) - Answer An open or penetrating chest wall wound through
which air passes during inspiration and expiration, creating a sucking sound. wound needs to be covered.
tension pneumothorax - Answer a pneumothorax with rapid accumulation of air in the pleural space
causing severely high intrapleural pressures with resultant tension on the heart and great vessels.
Tension pneumothorax treatment - Answer Prompt insertion of large-bore needle or chest tube for
decompression. Will need central line bc heart is having trouble pumping.
spontaneous pneumothorax - Answer A pneumothorax that occurs when a weak area on the lung
ruptures in the absence of major injury, allowing air to leak into the pleural space. Can occur due to
changes in air pressure-scuba diving, flying, mnt climbing. OR injury due to smoking
symptoms of pneumothorax - Answer -reduced breath sounds
- affected side moves poorly with resp.
-trach deviation
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