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NUR350 Respiratory/Pulmonary Exam Questions And 100% Correct Answers
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NUR350 Respiratory/Pulmonary Exam Questions And 100%Correct Answers
hilus of the lung is entry of brinchi, pulmonary vessels, and nerves into the lungs - it is an
important landmark as a radiologist in reading chest X-rays
compnents of the Upper respiratory Tract - nose
- mouth
- pharynx
- epiglottis
- larynx
- trachea
In which lung is aspiration more likely in? right lung
geriatric considerations of the pulmonary/respiatory system - reduces immune function
- reduced chest expansion
What is the S/S of acute viral rhinopharyngitis? - Answer - sneezing
- watery eyes
- sore throat
- nasal congestion
What is tuberculosis? - Answer - Gram positive
- aerobic
- acid fast bacillus
,What are the S/S of tuberculosis? - Answer - chest pain
- chills
- weakness
- weight loss
- productive cough
- nigh sweats
- bloody phlegm
What is pneumonia? - Answer inflammation of the lungs
What are the nursing interventiosn for pneumonia? - Answer - Teach patient to cough
and deep breath (if healthy)
- Chest phisiotherapy
- incentive spirometer
- PO fluids
- Get up and move
- humidifier
- Elevate HOD
What are the S/S of pneumonia ? - Answer - high fever, chills
- claminess
- headache, loss of appetite, mood swings
- cough w sputum (yellowish), SOB, hemoptysis
- nausea/vomiting
- low BP
- hIgh HR
,- muscle aches
How is TB transmitted? Answer - airborne and droplet
What are nursing considerations for TB? Answer - neg pressure iso room
- N95, gown, and gloves
What are the nursing interventions/treatments for URIs? Answer rest
- fluids (H2O, thin out mucous)
- antipyretics (Tylenol, 103F)
- analgesia
- decongestants
- cough suppressants
What is done for a patient by coughing and deep breathing? Answer Increase oxygen
What do we do for a patient in respiratory distress with an URI? - Answer - high Fowler
- incentive spirometer
What is cystic fibrosis? - Answer Autosomal recessive genetic disorder with altered
transport of sodium and chlorideions in and out of epithelial cells.
Whap happens in the mucus lining with cystic fibrosis? - Answer dehydrated, tenacious,
and defects in chloride secretion and sodium absorption
What is asthma? -Answer- Constricting of the airway due to inflammation and muscular
contraction of the bronchioles.
- Either can't get enough air in or enough air out.
What are the S/S of asthma? -Answer- severe SOB
-accessory muscle use
, -stridor
-severe hypoxemia
What is COPD? -Answer Irreversible decrease in the ability to force air out of the lungs.
What are most important pt teachings for COPD pts? - ANS - can be living at a low
oxygen
- CO2 is circulating more, hypoxic them to hypoxemia
What interventions do we use if a patient is hypoxic? - ANS - tripod positioning
- diaphoratic breathing
What are bronchodilators? -Answer they relax bronchial smooth muscle, which causes
dilation of the bronchi and bronchioles that are narrowed as a result of a disease
process
What are the nursing interventions for bronchodilators? -Answer -Assess BP, pulse,
respiration, and lung sounds
-secretions
-ECG and chest pain
What are corticosteroids? -Answer-most effective for short acting
-dont use for asthma attacks
What are the teatments for tuberculosis? -Answer Active TB: ethambutol, rifampin
Drug resistant: streptoycin, aminoglycocides, injectable ABX or fluoroquinolones
What is medications/teatments available for pneumonia? -Answer - ABX
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