Wheezing - ANSWER-are short high pitched sounds made on expiratory
Abnormal Breathe sounds - - ANSWER-used to describe bronchial or
bronchovesicular sounds heard in the peripheral lung fields.
Adventitous sounds - - ANSWER-are extra breath sounds that are
abnormal
The presence of bronchovesicular breath sounds in the peripheral lung
fields is described as? - - ANSWER-abnormal lung sounds
,To prepare the patient for a thoracentesis, the nurse positions the
patient - - ANSWER-sitting upright with the elbows on an over-the-bed
table.
Bronchoscopy - ANSWER-After procedure keep the patient NPO until
gag reflux returns.
Hypoxemia - - ANSWER-PaO2 is at 55% and SpO2 is 88
What test do you use to verify pulmonary embolus? - - ANSWER-CT
scan
A patient with an SaO2 of 85% has a PaO2 of 50mm Hg. This indicates? -
- ANSWER-shift to the left in the oxygen-hemoglobin dissociation curve
that could be caused by hypothermia.
To determine when the patient with a tracheostomy tube can be
effectively swallow, the nurse deflates the cuff and? - - ANSWER-has
the patient drink a small amount of blue-colored water, observing for
coughing and colored secretions.
When obtaining a health history from a patient with possible cancer of
the mouth, the nurse would expect the patient to report? - - ANSWER-
Heavy tobacco and alcohol use.
The most normal functioning method of speech restoration in the
patient with a total larynectomy is - - ANSWER-a voice presthesis
,A patients tracheostomy tube becomes dislodged with vigorous
coughing. The first action by the nurse is to? - - ANSWER-attempt to
replace the tube
What will the nurse teach a patient with pneumonia? - - ANSWER-Deep
breathing and coughing
Fine Crackles - - ANSWER-short-duration, discontinuous, high pitched
sounds heard just before the end of inspiration. In pneumonia or heart
failure.
Coarse Crackles - - ANSWER-long duration, discontinuous, low pitched
sounds caused by air passing through airway intermittently occluded by
mucus, unstable bronchial wall, or fold of mucosa; evident with
inspiration. COPD, heart failure, and pneumonia.
Absent breath sounds - - ANSWER-no sound evident over entire lung
or area of lung. Pleural effusion or lobectomy
Peritonsillar abscess - - ANSWER-is a complication of acute
pharyngitis or acute tonsillitis when bacterial infection invades one or
both tonsils. The tonsil may enlarge sufficiently to threaten airway
patency. Also known as the hot potato voice. The patient experience a
high fever, leukocytosis, and chills.
Sputum Test for TB - - ANSWER-3 seperate sputum test over 3 days.
Airborne precautions until 3 negative sputum samples. HEPA mask
required.
INH - - ANSWER-latent TB and treat 6 to 9 months.
, Rifampin side effects and considerations - - ANSWER-Hepatitis,
thrombocytopenia, orange discoloration of bodily fluids (Sputum, urine,
sweat, tears).
BCG or Bacille Calmette-Guerin - ANSWER-Immigrants have been
vaccinate in parts of the world with high TB. Do not give TB test only
chest x-ray.
A patient with pneumonia has a nursing diagnosis pf ineffective airway
clearance related to pain, fatigue, and thick secretions. An appropriate
nursing intervention for the patient is to - - ANSWER-Encourage fluid
intake of 3L/day
Diagnose Pulmonary Emboli - ANSWER-with at CAT scan or MRI
Hypothermia - - ANSWER-SPO2 96%. What is the nurse going to do?
Turn oxygen up.
Symptom of primary pulmonary hypertension - - ANSWER-dyspnea
with exertion
Sepsis - - ANSWER-2 blood draws from 2 different sites before start
ABT
Pseudomonis - - ANSWER-thick green mucous
Proventil side effects - - ANSWER-tachycardia, BP changes,
nervousness, palpitations, muscle tremors, nausea, vomiting, vertigo,
insomnia, dry mouth, headache, hypokalemia.
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