Care of Patients with ACS and Vascular Problems
Care of patients with noninfectious lower respiratory problems
Care of pts with infectious respiratory problems
Care of Critcally ill patients with respiratory problems
Care of pts with Hematologic problems and Burns
100
  • What should the nurse monitor for after a femoropopliteal bypass?
  • What is decreased perfusion lower extremities (check distal pulses)
100

What are the clinical manifestations of a tension pneumothorax?

Tracheal Deviation and sudden shortness of breath.

100

A client with empyema is often treated with what?

chest tube insertion, which facilitates obtaining samples of the pleural fluid for analysis and re-expands the lungs. The nurse should perform frequent respiratory assessments, and antipyrectics should be given

100

A large blood clot int he lungs will significantly impair what?

gas exchange and oxygenation

100

Drooling and difficulty swallowing in a burn patient can mean ?

They are about ready to lose their airway

200
  • Why is hypertension after coronary artery bypass surgery dangerous?
  • because it puts too much pressure on the suture lines and can cause bleeding
200

How would you instruct a client to use an inhaler with a spacer correctly?

Insert the mouthpiece of the inhaleer into the non-mouthpiece end of the spacer, shake the whole unit 3-4 times, place the mouthpiece into mouth, over the tongue and seal lips tightly around mouth piece, press down firmly on the canister to release one of the doses of medication,  breathe in slowly and deeply, remove mouth piece, keep lips closed and hold breath for at least 10 seconds.

200

What education should be given to a client taking isoniazid?

take on an empty stomach either 1 to 2 hours after meals, extra vitamin B should be taken while on this drug, don't skip doses.

200

For clients on IV heparin a PTT Of what is needed to demonstrate the heparin is working?

1.5 to 2.5 times the normal value

200

what would be the fluid of choice for a client is sickle cell crisis that is dehydrated?

a hypotonic solution

300
  • If drainage in a chest tube decreases significantly and dramatically after a CABG what could this indicate?
  • If drainage in a chest tube decreases significantly and dramatically after a CABG what could this indicate?
300

What classification of medication causes bronchodilation by inhibiting the parasympathetic nervous system?

Cholinergic antagonist

300

Why is it important for a client to take all prescribed medication if he has TB ?

When a person with TB does not take all of his prescribe medication, Mutidrug-Resistant TB; MDR-TB can occur.

300

What labs would you see low in a client with heparin induced thrombocytopenia?

platelets

300

What labs should you monitor in the emergent phase of burns?

potassium, sodium, glucose, hematocrit

400

What are the interventions used to treat a patient with unstable angina? (6) Must get 3 correct.

Nitro, Morphine, Oxygen, monitor vitals, place pt in semi-fowlers position, and provide quiet calm environment.

400

What classification of medication relaxes bronchiolar smooth muscles by binding to and activating pulmonary  beta2 receptors?

Bronchodilators

400

What patient population would you recommend pneumonia vaccinations to?

Clients over 65 and any client no matter what age with a chronic health condition.

400

When an intubated client shows signs of hypoxia check for ???

DOPE

D=displaced tube

O= obstruction

P=pneumnothorax

E= equipment problems

400

Clients with polycthemia vera have clotting abnormalities due to what?  Which would make them at risk for what?

1) hyperviscous blood

2) Pulmonary embolism

500

What lab needs to be monitored when giving GP IIb/IIIa inhibitors?

Platelets

500

what can happen when a chest tube becomes disconnected from the drainage system?

air can be sucked into the pleural space and cause a pneumothorax

500

Why does dehydration tend to occur in clients with pneumonia?

tachypnea and mouth breathing increase insensible water loss and can lead to dehydration

500

What conditions place clients at higher risk of developing a PE?

prolonged immobility, central venous catheters, surgery, obesity, advancing age, conditions that increase blood clotting, hx of thromboembolism, smoking, pregnancy, estrogen therapy, heart failure, stroke, cancer, and trauma.

500

Clients with idiopathic thrombocytopenic purpura are at high risk for what?

bleeding

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