Fill in the blank
Name Three
School 'em
What is it?
Dx?
Need to know
100

___ causes a patient with sleep apnea to wake up in order to breathe.

Excess amounts of CO2

100

Upper respiratory infections

Rhinitis, Rhinosinusitis, Tonsillitis, Adenoiditis, and Laryngitis

100

Name three pieces of patient education you would give a patient after a tonsilectomy

Gargle with salt water for the pain, don't brush your teeth vigorously, stay in a humid environment. 

100

Area that is around the lung

Pleural space

100

Patient presents with rhinorrhea, sore throat, congestion, sneezing, and an itchy throat

Rhinitis

100

Why would a practitioner want to do a bronchoscopy?

To get samples, to look around, to remove foreign objects, or to control bleeding. 

200

A 2-step TB test needs to be done ___ weeks apart

3 weeks

200

Things that can impact lung compliance

Fluid, breathing by mouth (some air goes into the stomach), fast or shallow respirations, labored breathing, trauma (cracked ribs), position (the orthopneic position can mechanically help the lungs expand), and tight clothing like a corset.

200

What is one reason why we want to ensure our patient with Pharyngitis finishes their antibiotics that we should educate them about?

It can spread and cause endocarditis if untreated

200

Invasive test used in critical patients to determine their hemodynamic status

ABG (Arterial Blood Gas)

200

Patient presents with headache in the morning, snoring, fatigue, daytime sleepiness, and was brought in by his wife. 

Obstructive sleep apnea
200

What are the symptoms of respiratory distress?

Cough with or without blood or sputum, confusion, increased pulse rate, decreased blood pressure, shortness of breath, anxiety, tachypnea, cyanosis, chest pain, labored respiration, and decreased pulse ox.

300

The swab test for pharyngitis takes ___ to return. 

24 hours

300

Signs/Symptoms of Tuberculosis

Weight loss, night sweats, hemoptysis, fever, cough, activity intolerance

300

How would you explain why we give expectorants to patients with pnemonia?

Expectorants help you to cough up the mucus

300

Oxygen therapy that has two flaps, but one of the flaps is closed. This therapy allows the patient to breathe some room air.

Partial-nonrebreather
300

Patient presents with shortness of breath, fever, fatigue, pleural chest pain, rapid or labored breathing, accessory muscle use to breathe, sputum that is green in color, and activity tolerance. 

Bacterial (because of the green sputum) Pnemonia

300

What happens to the diaphragm with inhalation?

It collapses down to allow the lower lobes to expand.

400

Antihistamines can be taken daily for allergic rhinitis and some patients may require ___ on a short term basis.

Corticosteroids

400

Causes of Atelectasis

Infection, trauma, tumor, laying supine for too long, foreign body, mucus plug, shallow breathing, and pain.

400

A patient has come in for their second step PPD reading and it reads positive. What will they need next? Why?

They will need a QuantiFERON Gold to tell if it is active or latent TB.

400

Last step of oxygen therapy before intubation

CPAP/BiPAP

400

Patient presents with air hunger, shortness of breath, tachycardia, fatigue, and a cough that they say have been getting worse with time.

Atelectasis 

400

Where are thoracentesis and thoracoscopy performed?

A thoracentesis can be done bedside, and a thoracoscopy is done in the OR. 

500

Patients with active tuberculosis will need a ___ if they are being treated at the hospital.

Negative pressure room

500
Three things that are included in CPT or chest physiotherapy

Percussion, vibration, and postural drainage

500

What foods should be avoided if my patient is taking Isoniazid?

Foods containing tyramine including tuna, aged cheese, red wine, soy sauce, and yeast extracts.

500

Phase of TB treatment that takes 4-7 months. 

Maintenance phase

500

Patient presents with halitosis, hoarse voice, pain with talking, and pain that is worse in the morning.

Laryngitis 

500

What diagnostic testing provides a "living image" and uses cross sectional views. 

A CT scan

600

If a health care worker is exposed to active TB, they will need to be treated prophylactically for ___. 

6-12 months

600

Medications that are given to treat TB

Isoniazid, Rifampin, Ethambutol, Pyrazinamide 
600

What patient education should be provided to a patient with bacterial pharyngitis?

Throw away your toothbrush, don't shave, drink plenty of fluids, cough into your arm or a tissue, stay home for 24 hours after starting your antibiotic, and the patient can gargle salt water for the pain. 

600

Low flow oxygen therapy system

These do not deliver a precise amount of oxygen and include the nasal canula, simple face mask, and can also include a partial nonrebreather depending on the settings. 

600

Patient presents with rhinosinusitis that they have left untreated and now have more complications.

Meningitis 

600

What's included in the nursing respiratory bag of tricks?

Teaching patients to use the incentive spirometer, fluids, ambulation, positioning, CPT, turn q2h, cough, deep breathe, diaphragmatic breathing and pursed lip breathing

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