Oxygenation

Respiratory Basics

100

When someone has the following ABG: Ph 7.22 and CO2 of 55, what are three items you might provide to this client. First name the Acid Base

Respiratory Acidosis

Albuterol

Pulse oxygen monitor

Assessment

200

A lung sound often heard with asthma exacerbations

Wheezing

300

Care for patient post laryngectomy and radical neck dissection care.

Semi fowlers

Trach care

Output

Tube feeds

400

Chest tubes and chest tube care. Name 3 important concerns when caring for a client with a chest tube.

Cover hole with 4 x 4

Keep chest tube below injury

Continuous bubbling might be kink or leak

500

Potential plan of care for a patient with pulmonary hypertension.

Name the pathology of the disease.

Oxygen

Diagnostics & Labs

100

This blood test rules out pulmonary embolism if <250 mcg/L.

What test might follow results of the d-dimer

D-dimer

CT

200

Give me the 3 results for Mantoux tests and what each mean.

15 mm (healthy client)

BCG 

5 mm (red and Immunosuppressed)

300

Medications used for respiratory disorders and side effects name two

Albuterol

steroids

theophylline

400

Signs and symptoms of sleep apnea

H/A (CO2)

Decreased saturations

Daytime sleepiness

Poor judgement

Snoring

Poor coordination

500

During a bronchoscopy, pre, intra and post procedure, what are some nursing responsibilities

bronchospasms

gag reflex

Blood tinged sputum

Pneumothorax (asymmetry of chest)

Respiratory Disorders

100

Most common and virulent type of influenza virus and test used to for diagnosis of influenza

Influenza A

Rapid Influenza Diagnostic Test (RIDT)

200

Leading cause of cancer-related death in the U.S

Lung cancer

300

Education incentive spirometer (Name all 5)

1. Sit upright in a comfortable position, preferably on the edge of your bed if possible. 
2. Exhale normally to empty your lungs.
3. Insert the mouthpiece into your mouth and seal your lips tightly around it. 
4. Inhale slowly and deeply through the mouthpiece, aiming to keep the indicator between the arrows or at the target level set by your healthcare provider. 
5. Hold your breath for 3 to 5 seconds, then remove the mouthpiece. 
   Repeat this process as instructed, usually 10 times every hour while awake.
   
   

400

Name two hallmark manifestations of pneumonia 

Fever

chills

productive cough

chest pain

dyspnea

High white blood count

500

The hallmark sign of life- threatening asthma is this ominous finding

Silent chest

No breath sounds 

Interventions & O2 Therapy

100

Significant respiratory assessment findings (Name 3)

Breath Sounds

Color

Rate 

Quality

Temperature

Restlessness

Dypsnea

WBC

200

Signs and symptoms of a tension pneumothorax and treatment.

Deviation of trachea

JVD

Hypotension

Occlusion of great vessels

300

Purpose of a chest tube in pneumothorax or hemothorax

To remove air or blood and allow lung re-expansion

400

When removing a chest tube what maneuver should the patient perform

Valsalva maneuver

500

CPAP differs from BiPAP in what way

CPAP= constant Pressure

BiPAP= higher pressure on inspiration, lower pressure on expiration

Medications & Care

100

First line antiviral for influenza if given within 48 hours

Oseltamivir (tamiflu)

200

Four drugs commonly used together in TB treatment and side effects.

Isoniazid (INH)

Rifampin

Pyrazinamide

Ethambutol

300

Antidote for heparin vs antidote for warfarin

Heparin= protamine sulfate

warfarin= vitamin K

400

Major side effects of isoniazid (INH) requiring liver function monitoring

Hepatitis

500

COPD signs and symptoms (Name 3) 

Cyanosis

Barrel chest

Accessory muscle use

Decreased oxygen saturations

Clubbing

Pursed lipped breathing