Resp. processes
Lungs
Respiratory drugs
Chest Tubes
Misc.
100

A patient is admitted with a chest wound, extreme dyspnea and unequal rise and fall of the chest with absent breath sounds on the left side. What do you suspect?

Pneumothorax

100

Primary cause of atelectasis

what is lack of surfactant

100

A patient with severe COPD is having an episode of extreme shortness of breath and requests their inhaler. Which type of inhaler ordered by the physician would provide the FASTEST relief for the patient based on this particular situation?

A. Spiriva

B. Salmeterol

C. Symbicort

D. Albuterol

D. Albuterol

100

The nurses suspects this when seeing continuous bubbling in the water seal chamber of the chest tube upon assessment.

What is an air leak in the drainage system

100

A nursing intervention to prevent atelectasis

What is incentive spirometer

200

People more likely to get a spontaneous pneumothorax

tall, thin, young males

200

Normal relationship between intrapleural pressure and atmospheric pressure 

intrapleural pressure< atmospheric pressure

200

You are providing care to a patient with COPD who is receiving medical treatment for exacerbation. The patient has a history of diabetes, hypertension, and hyperlipidemia. The patient is experiencing extreme hyperglycemia. In addition, the patient has multiple areas of bruising on the arms and legs. Which medication ordered for this patient can cause hyperglycemia and bruising?

A. Prednisone

B. Atrovent

C. Flagyl

D. Levaquin

A. Prednisone

200

This type of chest tube system has no water column to control suction but uses a suction monitor to balance wall suction.

What is dry suction chest tube system

200

The normal pH range for blood

What is 7.35-7.45

300

Late sign of tension pneumothorax

Tracheal shift

300

Type of COPD associated with copious sputum and productive cough

chronic bronchitis (blue bloater)

300

Used for long term control for asthma and COPD. What should you avoid with this drug?

Methylxanthines; avoid caffeine

300

A patient calls and says something is wrong with his chest tube....you go to the room and the chamber has fallen on its side and leaking from a crack in the system. This should be your next move.

What is disconnect tubing from chamber and insert tubing 1 inch into a bottle of sterile water and obtain a new system

300

The respiratory pattern of a patient experiencing metabolic acidosis.

What is hyperventilation

400

Main goal of pneumothorax treatment

Restore the negative pressure

400

A patient with emphysema may present with all of the following symptoms EXCEPT:

A. Barrel chest

B. Hyperinflation of the lung

C. Hypotventilation

D. Hypercapnia

C. Hypoventilation

400

Used prophylactically to decrease inflammation, bronchial hyperactivity and decrease mucus production in the airway

Beclomethasone 

400

This may be present in the water seal chamber of a patient recovering from a pneumothorax.

What is intermittent bubbling may be noted in the water seal chamber

400

The condition when pH is low, bicarb is high and carbon dioxide is high.

What is respiratory acidosis?

500

A chronic inflammatory disease causing airway narrowing and increased airway secretion

Asthma

500
What is the stimulus for those with COPD to breathe vs. for those without COPD (normal breathing stimulus)

hypoxic drive vs. hypercapneic drive

500

First line prophylaxis for asthma; prevents exercise induced bronchospasm

Cromolyn and Nedocromil

500

The immediate nursing intervention when a chest tube becomes dislosdged.

What is place a sterile dressing over the site and tape it on three sides. Then notify the physician

500

The condition when the pH is high, bicarb is high and carbon dioxide is normal.

What is metabolic alkalosis?
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