Upper
Respiratory
Respiratory
Lower
Respiratory
Respiratory
Obstructive Respiratory
Chest
Tubes
Tubes
Tracheostomies
& Trach Care
& Trach Care
ABG
Urinary
Oxygen Delivery Devices
100
After assessing a patient who presents as pictured, the nurse anticipates and order for this diagnostic:
Rapid test for Group A strep
FIRST LINE DRUG --> Penicillin
100
A nurse is preparing to administer a Tdap vaccine to a patient. The nurse knows this vaccine provides support against which infectious diseases?
Tetanus, diphtheria, pertussis
100
SP02 target range for a patient with COPD
88-92%
100
Placement of a chest tube indicated for an EMPYEMA
Lower (inferior) pleural space
100
This type of tracheostomy tube enables a patient to eat and spontaneously breathe more effectively:
Fenestrated tracheostomy tube
100
The nurse anticipates metabolic alkalosis for a patient with this clinical manifestation:
NG tube to suction
Severe vomiting
100
The color of urine for a patient on Rifampin...
Orange.
100
Generally speaking, the most commonly used oxygen delivery device
What is nasal cannula?
200
When caring for a post-op laryngectomy patient, which of the following warrants the most immediate action by the nurse?
A. Hoarseness
B. Stridor
C. Excessive swallowing
D. Wheezing
B. Stridor
200
Which of the following symptoms warrants immediate intervention by the nurse?
A . SP02 95% on RA
B. acute confusion
C. purulent sputum
D. WBC 14.2
B. Acute confusion -- think HYPOXIA -- restlessness/agitation/apprehension
200
A patient with history of COPD presents to the ED with increased dyspnea, increased sputum volume, and increased sputum purulence. The nurse anticipates an admitting diagnosis of:
COPD exacerbation
200
The nurse is assessing a patient with a chest tube when the tube becomes dislodged from the collection chamber. What is the priority action of the nurse?
Insert the tubing in a cup of sterile saline or sterile water.
200
When preparing to suction a patient via a tracheostomy tube, the nurse must first:
Hyperoxygenate the patient by providing 100% Fi02 for 30 seconds - 2 minutes
200
A patient presenting with over-sedation during a thoracotomy may present with this acid-base imbalance:
respiratory acidosis
(decreased pH, increased C02, normal bicarb)
200
Appearance of urine with increased amounts of protein
What is tea colored and frothy?
200
Main nursing concern with a simple mask...
What is C02 retention?
300
The client has undergone rhinoplasty. Which assessment finding would require immediate intervention by the nurse?
a) Swelling and bruising around the area
b) A change in nasal breathing
c) Repeated swallowing
d) Frequent blowing of the nose
c) Repeated swallowing -- may indicate bleeding and/or narrowing of the airway
300
A nurse is caring for a patient with acute bronchitis. What clinical manifestation/diagnostic would support this diagnosis?
Cough and normal chest xray
300
The nurse is caring for a woman of child bearing years with cystic fibrosis. She and her husband are concerned about having a child. What type of consult should the nurse provide?
What is genetic counseling?
300
The nurse is assessing a patient with a chest tube when the tube becomes dislodged from the patient's chest. What is the priority action of the nurse?
Apply a sterile dressing taped on 3 sides.
300
The nurse is assisted with emergent tracheostomy placement at the bedside. Following the procedure, the nurse will:
Confirm tube placement, secure trach placement, and monitor VS every 15 minutes x1 hour
300
pH 7.53
C02 31
HC03 24
Respiratory alkalosis (THINK HYPERVENTILATION)
300
Phenazopyridine (Pyridium)
What is a urinary analgesic?
300
This device can be used with high-flow oxygen only. Commonly used for trauma patients or those with respiratory distress.
What is non-rebreather?
400
A nurse is preparing to enter the room of a patient suspected to have influenza A. Which of the following PPE is required?
Mask.
400
A patient with COPD notices edema to the bilateral extremities. The nurse suspects an additional diagnosis of:
cor pulmonale
400
The nurse is providing education r/t asthma exacerbation to a newly diagnosed patient. The nurse will provide education on what breathing technique that may be used to assist the patient in slowing the breathing to help improve gas exchange.
Pursed lip breathing
400
A nurse is assessing the chest tube drainage system of a postoperative client. The nurse notes intermittent bubbling in the water seal chamber. What is an appropriate action by the nurse?
Assess patient status and tubing connections.
400
A disposable inner cannula must be changed at a minimum of:
Once per shift... (& PRN)
400
pH 7.19
C03 44
HC03 20
Metabolic acidosis
400
24 hour urine... 2 main things to know
1. Must be on ice
2. Discard first urine.
400
Oxygen device used to administer a specific Fi02 -- commonly used for patients with COPD.
What is Venturi mask?
500
A patient presents to the ED following an assault with extensive facial trauma. The provider orders a head CT to rule of basilar skull fracture. Which finding supports the need for this exam?
a. bilateral periorbital bruising
b. crepitus near the sinus cavities
c. inflammation of the nares
d. clear nasal drainage
a. bilateral periorbital bruising
500
The nurse identifies a flail chest in a trauma patient when
a. multiple rib fractures are determined by x-ray
b. a tracheal deviation to the unaffected side is present
c. paradoxical chest movement occurs during respiration
d. there is decreased movement of the involved chest wall
c. paradoxical chest movement occurs during respiration
500
SIX interventions to be implemented for a patient with cystic fibrosis
-chest percussion
-postural drainage
-antibiotic therapy
-oxygen therapy
-aerobic exercise
-psychosocial support
500
Hemothorax
500
After completing trach suctioning, the nurse must document:
Date, time, color, consistency, odor and amount of sputum; patient response to suctioning.
500
A patient with DKA will present with metabolic acidosis. What acid-base imbalance will the patient's body attempt to enter to compensate for this finding?
Respiratory alkalosis (Kussmaul respirations)
500
When assessing the UA, the first indication of a UTI
What is elevated leukocytes?
500
Method of oxygen delivery that utilizes TWO respiratory pressures -- IPAP and EPAP. Commonly used in this population.
What is bipap -- COPD/hypercapnic patients