Medications
Assessment
Diagnostic Tests
Interventions
Teaching
100
It opens up their airways to facilitate breathing.
What does a bronchodilator do for a patient?
100
Inspiratory and expiratory wheezes Use of accessory abdominal muscles C/O shortness of breath Increased respirations Increased pulse Low pulse oximetry Cyanosis Anxiety signs and symptoms
What assessment findings would you expect to hear from a patient with exacerbation of an asthma episode?
100
Check the gag reflex.
What is the most important assessment that needs to be done for a patient who is post-bronchoscopy and wanting to have nutritional intake?
100
Pledgets (nasal tampon) impregnated with anesthetic solution and/or vasoconstrictive agents.
What is the best intervention for an episode of epistaxis that is located in the posterior nasal area?
100
Pursed-lip breathing exercises.
What is an important teaching technique for the patient with COPD to assist with their normal breathing?
200
Avoid allergen inhalation, air pollutants, occupational exposures, food additives, stress, drugs, exercise and cold, dry air.
What are three key teaching practices the nurse needs to incorporate into the plan of care of a patient with asthma to decrease triggers of acute attacks?
200
Barrel chest.
When inspecting a patient's chest with COPD, the nurse will most likely identify this type of shape of the chest?
200
pH 7.35-7.45 PaO2 80-100 PaCO2 32-48 HCO3 22-26
What are the normal values for the componets of arterial blood gasses?
200
Teaching to re-learn to swallow/talk.
What is an intervention that may be needed for a patient who has had a radical neck incision status post a laryngectomy?
200
Assists in getting more medication into the lungs.
Why is a "spacer" used with inhalation medications?
300
Wheezes.
What are continuous high-pitched squeaking or musical sounds caused by rapid vibration of the bronchial walls?
300
Acid-fast smear and culture.
What is a sputum test that is used to diagnosis Tb?
300
Pulmonary Rehabilitation.
What is a method where disciplines work together to individualize treatments of the patient with chronic respiratory disease who has symptoms and a decreased quality of life?
300
Fever Change in their breathing patterns Shortness of breath Sputum color is not white or clear
What teaching would the nurse enforce to the patient that would tell them that they need to see their physician?
400
There is an induration if present that is raised and then needs to determine the diameter of the induration.
When looking at a Tb skin test, the nurse would consider it to be a positive result if?
400
Remove fluid Obtain specimen of fluid for diagnosis Instill medications
What are three reasons why a thoracentesis may be done?
400
Steam inhalation Warm packs Increased fluids
What interventions are helpful when caring for a patient with sinusitis?
400
Continue to take their meds as ordered Refill before running out Keep inhalers with them for PRN use Teach use of spacers Take as directed-before meals, with food, after meals, etc
What teaching is needed for the respiratory compromised patient related to their medication regime?
500
Snoring Periods of apnea with sleep Tired Wanting to sleep during the day Dry mouth Headaches Irritability Frequently waking up during the night
What are assessment findings for a patient with obstructive sleep apnea?
500
Culture and sensitivity Gram stain Cytology Acid-fast smear and culture
What are three sputum studies that are done to assess a patient's respiratory status?
500
Take drugs as ordered Stop smoking O2 safety Avoid allergerns Pursed lip-breathing Good nutrition
What are some interventions that the nurse needs to teach a patient with COPD?
500
No smoking Keep tank secure If long cords, practice safety related to fall prevention Keep extra tank full Refill tank before empty
What are some safety teaching tips that the patient needs to know when using Oxygen at home?
M
e
n
u