COPD
Influenza
Asthma
Sinusitis
Respiratory Failure & Pulmonary Embolism
100

These lung sounds are heard upon auscultation 

wheezing and crackles


100

Which precaution should be in place for a patient with suspected flu?

patient should be in droplet and contact precaution room

100

Which position is most optimal for a patient for effective oxygenation?

High fowlers 

100

What is the main expected finding of sinusitis?

- facial pressure

- tenderness to palpate forehand, orbital, and facial areas

100

What are the expected findings for PE?

- long term immobility

- OCP use and estrogen therapy

- Surgery 

- Long bone fractures

200

What are the two disease processes that make up COPD?

Emphysema: the destruction of alveoli causing breathlessness

Bronchitis: inflammation of bronchioles causing coughing with mucus production

200

What is a potential complication from having the flu?

Pneumonia 

200

How are Methylxanthines used in the treatment of asthma

Methylxanthines treat asthma via dilating the bronchioles. They has a narrow therapeutic index (5-15), and should only be used when other treatments are ineffective.

200

A nurse knows nasal decongestants are used as sinusitis treatment, and works by.....

reduce swelling of the mucosa 
200

What are the expected findings of acute respiratory failure?

Dyspnea

cyanosis

pallor

hypoxia 

restlessness


300
What is the name of the medication used as nebulizer treatment for COPD pts?

Acetylcysteine


300

What are the treatment and medications for patients with influenza? 

Antivirals (Amantidine, Rimantadine)

Seasonal Flu vaccine 

300

A nurse knows that asthma is the obstruction of: _________

bronchioles 

300

This a complication of Sinusitis

Mucocele: cyst formation in the paranasal sinus

300

What are the medications used for respiratory failure, and how do does it work to treat it?

- Benzodiazepines: reduce anxiety 


- Corticosteriods: reduce WBC migration and decreases inflammation 

- Opioid analgesics: provides pain relief

- antibiotics: treats microorganisms

- antivirals: slows replication of the virus 

400

These two medications act as anti-inflammatory agents in the airway...

Corticosteriods and Leukotriene antagonists 

400

A nurse is reinforcing teaching with a group of clients about influenza. What are the best practices for disease transmission?

- hand hygiene

- cough etiquette

- disposing of soiled tissues and garbage can

400

A nurse knows the complication of asthma are: 

- respiratory failure

- status asthmaticus 

400

A nurse in a clinic is collecting data from a client who has sinusitis, what is the expected finding?

- facial pressure of the orbital area 

400
What is a major medication used to PE?

- anticoagulants

adverse s/e: thrombocytopenia, anemia, hemorrhage


500

A nurse is preparing to administer an initial dose of prednisone to a client who has COPD. The nurse should monitor for which of the following adverse effects of this medication?

Hpokalemia

Fluid Retention

Black, tarry stool

500
A nurse to provide nursing care for flu patients she must...

- maintain droplet/contact precaution

- provide saline gargles

- monitor hydration

- administer fluids

- monitor hydration status

- monitor respiratory status

500

A nurse collecting data from a client who has an oxygen sat of 91%, audible wheezing and is using accessory muscles when breathing. Which of the following classes of medications should the nurse anticipate a provider prescription? 

Short acting beta 2 agonist 

500

What complications can occur when pathogens enter the bloodstream from the sinus cavity....

Meningitis and encephalitis 
500

A nurse is collecting data on a client who has pulmonary embolism. List the manifestations she should expect?

Cough, Hypertension, Tachycardia 

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