Definition of Terms
Shortness of breath (Difficult, labored breathing)
Dyspnea
Assessment: Normal Respiratory Rate
What is 12-20 bpm
Ideal Sp02
92% or above
Methods of Oxygen Therapy (Name 3)
Nasal cannula, High flow nasal cannula, oxygen mask
Know a patient’s baseline range of __(1)__ __(2)___
vital signs
Inadequate tissue oxygenation at the cellular level
What is Hypoxia?
Physical Examination Order
Inspection, Palpation, Percussion, Auscultation
True or False: The amount of CO2 in the blood stimulates breathing
True
Oxygen training and exercises to teach patients (Name 3)
Respiratory muscle training, Breathing exercises, Pursed-lip breathing, Diaphragmatic breathing, Home oxygen therapy
Limit the introduction of the catheter to _____ times with each suctioning procedure.
What is 2?
A state of ventilation in which the lungs remove carbon dioxide faster than it is produced by cellular metabolism
What is hyperventilation?
Health Promotion: Two most common vaccinations to implement
Influenza and pneumococcal
A client has a diagnosis of COPD (chronic obstructive pulmonary disease) and a SaO2 of 90%. The appropriate oxygen delivery method for this client is a:
A. simple face mask with 5-8 L/min
B. venturi mask with 8 L/min
C. nasal cannula with 1-2 L/min
D. partial non-rebreather mask with 6-10 L/min
C. nasal cannula with 1-2 L/min
Maintenance and promotion of lung expansion (Name 3)
Ambulation, Positioning, Incentive spirometry
The most serious tracheostomy complication is __(1)___ __(2)____
airway obstruction
Occurs when alveolar ventilation is inadequate to meet the oxygen demand of the body or eliminate sufficient carbon dioxide
What is hypoventilation?
Nursing Diagnosis for alteration in oxygenation (Give 2 examples)
Impaired Cardiac Output, Acute Pain, Activity Intolerance, Risk for Activity Intolerance, Impaired Airway Clearance
After a client assessment the nurse suspects hypoxemia. This is based on which of the following symptoms:
A. restlessness B. bradypnea C. bradycardia D. hypotension
A. restlessness
Suctioning Techniques (Name 4)
•Oropharyngeal and nasopharyngeal
•Orotracheal and nasotracheal
•Tracheal
Perform __(1)__ suctioning before __(2)__ suctioning whenever possible.
tracheal; pharyngeal
External chest wall manipulation using percussion, vibration, or high-frequency chest wall compression (HFCWC)
What is Chest physiotherapy
List 3 interventions that promote mobilization of pulmonary secretions
Hydration, Humidification, Nebulization, or Coughing and deep breathing
You enter the client's room and observe the following: agitation, gurgling, restlessness. What would be the most appropriate action by the nurse? (A) Give 02 (B) Suction the patient (C) Semi-Fowlers Position (d) Quit and go home
(2) Suction the patient
Implementation: Name 4 Artificial airways
Oral airway, Endotracheal and tracheal airways, Invasive mechanical ventilation, Noninvasive ventilation, Chest tubes
Review institutional policy before __(1)___or __(2)__ chest tubes
stripping; milking