Ch 49 Respiratory

Assessment and Diagnostics

100

These are three clinical manifestations of respiratory distress

Use of accessory muscles

Nasal flaring

Tripod/orthopneic position

Grunting

Orthopnea

Agitation/anxiety/restlessness

Chest tightness/Dyspnea

Tachypnea, tachycardia

Cyanosis/pallor

Hypoxia

200

This adventitious sound heard on respiratory auscultation is described as low-pitch, rumbling, or snoring

Rhonchi

300

The patient should be in this position after returning from a pulmonary angiography test

Supine

Flat

400

This pulmonary diagnostic test uses radioactive tracers to diagnoses pulmonary embolism (must say full name of scan, not just acronym)

Ventilation-perfusion scan (V/Q scan)

500

These are stimulated by hypercapnia, hypoxia, or acidosis

Carotid and aortic bodies

TB and Pneumonia

100

This skin test for tuberculosis is read after 48-72 hours by size of induration

Purified protein derivative (PPD)

Mantoux

Tuberculin skin test

200

All cases of confirmed tuberculosis must be reported to this agency

The Health Department

300

This term refers to the development of pus in the pleural space

Empyema

400

These three clinical manifestations are classic signs of active tuberculosis late in the disease process

Fever

Night sweats

Hemoptysis (coughing up blood)

500

These two things together are the most common cause of aspiration pneumonia

Aspiration of vomitus

Decreased level of consciousness

Pneumothorax and Pleural effusion

100

This is what occurs to the lung after a pneumothorax develops

Collapses

200

This old-fashioned chest-tube management practice is no longer recommended because it increases pressure in the pleural space

Stripping or milking chest tube

300

This is one of three clinical manifestations that are strongly suggestive of pneumothorax as opposed to other respiratory disorders

Asymmetrical chest expansion

No breath sounds on affected side

Tracheal deviation/mediastinal shift

400

This is how the patient should be positioned after returning from a thoracentesis

On the unaffected side

Affected side up

500

The nurse is caring for a patient who has just had 1500mL of fluid removed from the left pleural space via thoracentesis. The nurse will monitor the patient closely for this complication

Pulmonary edema