🫁 Respiratory
Two sub types of COPD
What is emphysema and chronic bronchitis?
A client with hyperthyroidism is at greatest risk for this life-threatening complication if symptoms become severe and untreated.
What is thyroid storm?
This cranial nerve is responsible for smell.
What is cranial nerve I (olfactory)?
This spinal region primarily controls movement and sensation of the upper extremities.
What is the cervical spine?
This triage color is assigned to clients who require immediate, life-saving intervention.
What is red?
This respiratory condition is commonly associated with a barrel chest and significant air trapping.
What is emphysema
A nurse is teaching a client taking levothyroxine. This instruction is most important to include regarding timing of the medication.
What is take it on an empty stomach, first thing in the morning?
This cranial nerve controls vision.
What is cranial nerve II (optic)?
Injury to this spinal region is most likely to affect bowel and bladder control.
What is the sacral spine?
This triage category is used for clients who are deceased or expected to die regardless of intervention.
What is black?
The chronic respiratory condition that is most consistent with findings such as a thin body habitus, pursed-lip breathing, and progressive shortness of breath with minimal cough.
What is emphysema?
A client with hypothyroidism is most likely to exhibit this group of symptoms related to decreased metabolic rate.
What is fatigue, weight gain, and cold intolerance?
This cranial nerve controls swallowing and provides sensation to the posterior 1/3 of the tongue.
What is cranial nerve IX (glossopharyngeal)?
A client with a spinal cord injury at this level is at highest risk for impaired breathing due to diaphragm involvement.
What is C3–C5 (phrenic nerve region)?
In a mass casualty event, a client who is apneic after airway repositioning should be assigned this triage category.
What is black?
The complication a nurse should suspect in a client with pneumonia who suddenly becomes confused, hypotensive, tachycardic, and febrile.
What is sepsis?
A hospitalized client with severe hypothyroidism becomes hypothermic, bradycardic, and increasingly lethargic. This is the priority complication the nurse should suspect.
What is myxedema coma?
A client presents with tongue deviation to the left when protruded. This cranial nerve is affected.
What is cranial nerve XII (hypoglossal)?
A client with a lumbar spinal injury reports new loss of sensation in the lower extremities and inability to void. This finding most strongly suggests this complication.
What is spinal shock or worsening spinal cord compression?
Four clients arrive after a bus accident. Who should the nurse see FIRST?
Who is Client A (red tag)?
The priority nursing concern for a client with severe asthma whose wheezing suddenly disappears and breath sounds become markedly diminished.
What is impending respiratory failure?
A client with hyperthyroidism is being treated with antithyroid medication. This lab value requires the nurse to notify the provider immediately due to risk of agranulocytosis.
What is a low white blood cell count (WBC)?
A nurse notes a client has difficulty chewing and reports loss of facial sensation on one side. This cranial nerve is most likely involved.
What is cranial nerve V (trigeminal)?
A client with a T6 spinal cord injury suddenly develops severe headache, hypertension, and bradycardia. The nurse recognizes this life-threatening complication.
What is autonomic dysreflexia?
During a mass casualty incident, two clients are tagged red (immediate):
Which client should the nurse prioritize for immediate intervention?
What is Client A (open chest wound with severe respiratory distress)?