Good
True or False: A patient with emphysema should breathe in through their nose and out through their lips (pursed) to control their breathing.
True!!!!!! This helps to prevent the collapse of alveoli as well.
True or False: The nurse should educate a patient recovering from a cataracts surgery to avoid doing things that may increase intraocular pressure
TRUE!
True or False: Patients with glaucoma need to be mindful of the OTC medications that they take because some medications may increase intraocular pressure
TRUE
True or False: The nurse should pull the pinna downward and forward to administer otic ear drops to an adult patient.
FALSE. Upward and Backward.
True or False: A patient complaining of shortness of breath requires immediate attention.
TRUE!!!!!!!!!!!!!!
Allergens that irritate the lungs can cause this
What is an asthma attack?
What reflex may be impaired directly after a patient has a bronchoscopy done?
What is the gag reflex?
What is the conjunctival sac?
What does a tonometry examination measure?
What is intraocular pressure of the eye?
What is the respiratory therapist?
Name at least two S/S pf emphysema
What is dyspnea, barrel chest, clubbed fingernails, and shallow respirations
Where on the patient's body can the nurse best assess for cyanosis?
What is the oral mucosa, lips, and nail beds?
The presence of tinnitus and gradual hearing loss is an expected S/S for which diagnosis?
What is Meniere's disease?
This is the closure or collapse of alveoli due to obstruction or hypoventilation - S/S are dyspnea/SOB and pleural pain
Explain physiologically why patients experiencing an asthma attack will manifest with expiratory wheezing?
A patient with a tracheostomy has thick secretions. What can the nurse implement?
What is humidified oxygen?
A patient acutely develops a pulmonary embolism. What S/S may the patient be exhibiting and what intervention should the nurse do first?
Shortness of breath, chest discomfort, hypoxia, tachycardia. Administer oxygen!!!
Why is it important for patients with COPD to stay well hydrated?
This will help thin bronchial secretions which can alleviate symptoms
Name at least two S/S of pulmonary tuberculosis?
What is fatigue, night sweats, and a productive cough
What restrictions may a patient with retinal detachment have?
What is restriction of head movement
A patient presents to the ER with complaints of 10/10 chest pain and pressure with acute onset of shortness of breath. What may the patient be experiencing and what should you do?
A Myocardial Infarction - call a code crimson (or whatever is used at your hospital), place the patient on oxygen and administer nitroglycerin, aspirin, and morphine *as ordered by the physician* (MONA). Patient will need a 12-lead EKG and will get a heart catheterization.
How would you educate a patient on how to use an incentive spirometer?
Wrap your lips around the device and inhale - starting slow and gradually increasing in time and volume. Do this up to 10 times in one session, taking slow and deep breaths in-between. You should do this at least once an hour. This will help prevent atelectasis and pneumonia.
What does administering short-acting beta-adrenergic medications do physiologically?
It decreases the inflammatory response and triggers narrowing of the airways for patients with asthma exacerbations.
Why may a patient experience agitation and restlessness with hypoxia?
What are some ways that nurses should manage a chest-tube drainage system safely?
Use sterile water to fill the water seal chambers, maintain the drainage container below the level of the patient's chest, mark the amount of drainage every shift (or per policy) and never clamp the chest tube unless ordered by a physician.