Assessment
This is the priority assessment for a pt with a nasal fracture.
What is airway?
This is a surgical perforation of the chest wall and pleural space with a large-bore needle used for diagnostic evaluation or to obtain fluid or specimens.
What is a thoracentesis?
These are 3 disadvantages of a simple face mask.
Flow rates less than 5 lpm can cause rebreathing of CO2, can be claustrophobic, is difficult to eat/drink/talk, moisture can develop underneath mask and cause skin breakdown
This is a side effect of radiation to the neck where a pt c/o a dry mouth.
What is xerostomia?
This is the oxygen percentage of room air.
What is 21%?
This is a common manifestation of hypoxia in an older pt with pneumonia.
What is confusion?
An RN is helping with a chest tube removal. This action should be done by the RN immediately after the chest tube has been removed.
What is apply an occlusive dressing?
You, the charge nurse, watch a new RN tie a double knot in a pts trach ties at the back of their neck. This is one of the things you should do.
What is re-educate the nurse/intervene/re-do trach ties appropriately?
What is the most important teaching point for a pt going home from the hospital with active tuberculosis?
What is take all medications as prescribed?
This is the definition of hypoxemia.
What is an inadequate level of oxygen in the blood?
This is one of the early signs of hypoxemia in a pt with respiratory distress.
What is pallor, hypertension, tachycardia, nasal flaring, restlessness
This is how a nurse should position a pt about to have a thoracentesis.
What is sitting upright, leaning over a bedside table?
A pt came back from nasal surgery with posterior nasal packing. This is the first priority of the nurse.
What is assess airway patency?
Name the most important thing to teach a pt who has a peritonsillar abscess?
What is take all ATBs as directed?
This is the definition of hypoxia.
What is a decrease in oxygenation of the body's tissues?
This must be assessed prior to offering oral fluids to a post-bronchoscopy pt.
What is the gag reflex?
This type of test is done to determine lung function.
What is a pulmonary function test?
3 nursing interventions for a pt experiencing status asthmaticus.
What is prepare for intubation, administer oxygen, IV fluids, bronchodilators, epi; initiate IV corticosteroids
Name one dietary teaching point that a nurse should provide to parents of a child with cystic fibrosis?
What type of cares can an RN delegate to a UAP when caring for a pt on a ventilator?
What are provide oral care, assist with bathing & repositioning
Name 3 signs/symptoms in a pt having an acute asthma attack that their respiratory status is declining?
What are wheezing, sternal retractions, tachycardia, lowering O2 sat, SOB
Name the priority intervention upon finding a pts chest tube has been accidentally pulled out.
What is cover the site with sterile gauze?
This is what the PEEP or PSV mode setting does for the pt. on a ventilator.
What is maintains pressure in the lungs to keep alveoli open or prevent atelectasis?
Name 3 teaching points to remember when suctioning a tracheostomy.
What are: Suction on the way out -not on the way in, limit suctioning time to 10-15 sec each pass, preoxygenate the pt, suction for no more than 3 times per event, allow for 30-60 sec of rest in between suction passes.
Explain the different FiO2 delivery percentage ranges and recommended O2 flow rates between a partial-rebreather mask and a Venturi mask.
What are FiO2 of 40-75% & flow rate of 6-11 Lpm for a PRB
&
FiO2 of 24%-60% & flow rate of 4-12 Lpm for Venturi
(ATI AMS pg. 116)