ABG
ABG results are:
Respiratory Alkalosis
This can cause a low pulse oximetry reading
Nail polish, inadequate peripheral circulation, edema, (+ various)
Your patient's airway is obstructed due to choking, what should you do?
Perform the Heimlich Maneuver
This lung sound resembles snoring
Rhonchi
This is the side effect of Bronchodilators
Tachycardia
ABG results are:
Respiratory Acidosis
Patient dietary teaching while taking taking warfarin
Foods high in vitamin K (such as dark leafy greens) should be avoided because vitamin K is part of the body's blood clotting mechanism and will counter the effects of warfarin.
Interventions for epistaxis
Chin down, pressure, mouth open, ice pack if needed, don't lay down
This lung sound resembles high-pitched whistling
Wheezes
What is the most appropriate nursing intervention to alleviate acute rhinitis?
Administer a decongestant to reduce congestion (both topical and systemic decongestants act by α-adrenergic stimulation, which results in vascular constriction and a reduction of nasal blood supply to the sinusoids).
ABG results are:
Metabolic Acidosis
This is the 1st sign of a pt experiencing hypoxia
Restlessness is an early indication that the pts oxygenation status is compromised
Your tracheostomy pt is coughing, has congested breath sounds, and audible crackles in the lung fields
Suction the patient
What are clinical signs associated with hypoxia?
Hyperactivity and increased urine output
The physician orders Zestril 15 mg po daily for hypertension. The medication is supplied in 5-mg tablets. How many tablets will the nurse administer?
3
What is the purpose of a Pulmonary Function Test?
The purpose of a PFT is to measure lung volumes and airflow
Patient teaching for the incentive spirometer
The pt is to sustain the inhaled breath for 3 seconds. Sustained inhalation helps maintain inflation of terminal bronchioles and alveoli, thereby promoting better gas exchange.
During suctioning, the pt begins to cough, with an audible wheeze. You try to remove the suction catheter from the pts trachea but can't.
Disconnect the suction source from the catheter
A nurse is assessing a client for signs of atelectasis. Which of the following lung sounds is most indicative of this condition?
Respiratory Wheezes
The physician ordered 1000 mL of D5W to infuse over 16 hours with a drop factor of 20 gtt/mL. Calculate the correct IV flow rate in drops per minute.
21
A client’s arterial blood gas results are as follows: pH 7.30, PaCO2 50 mm Hg, HCO3- 24 mEq/L. How should the nurse interpret these results?
Respiratory acidosis
When educating a client’s family about ARDS, which explanation best describes the importance of mechanical ventilation in managing the condition?
Mechanical ventilation ensures adequate oxygen delivery while the lungs heal
List priority interventions for patients experiencing difficulty breathing or upper airway obstruction
Inserting an artificial airway, performing the Heimlich maneuver, suctioning, administering o2, Performing an emergency tracheostomy
The circulation of the lungs is through these two structures
The Pulmonary Arteries and the Pulmonary Veins
The physician orders Kefzol 2 g in 50 mL of NS IVPB to infuse over 30 minutes. Tubing drop factor is 60 gtt/mL. Calculate the flow rate in drops per minute. Enter numerical value only. Round to the nearest whole number.