This oxygen delivery device keeps patients from breathing their own carbon dioxide back in.
Non-rebreather mask
difference between productive and non productive cough
What is expel sputum.
What is dry cough no sputum
inspect, auscultate, palpate
assisting a patient with hygiene is a good opportunity to do what 2 things?
assess the skin, develop a rapport
Tracheostomy suctioning is this type of procedure
sterile
Pulse oximetry value that is normal
What is 95-100%
causes of hypoxia
Airway obstruction; Chronic lung conditions
Anemia; Atelectasis; poor cardiac output
High altitude; anesthetics; sedatives other meds
Poor peripheral circulation; Pulmonary embolus
PERRLA stands for
Pupils are Equal, Round, and Reactive to light, and are Accommodating
dentures should be placed in an alcohol bath overnight to ensure they get completely clean
true or false
false
Wheezes, rhonchi, and crackles are all types of what?
Adventitious lung sounds
This delivery device Delivers oxygen into the nares; patient can more easily eat and talk with it in place; patient must breathe mostly through the nose for full benefit.
What is a nasal cannula?
difficulty breathing
best positions to be in
What is dyspnea
What is orthopneic or High Fowlers
the 4 valves in the heart and there locations on the body are?
aortic - 2nd intercostal space right sternal border
pulmonic - 2nd intercostal space left sternal border (can also be heard at Erb's point, 3rd intercostal space left sternal border)
tricuspid - 4th intercostal space left sternal border
mitral - 5th intercostal space midclavicular line
what part of the body is most at risk if hygiene is not maintained?
the skin - breakdown/infection
A device with one or more chambers and a mouthpiece. As the patient inhales, a set of balls or a piston with a platform top rises.
What is an incentive spirometer?
describe a nebulizer treatment
What is an aerosol with medication that they inhale as a mist.
pulses, capillary refill, and strength should be assessed at the same time on both sides because:
inspecting for any marks and the color of the skin; feeling for moisture, temperature, and edema; assessing skin turgor
a patient states that they do not want a bath right now. what is the appropriate next step?
ask the patient when would be a good time for them to get cleaned up
name some safety issues to use oxygen
What is no smoking, signs posted, no open flame, no petroleum based products
name some ways to conserve energy for lung disease pateints
What is sit to shower, rest frequently, eat balanced meals and snacks, pace yourself.
early and late signs of hypoxia
Early
Agitation, Anxiety, Changes in LOC, Disorientation
Headache, Irritability, Restlessness, Tachypnea
Late
Bradycardia, Cardiac arrhythmias, Cyanosis
Bradypnea, Retractions
A & O x4 means what?
the patient is alert and oriented to time, person, place, and situation
nurses have to pay special attention when providing nail care to patients who ....
are diabetic, are on blood thinners or have clotting issues
air in the subcutaneous tissues, in the chest wall, face, and neck feels crackly when you touch