Assessment
A condition of blueness around the lips
What is circumoral cyanosis
This procedure involves removing fluid from the pleural space with a thin needle or catheter.
What is a thoracentesis
The highest priority for a patient with a diagnosis of pulmonary edema who is anxious and experiencing severe shortness of breath.
What is impaired gas exchange
Encouraging frequent use of this respiratory tool can increase patient lung expansion
What is incentive spirometer
Prior to administering aerosol/nebulizer therapy this is a priority nursing responsibility.
What is chest auscultation
A bark like cough in children
What is croup
A test to identify lower respiratory tract infectious organisms
What is sputum culture
A nursing action for a patient who has been diagnosed with left lower lobe pneumonia with Sp02 of 90% on room air, crackles and weak cough.
What is assist the patient with deep breathing & coughing
The device commonly used to safely adminster oxygen at the rate of 1-6 litres/min
What is nasal cannula.
This medication reduces symptoms of asthma by suppressing inflammation
What is glucocorticoids
A lung sound that sounds like rubbing hair between your fingers
What is a crackle
What is an arterial blood gas
The nurse's priority action when noting a chest tube has become disconnected.
What is create an under water seal by placing the tube in a glass of water or briefly clamp the chest tube.
A nurse walks into a patients room and notices a chest tube with no drainage placed in the upper thorax and knpows the patient is being treated for this disorder.
What is pneumothorax
When administering multidose inhalers this class of drug is given first
What is bronchodilator ( Beta 2 antagonist)
What is a high pitched whistling sound caused by an obstruction?
What is stridor
The nurses monitors the patient for the most common complication following a thoracentesis
What is pneumothorax
The nurse's priority action caring for a patient receiving a continuous tube feeding that developes restlessness agitation and weakness with Chest auscultation that reveals decreased air entry and crackles bilaterally.
What is notify the health care provider?
The nurse would use this to create a seal around the chest tube site
What is a petroleum gauze (Jelonet)
A nursing intervention will facilitate expectoration of pulmonary secretions, promote lung expansion and prevent atelectasis
What is deep breathing & coughing
Breathing in an upright position
What is orthopnea
The nurse anticipates this diagnostic to be prescribed to determine the size of a pleural effusion.
What is a chest x-ray.
The nurse's priority action for a patient who complains of chest pain and dyspnea after a traumatic chest injury.
What is chest auscultation
This acid base imbalance mimics these clinical manifestations:decreased LOC, lethargy, hypotension, tachycardia, tachypnea, headache, and possible coma
What is respiratory acidosis
TWO PART: 1. A patient using an inhaler should be instructed to hold their breath for how many seconds after medication has been delivered. 2. A patient should be instructed to wait how long before taking another dose/puff
1. What is 10 seconds
2. What is 1 minute