COPD
These lung sounds are heard upon auscultation
wheezing and crackles
Which precaution should be in place for a patient with suspected flu?
patient should be in droplet and contact precaution room
Which position is most optimal for a patient for effective oxygenation?
High fowlers
What is the main expected finding of sinusitis?
- tenderness to palpate forehand, orbital, and facial areas
What are the expected findings for PE?
- long term immobility
- OCP use and estrogen therapy
- Surgery
- Long bone fractures
What are the two disease processes that make up COPD?
Emphysema: the destruction of alveoli causing breathlessness
Bronchitis: inflammation of bronchioles causing coughing with mucus production
What is a potential complication from having the flu?
Pneumonia
How are Methylxanthines used in the treatment of asthma
Methylxanthines treat asthma via dilating the bronchioles. They has a narrow therapeutic index (5-15), and should only be used when other treatments are ineffective.
A nurse knows nasal decongestants are used as sinusitis treatment, and works by.....
What are the expected findings of acute respiratory failure?
Dyspnea
cyanosis
pallor
hypoxia
restlessness
Acetylcysteine
What are the treatment and medications for patients with influenza?
Antivirals (Amantidine, Rimantadine)
Seasonal Flu vaccine
A nurse knows that asthma is the obstruction of: _________
bronchioles
This a complication of Sinusitis
Mucocele: cyst formation in the paranasal sinus
What are the medications used for respiratory failure, and how do does it work to treat it?
- Corticosteriods: reduce WBC migration and decreases inflammation
- Opioid analgesics: provides pain relief
- antibiotics: treats microorganisms
- antivirals: slows replication of the virus
These two medications act as anti-inflammatory agents in the airway...
Corticosteriods and Leukotriene antagonists
A nurse is reinforcing teaching with a group of clients about influenza. What are the best practices for disease transmission?
- hand hygiene
- cough etiquette
- disposing of soiled tissues and garbage can
A nurse knows the complication of asthma are:
- respiratory failure
- status asthmaticus
A nurse in a clinic is collecting data from a client who has sinusitis, what is the expected finding?
- facial pressure of the orbital area
- anticoagulants
adverse s/e: thrombocytopenia, anemia, hemorrhage
A nurse is preparing to administer an initial dose of prednisone to a client who has COPD. The nurse should monitor for which of the following adverse effects of this medication?
Hpokalemia
Fluid Retention
Black, tarry stool
- maintain droplet/contact precaution
- provide saline gargles
- monitor hydration
- administer fluids
- monitor hydration status
- monitor respiratory status
A nurse collecting data from a client who has an oxygen sat of 91%, audible wheezing and is using accessory muscles when breathing. Which of the following classes of medications should the nurse anticipate a provider prescription?
Short acting beta 2 agonist
What complications can occur when pathogens enter the bloodstream from the sinus cavity....
A nurse is collecting data on a client who has pulmonary embolism. List the manifestations she should expect?
Cough, Hypertension, Tachycardia