NR 324-exam 1 fluid and electrolytes and respiratory Latest Version Questions and Correct CORRECT ANSWER werss Guaranteed Success a 21 year asthmatic who states "I am not getting air" - CORRECT ANSWER sit up, O2%, give O2
a 55 year old female with breast cancer treated with chemotherapy and radiation who becomes acutely SOB - CORRECT ANSWER need data, pain and distress, Pulmonary embolism or pleural effusion (absent breath sound, if dull pleural effusion)
a 66 year old female with fever 101.0, productive cough and restlessness - CORRECT ANSWER check sputum, culture, check lungs for crackles, pneumonia
a patients condition is described as progressing to hypoxemia, how would the nurse interpret this information - CORRECT ANSWER there is a abnormally low level of oxygen in the blood
a pt with active TB contines to have positive sputum cultures after 6 months of treatment, she says she can't remember to take the medication all the time, what is the best action for the nurse to take - CORRECT ANSWER arrange for directly observed therapy by a responsible family member or public health nurse
altered trCORRECT ANSWER port of oxygen - CORRECT ANSWER anemia and inadequate perfusion
an 18 year old male who was thrown off his motor cycle and is holding the side of his chest, he is SOB with pulse ox of 88% - CORRECT ANSWER need lung sounds, pneumothorax
aspiration pneumonia priority - CORRECT ANSWER heads up, positioning t the side
aspiration pneumonia who is at risk - CORRECT ANSWER tube feedings, altered LOC, neurological impairments, impaired swallowing
asthma CM - CORRECT ANSWER cough, increase mucus, sob, wheezing, prolonged expiration, increase in co2 retention, chest tightness, retractions, hypoxemia (tachycardia, restlessness, tachypnea)
asthma is - CORRECT ANSWER reactive airway disease, induced by triggers, hypersensitivities, URI, exercise, air pollutants, respiratory infections and GERD and anxiety
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atelectasis - CORRECT ANSWER collapse of the alveoli, increases the risk for pneumonia, and affects many populations
atelectasis nursing management - CORRECT ANSWER use of incentive spirometer, watch for infections, cough, turn, deep breathe, ambulate
bronchoscopy - CORRECT ANSWER aspirate, check CN 9 and 10 every 10 minutes after to make sure gag reflex comes back, NPO after procedure,
calcium - CORRECT ANSWER controlled by the parathryroid hormone and calcitonin, bones store, regulated with moving in/out of bones which increases GI and renal absorption, calcitonin lowers ca by decreasaing GI absorption and increasing absorption
causes of metabolic acidosis - CORRECT ANSWER low ph/low bicarbonate, diabetic ketoacidosis, shock, sepsis, severe diarrhea, and renal failure
causes of metabolic alkalosis - CORRECT ANSWER high ph, high bicarb and severe vomiting, excessive GI suctioning, diuretics, and excessive NaHCO3
causes of respiratory acidosis - CORRECT ANSWER respiratory depression from anesthesia, overdose, increased intracranial pressure, airway obstruction from decreased alveolar capillary diffusion like pneumonia, COPD, ARDS, AND PE
causes of respiratory alkalosis - CORRECT ANSWER high pH, low co2 and hyperventilation, initial stages of pulmonary emboli, hypoxia, fever, pregnancy, high altitudes, and anxiety
chest drainage device - CORRECT ANSWER water to and forms a seal which allows air/fluid to move out but not back in, tidiling which is going up and down with inspiration is normal, has to be below the level of the lung
clinical signs for hypocalcemia - CORRECT ANSWER chvostek sign (contraction of facial muscles that occur when lightly tapping on ear) and trousseau sign (carpal spasm bringing the index finger and thumb together when the BP cuff is inflated above systolic pressure)
collaborative care of COPD - CORRECT ANSWER venturi mask or non-rebreather mask, self-management education and smoking cessation, bronchodilators, inhaled corticosteroids, pulmonary rehabilitation, and oxygen
COPD CM - CORRECT ANSWER easily fatigued, frequent respiratory infections, use of accessory muscles to breathe, orthopenic, tripod position, cor pulmonale, thin in appearance, wheezing, pursed lip breathing, chronic cough, barrel chest, dyspnea prolonged expiratory time, increased sputum, and digital clubbing
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