Respiratory Jeopardy

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Respiratory Jeopardy
2010-04-04 15:54:01
MS1 Quiz 4

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  1. This is the core measure for pneumonia
    • Antibiotic administration within 4 hours
    • Blood cultures for ICU admission
  2. Clamping a chest tube before the pneumothorax has resolved could result in this complication
    Tension pneumothorax
  3. These are the levels of oxygenation where medicare will pay for home health and therapy
    • Sp O2 < 88%
    • PO2 < 55%
  4. These would be the tests results for a patient with latent TB. Include the PPD, chest xray and sputum findings
    • PPD - positive
    • CXR - negative
    • Sputum - negative

    (Pt. is infected but walled off = no bacteria in sputum)
  5. This ABG finding indicates impending respiratory failure for a patient who is status asthmaticus
    • PO2 decrease
    • PCO2 increase
    • pH decrease

    (resp. acidosis)
  6. This should be taught to all patients with allergic rhinitis
    Identify and avoid triggers
  7. This is an indicator of impending sepsis
  8. This controls the level of suction from a chest tube
    Level of water in the suction chamber
  9. This is right side heart failure resulting from COPD
    Cor Pulmonale
  10. This test is ued to diagnosed obstructive sleep apnea
    Polysomnography (Sleep Study)
  11. This drug to treat TB can treat peripheral neuropathy and should be administered to prevent this complication.
    Isoniazid (INH)

    Vitamin B6 (Thyroxidine)
  12. This class of medication is used a maintenance inhaler and decreases airway inflammation.
    Inhaled Corticosteroids
  13. These are interventions to prevent ventilator associated pneumonia
    • Elevate HOB
    • Oral care
    • Closed suctioning system
  14. Bubbling in this chest tube chamber may indicate an air leak in the system
    Water seal chamber
  15. This is the pulmonary function test most indicative of COPD
    Decreased FEV-1
  16. These are 3 possible etiologies of epistaxis
    • Trauma
    • Nasal sprays
    • Street drugs
    • Coagulopathy
  17. This level of inducation would indicate a positive TB for a person with no TB risk factors.
    15 mm
  18. This class of medicaiton is used as a rescue inhaler
    Beta 2 Agonist Short Acting

    (Ex: Albuterol)
  19. This device is use to prevent post-op pneumonia
    Incentive Spirometer
  20. These are assessment findings associated with a tension pneumothorax
    • Hypotension
    • Tracheal deviation
  21. This public health concern can result when a patient with active TB does not complete therapy
    Multidrug Resistant TB
  22. This is the nursing priority for a patient with epistaxis who has posterior nasal packing
    • Monitor airway
    • Oxygenation
  23. This device is used for an asthma patient to monitor their own lung function
    Peak flow meter
  24. This breathing technique can help decrease air trapping
    Pursed lip breathing
  25. These are assessment findings suspected in pneumonia:
    • Fremitus - increased
    • Percussion - dullness
    • Auscultation - diminished, crackles, ronchi or bronchial breath sounds
  26. These are assessment findings expected during an asthma exacerbation
    • Fremitus - Decrease
    • Percussion - Hyperresonant
    • Auscultation - Diminished or wheezing
  27. These are classic symptoms of active TB
    • Fever spike in the late evening
    • Hemoptosis
    • Chills, night sweats
    • Weight loss
  28. These are assessment findings expected in a pneumothorax
    • Fremitus - Decrease
    • Percussion - Hyperresonant
    • Auscultation - Absent breath sounds
  29. These are assessment findings expected during a COPD exacerbation
    • Fremitus - Decrease
    • Percussion - Hyperresonant
    • Auscultation - Dimished breath sounds, wheezing
  30. This treatment for obstructive sleep apnea involves a specifically fitted mask to apply pressure and keep the airway
    CPAP or BiPAP