NUR 122 test 2

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NUR 122 test 2
2011-03-01 01:39:16
Respiratory skin sensory

MCC NUR 122 test 2
Show Answers:

  1. First line measure to prevent/treat atelectasis
    Incentive Spirometer
  2. Atelectasis
    Closure or collapse of alveoli
  3. Medications that suppress the cough reflux
  4. Most accurate measurement of concentration of oxygen in the
    ABG-Arterial Blood Gas
  5. Max volume of air exhaled from the point of max inspiration
    Vital Capacity
  6. Coughing up blood
  7. What is copious green sputum indicative of?
  8. First line of defense to prevent spreading disease
    Wash your hands
  9. What is the normal range for blood pH?
  10. What is the normal range for CO2 in the blood?
  11. Normal range for bi-carb (HCO3) ion the blood
  12. Respiratory or Metabolic

    pH increases & CO2 decreased
    pH decrease & CO2 increase
    Respiratory (opposite pH to CO2)
  13. Respiratory or Metabolic

    pH increases & HCO3 increased
    pH decrease & HCO3 decreased
    Metabolic (equal pH to HCO3)
  14. Orthopnea
    Difficult/labored breathing when recumbent (relieved by upright position)
  15. Low grade fever, night sweats, fatigue, and weight loss is symptoms of…
  16. Chronic inflammatory disease of the airway
  17. Chronic hyperinflation of lungs r/t emphysema
    Barrel Chest
  18. Fever, muscle aches, sore throat, ill looking is symptoms of…
  19. Antihistamines
    • Block action of histamine
    • Decrease secretions & edema
    • Diphenhydramine (Benadryl)
    • Fexofenadine (Allegra)
    • Loratadine (Claritin)
  20. Decongestants
    • Shrink engorged nasal mucous membranes
    • Relieve nasal stuffiness
  21. What might happen if nasal decongestant is used more then 3 days?
    Rebound Congestion
  22. Main nursing dx for respiratory problems
    • Ineffective airway clearance (maintain patent airway)
    • Ineffective gas exchange (cough deep breathe)
    • Acute pain (promote comfort)
    • Impaired verbal communication
    • Deficient fluid volume
    • Knowledge deficit
  23. Epistaxis
    Nose Bleed
  24. Pneumonia
    • Inflammation of the lung parenchyma caused by various microorganisms
    • Dyspnea/Orthopnea
    • Fever/chills
    • Pleuritic chest pain(cough/breathing)
    • Tachypnea/tachycardiaCough w/ sputum
    • Confusion/irritable
  25. What is best position for Orthopnea?
    Upright sitting position slightly leaning forward
  26. In what case is antitussives contraindicated?
    When pt. has a compromised cough reflex
  27. Care of a pt. with pneumonia?
    Upon admission place head of bed 45-90 degree angle.
  28. What meds are given for pneumonia?
    • Antibiotics (broad spectrum before culture results)
    • Bronchodilators
    • Expectorants
  29. COPD
    Group of common chronic respiratory disorders characterized by progressive tissue degeneration & obstruction of airways
  30. What kind of mask would the nurse choose for COPD pt.?
    Venturi Mask
  31. What is “spoon shaped” nails characteristic of?
    Iron deficiency
  32. What is the normal amount of insensible perspiration?
    600mL per day
  33. What kind of precautions should pt. with Impetigo be on?
    Contact precaution
  34. What are two anti-viral medications used to treat Shingles?
    • **Acyclovir (Zovirax)**
    • Valacyclovir (Valtrex)
    • If used within 24 hr from first outbreak reduces spread/severity of symptoms
  35. Topical treatment for symptoms of Herpes Zoster (shingles)
    • Compresses
    • Calamine lotion
    • Baking soda
  36. What are factors is perfusion of oxygen and CO2?
    • Pt.s cardiac output
    • **Arterial oxygen content (SaO2) pulse oximetry**
    • Number of RBC or hematocrit
    • Metabolic demands
  37. What does finger clubbing indicate?
    Chronic hypoxic conditions
  38. Upon auscultation of lungs, what does dullness indicate?
    Fluid in the plural space
  39. Treatment of common cold
    After 7-10 days of cont. symptoms, perform strep test
  40. Nursing implications for tonsillectomy
    • Because bleeding is largest risk…
    • Assess frequent swallowing
    • Vital signs (s/s of bleeding)
  41. What is the definitive test for Tuberculosis?
    PPD (purified protein derivative)
  42. Proper use of Metered Dose Inhaler
    Position 1-2 inches from open mouth
  43. Teaching plan for asthma regarding medication
    Take as scheduled
  44. 3 types of wound dressings
    • Passive
    • Interactive
    • Active
  45. Describe interactive wound dressing
    • Absorbs exudates
    • moist in center of wound
    • dry on edges (wet-to-dry)
  46. 3 layers of the skin
    • Epidermis
    • Dermis
    • SQ tissue
  47. Contact dermatitis and treatment
    • An allergic reaction (chem., physical, biologic, irritant)
    • Tx.
    • Remove offending agent
    • Non-medicated lotion
    • Cool wet dressing
  48. Changes in skin from Psoriasis
    • Thickening of the dermis and the epidermis (scaly plaques)
    • Cellular hyperproliferation
    • Altered differentiationInflammation
  49. 2 types of Glaucoma
    • Open angle-most common
    • Angle closure
  50. Nursing teaching for administering of Timolol (eye medicine for glaucoma)
    Can cause systemic response (low BP/P) so block lacrimal canal
  51. Cataract treatment
    • Only cure is surgical removal
    • Post op.:
    • Eye drops
    • Activity restrictions
    • HOB >30 degrees
    • Report new floaters and flashers to Dr
  52. Conjunctivitis
    Can easily spread from one eye to another (very contagious)
  53. Post-op care of eye surgery
    • Activity restriction
    • Bed rest
    • Head turned, affected side up
    • Sit upright with head over bed table until 1st dressing change
  54. Macular Degeneration 2 types
    • Atrophic dry type – progressive-most common
    • Exudative wet type- rapid progression- *cause legal blindness*
  55. Dizziness
    Sensation the individual is moving rather than the environment. Increased risk for falls.
  56. Vertigo
    Sensation of movement of environment, episodic, worsens with movement. Increased risk for falls.
  57. Nystagmus
    Uncontrolled eye movements. Increased risk for falls. Mike’s googly-eyes
  58. Meniere’s Disease
    Abnormality of inner ear which leads to hearing loss and vertigo
  59. Tinnitus
    Underlying disorder causing hearing loss
  60. Ototoxicity
    Hearing loss caused by medications r/t adverse effects.
  61. How to communicate effectively with a person with a hearing disorder
    • Face the hearing impaired
    • Speak normal pace and tone (for lip reading)
    • Reduce noise and distractions
    • Keep mouth clear from distractions (hand, paper, etc)