wk2- respiratory

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Author:
sh3ilamarie
ID:
77299
Filename:
wk2- respiratory
Updated:
2011-04-07 00:29:17
Tags:
ams
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Description:
31 questions - respiratory: obstruction, cancer, trauma
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  1. which arterial blood gas value are normal?
    • NORMAL VALUE (memorize)
    • PH: 7.35 - 7.45
    • PaO2: 80-100
    • PaCO2: 35-45
    • HCO3: 22-26
    • SaO2: 95% - 100%
  2. What is the normal value for PH?
    7.35-7.45
  3. What is the normal value for PaO2?
    80-100
  4. What is the normal value for PaCO2?
    35-45
  5. What is the normal value for HCO3?
    22-26
  6. What is the normal value for SaO2?
    95% - 100%
  7. which is incorrect about the TB skin test? SATA
    • draw 0.1 ml of PPD
    • hold syringe bevel up, almost parallel to the forearm
    • read the test site 48-72 hours after injection by palpating the site for induration
  8. pulmonary angiography (pg.242) - pt going through pulmonary angiography, what are ur nx consideration to think about?
    determining if allergic to contrast dye, iodine, and shellfish
  9. sputum studies (pg.241- nursing guidelines 19-2) - when is the best time to take a sputum specimen?
    collect sputum early in the morning in a sterile container
  10. post-bronchoscopy, pt c/o thirst, which observation allows you to give fluids to pt? (pg.242)
    after gag reflex returns
  11. what medication is used for allergic reaction in the laryngeal? (pg. 252/slide 88)
    epinephrine or corticosteroids
  12. why should u have a tracheostomy cuff? (pg.260) SATA

    2 answers
    • provide a snug fit
    • prevents aspiration of liquids or escape of air when a mechanical ventilator is used
  13. how long should you suction with a pt with a tracheostomy?
    do not suction for no more than 10 seconds at a time
  14. NUMBERING IN ORDER - 8 steps

    providing tracheostomy care (pg. 261)
    • 1. open trach kit w/o contaminating contents
    • 2. pour hydrogen peroxide and NS into containers
    • 3. unlock inner canula..remove it and place in hydrogen peroxide. clean inside and out of the cannula with pipe cleaner
    • 4. rinse the clean cannula with NS. tap and wipe extra solution with sterile gauze
    • 5. replace inner cannula and turn clockwise within the outer cannula
    • 6. clean around stoma w/ moist applicator with NS
    • 7. place sterile dressing around the trach tube
    • 8. change the trach ties by placing the new ones on first
  15. TRUE/FALSE

    the pressure inside the lungs is above the atmospheric pressure
    false
  16. _______ is a life threatening condition that results from the progressive deterioration and worsening simple pneumothorax
    tension pneumothorax
  17. how do u know the chest tube is no longer needed in a pt with pneumothorax?
    no fluctuation in the water-seal chamber. ceases when lungs re-expand..
  18. what nursing intervention to prevent clot formation for a pt who just has knee surgery?
    obtaining order for elastic sockings
  19. encouraging pt to continuously move (legs) to prevent..
    pulmonary embolism
  20. FILL-IN

    _________ is a surgical opening into the treachea.
    tracheotomy
  21. trach suctioning..which is incorrect?
    suction while inserting
  22. position for pt who is in respiratory distress
    semi-fowlers
  23. when can u tell a trache needs to be suctioned?
    noisy
  24. pt has abnormal lung sounds due to asthma-exacerbation. what do u hear?
    weezes
  25. when do u know when a pt has a positive mantoux test?
    pt has been exposed to tb
  26. which pulse oximitry reading is normal?
    95-100%
  27. pulmonary function. what tells u he understood the procedure?
    pt has to breath into a inspirameter
  28. how will u tell if pt O2 stat is compromise?
    pt starts to get restlessness
  29. ______ is the movement of air in and out
    ventilation
  30. maxillary sinuses is located...
    cheek
  31. u are a nurse working at call center...chocking pt..u ask...
    can the pt cough
  32. FILL-IN

    _______ is the removal a of a lung
    segmentectomy (piece)
  33. steps of mantoux test - mycobacterium TB
    draw 0.1ml; hold syringe bevel up-parallel to forearm; record name, date, time, n lot #; check 48-72 hrs
  34. a largynoscopy will happen for a singer..which statement states that she understands?
    "i have to have this test b/c my voice hoarse and it's to test for cancer"
  35. CALCULATION

    IV 1000cc NS over a 12hr period
    what is ml/hr?
    80ml/hr


    1000/12 = 83.3
  36. CALCULATION

    wt: 47.2kg convert to lbs
    103.84lbs

    47.2 x 2.2 = 103.84lbs
  37. CALCULATION

    morphine
    D= 6mg
    A= 4mg/1ml
    1.5ml


    6/4 x 1= 1.5

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