MDC 3 EXAM 2 RASMUSSEN UNIVERSITY-FLORIDA WITH ACTUAL
QUESTIONS AND CORRECT ANSWERS
hyperventilation, if someone is blowing off too much CO2 they become more -
CORRECT ANSWERS-Alkaline, respiratory alkalosis
if a patient's lung are not functioning very well and they are unable to remove or
blow off CO2 very well, the CO2 will build up in their system becoming -
CORRECT ANSWERS-acidic, respiratory acidosis
Perfusion - CORRECT ANSWERS-is adequate arterial blood flow through the
peripheral tissues (peripheral perfusion) and blood that is pumped by the heart
to oxygenate major body organs (central perfusion)
upper respiratory tract - CORRECT ANSWERS-nose, sinuses, pharynx, larynx
Lower respiratory tract - CORRECT ANSWERS-Lungs,Trachea, two mainstem
bronchi, lobar, segmental, and subsegmental bronchi; bronchioles; alveolar
ducts; alveoli
common cause of respiratory ailments - CORRECT ANSWERS-Cigarette smoke
Nursing care of a patient experiencing upper respiratory system disorders -
CORRECT ANSWERS-maintaining a patent airway to allow adequate
ventilation and oxygenation.
Along with a focused respiratory assessment, the nurse will utilize information
obtained from the patient and family during the admission history interview.
Information regarding the patient's history of upper respiratory disorders,
,smoking, and environmental exposures will be utilized to determine the
necessary testing and treatment
Normal Changes in Aging Adults - CORRECT ANSWERS-Alveoli function
decreases
Ability to cough decreases
Lungs loose residual volume, vital capacity and gas exchange decreases.
Respiratory muscles atrophy
Vascular resistance increases, capillary flow decreases
Susceptibility to infection increases.
The turbinates - CORRECT ANSWERS-three bones that protrude into the
nasal cavities from the internal portion of the nose
increase the total surface area for filtering, warming, and humidifying inspired
air before it passes into the nasopharynx.
The paranasal sinuses - CORRECT ANSWERS-air-filled cavities within the
bones that surround the nasal passages
Lined with ciliated membrane, the sinuses provide resonance to speech,
decrease the weight of the skull, and act as shock absorbers in the event of
facial trauma..
Fremitus refers to vibratory tremors that can be felt through the chest by
palpation, Increased fremitus may indicate - CORRECT ANSWERS-
compression or consolidation of lung tissue, as occurs in pneumonia.
Lung sounds - CORRECT ANSWERS-Bronchial
,Bronchovesicular
Vesicular
Adventitious sounds - CORRECT ANSWERS-Crackles
Wheezes
Rhonchus
Pleural friction rub
Other Indicators of Respiratory Adequacy - CORRECT ANSWERS-Cyanosis,
decreased capillary refill, clubbing of nails in fingers, level of consciousness,
Chest Circumference, Anxiety, Dyspnea Orthopnea, General Appearance
Diagnostic Assessment of lungs - CORRECT ANSWERS-Laboratory assessment
- RBC
- ABG- is a blood gas and this tells us the acid base balance of the patient
- Sputum- can tell us if microorganisms are growing in the lung - describe color,
clarity, and any odor
Imaging assessment
- x-rays-Xrays show us areas of opaque which usually indicate
pneumonia/consolidation of fluid
-CT- computed tomography. Lung nodules, areas of fluid buildup
Other noninvasive diagnostic assessments
, - Pulse oximetry-circulating O2- tells us oxygen levels in the tissues- usually
fingers, toes, or earlobes
- Capnometry and capnography-how much CO2 is leaving the lungs.
-PFTs-Lung function- tell us how well the lungs function at moving air in and out
- Exercise testing-Exercise tolerance
Invasive Diagnostic Assessment - CORRECT ANSWERS--Endoscopic
examinations
-Bronchoscopy- is a camera that looks at the airway passages
-Thoracentesis- can remove fluid buildup from the lung
-Lung biopsy- is used to diagnose some lung diseases or cancer
Which assessment finding for an older adult patient does the nurse ascribe to
the natural aging process? - CORRECT ANSWERS-A.Tightening of the vocal
cords
B.Decrease in residual volume
C.Decrease in the anteroposterior diameter
D.Decrease in respiratory muscle strength
D. As a person ages, vocal cords become slack, changing the quality and strength
of the voice; the anteroposterior diameter increases; respiratory muscle
strength decreases; and the residual volume increases.
The nurse knows that under normal physiologic conditions of tissue perfusion, a
patient will have what percent of oxygen dissociate from the hemoglobin
molecule? - CORRECT ANSWERS-A.25%
QUESTIONS AND CORRECT ANSWERS
hyperventilation, if someone is blowing off too much CO2 they become more -
CORRECT ANSWERS-Alkaline, respiratory alkalosis
if a patient's lung are not functioning very well and they are unable to remove or
blow off CO2 very well, the CO2 will build up in their system becoming -
CORRECT ANSWERS-acidic, respiratory acidosis
Perfusion - CORRECT ANSWERS-is adequate arterial blood flow through the
peripheral tissues (peripheral perfusion) and blood that is pumped by the heart
to oxygenate major body organs (central perfusion)
upper respiratory tract - CORRECT ANSWERS-nose, sinuses, pharynx, larynx
Lower respiratory tract - CORRECT ANSWERS-Lungs,Trachea, two mainstem
bronchi, lobar, segmental, and subsegmental bronchi; bronchioles; alveolar
ducts; alveoli
common cause of respiratory ailments - CORRECT ANSWERS-Cigarette smoke
Nursing care of a patient experiencing upper respiratory system disorders -
CORRECT ANSWERS-maintaining a patent airway to allow adequate
ventilation and oxygenation.
Along with a focused respiratory assessment, the nurse will utilize information
obtained from the patient and family during the admission history interview.
Information regarding the patient's history of upper respiratory disorders,
,smoking, and environmental exposures will be utilized to determine the
necessary testing and treatment
Normal Changes in Aging Adults - CORRECT ANSWERS-Alveoli function
decreases
Ability to cough decreases
Lungs loose residual volume, vital capacity and gas exchange decreases.
Respiratory muscles atrophy
Vascular resistance increases, capillary flow decreases
Susceptibility to infection increases.
The turbinates - CORRECT ANSWERS-three bones that protrude into the
nasal cavities from the internal portion of the nose
increase the total surface area for filtering, warming, and humidifying inspired
air before it passes into the nasopharynx.
The paranasal sinuses - CORRECT ANSWERS-air-filled cavities within the
bones that surround the nasal passages
Lined with ciliated membrane, the sinuses provide resonance to speech,
decrease the weight of the skull, and act as shock absorbers in the event of
facial trauma..
Fremitus refers to vibratory tremors that can be felt through the chest by
palpation, Increased fremitus may indicate - CORRECT ANSWERS-
compression or consolidation of lung tissue, as occurs in pneumonia.
Lung sounds - CORRECT ANSWERS-Bronchial
,Bronchovesicular
Vesicular
Adventitious sounds - CORRECT ANSWERS-Crackles
Wheezes
Rhonchus
Pleural friction rub
Other Indicators of Respiratory Adequacy - CORRECT ANSWERS-Cyanosis,
decreased capillary refill, clubbing of nails in fingers, level of consciousness,
Chest Circumference, Anxiety, Dyspnea Orthopnea, General Appearance
Diagnostic Assessment of lungs - CORRECT ANSWERS-Laboratory assessment
- RBC
- ABG- is a blood gas and this tells us the acid base balance of the patient
- Sputum- can tell us if microorganisms are growing in the lung - describe color,
clarity, and any odor
Imaging assessment
- x-rays-Xrays show us areas of opaque which usually indicate
pneumonia/consolidation of fluid
-CT- computed tomography. Lung nodules, areas of fluid buildup
Other noninvasive diagnostic assessments
, - Pulse oximetry-circulating O2- tells us oxygen levels in the tissues- usually
fingers, toes, or earlobes
- Capnometry and capnography-how much CO2 is leaving the lungs.
-PFTs-Lung function- tell us how well the lungs function at moving air in and out
- Exercise testing-Exercise tolerance
Invasive Diagnostic Assessment - CORRECT ANSWERS--Endoscopic
examinations
-Bronchoscopy- is a camera that looks at the airway passages
-Thoracentesis- can remove fluid buildup from the lung
-Lung biopsy- is used to diagnose some lung diseases or cancer
Which assessment finding for an older adult patient does the nurse ascribe to
the natural aging process? - CORRECT ANSWERS-A.Tightening of the vocal
cords
B.Decrease in residual volume
C.Decrease in the anteroposterior diameter
D.Decrease in respiratory muscle strength
D. As a person ages, vocal cords become slack, changing the quality and strength
of the voice; the anteroposterior diameter increases; respiratory muscle
strength decreases; and the residual volume increases.
The nurse knows that under normal physiologic conditions of tissue perfusion, a
patient will have what percent of oxygen dissociate from the hemoglobin
molecule? - CORRECT ANSWERS-A.25%
