NSC 492 final exam study guide
questions and answers
what is ventilation - Answer-moving air into and out of the lungs
things that affect gas exchange - Answer-disease processes. could be related to
narrowed airways and secretions. something such as a PE
what to look at with respiratory issues - Answer-respiratory rate, work of breathing,
color, heart rate, abnormal breath sounds, positioning, restlessness and anxiety
treatment for respiratory issues - Answer-oxygen, positioning, suction secretions, cough
and deep breathe, nasotracheal suctioning, bronchodilators, vibration vest, p and pd,
pursed lip breathing, bipap, chest tube, diuretics,
what to give for wheezes - Answer-bronchodilator or breathing treatment
if the patient has a snoring sound use - Answer-cough and deep breathe, suctioning,
mucolytic
what to give for crackles in lungs - Answer-diuretics
what is the most common reason for icu admissions - Answer-respiratory failure
what do you see with respiratory failure - Answer-PAO2 <60
O2 sat of <91 on room air
CO2 >50
what to do if a patient looks like they may start needing oxygen - Answer-talk to them
about controlled breathing
s/s of COPD - Answer-secretions, wheezes, decreased O2 sat, barrel chest, clubbed
nail beds, sit up in the tripod or orthopnic position, increased respiratory rate
s/s of retaining CO2 - Answer-headache, tremors, flushed face, confusion, I feel like I
can't breathe, seizures
non-pharmalogic interventions for COPD - Answer-pursed lip breathing, high protein low
carb diet, regular cough and deep breathe, incentive spirometer, small frequent meals,
smoking cessation, rest and activity balance, positioning, preventing future infections,
up to date vaccines, hand hygiene, increased fluid intake if not contraindicated to 2.5-3
liters per day, P&PD if have someone to help.
, what does crepitus indicate - Answer-air in the subcutaneous tissue from a rupture
somewhere in the respiratory system or by infection with a gas producing organism
What does bubbling in the water seal chamber indicate? - Answer-air leak
components of nurse patient relationship - Answer-trust, genuine interest, empathy,
acceptance, positive regard, therapeutic use of self,
trust - Answer-introduce yourself, build rapport
genuine interest - Answer-don't look at your watch, computer, look down. act like you
really care
empathy - Answer-put yourself in that other persons shoes
acceptance - Answer-accept them, accept their choices and decisions - if not judgement
can come across
therapeutic use of self - Answer-what do you need from me? how can I help you? what
can I do today to make you feel better?
Phases of Nurse-Patient Relationship - Answer-pre- orientation, Orientation, working,
termination
Pre-orientation phase - Answer-self assessment, examine own feelings, fears,
anxieties, know where you stand so you won't show any biases
orientation phase - Answer-introductory phase, establish trust, share information with
client, discrete self disclosure. convey support, facilitate healing, educate
working phase - Answer-problems identified, give emotional support, ask what they
enjoy doing, provide outside resources
termination phase - - Answer-resolution phase, examine goals achieved, explore
feelings regarding termination
Obstacles to Therapeutic Communication - Answer-inappropriate boundaries,
encouraging dependence, non - acceptance/avoidance, resistance
Traits of Therapeutic Communication - Answer-Genuineness
Positive regard
Empathy
Trustworthiness
Clarity - resate- say back exactly what the patient says, reflecting - if they ask should I
have this treatment say do you think you should?
Responsibility
questions and answers
what is ventilation - Answer-moving air into and out of the lungs
things that affect gas exchange - Answer-disease processes. could be related to
narrowed airways and secretions. something such as a PE
what to look at with respiratory issues - Answer-respiratory rate, work of breathing,
color, heart rate, abnormal breath sounds, positioning, restlessness and anxiety
treatment for respiratory issues - Answer-oxygen, positioning, suction secretions, cough
and deep breathe, nasotracheal suctioning, bronchodilators, vibration vest, p and pd,
pursed lip breathing, bipap, chest tube, diuretics,
what to give for wheezes - Answer-bronchodilator or breathing treatment
if the patient has a snoring sound use - Answer-cough and deep breathe, suctioning,
mucolytic
what to give for crackles in lungs - Answer-diuretics
what is the most common reason for icu admissions - Answer-respiratory failure
what do you see with respiratory failure - Answer-PAO2 <60
O2 sat of <91 on room air
CO2 >50
what to do if a patient looks like they may start needing oxygen - Answer-talk to them
about controlled breathing
s/s of COPD - Answer-secretions, wheezes, decreased O2 sat, barrel chest, clubbed
nail beds, sit up in the tripod or orthopnic position, increased respiratory rate
s/s of retaining CO2 - Answer-headache, tremors, flushed face, confusion, I feel like I
can't breathe, seizures
non-pharmalogic interventions for COPD - Answer-pursed lip breathing, high protein low
carb diet, regular cough and deep breathe, incentive spirometer, small frequent meals,
smoking cessation, rest and activity balance, positioning, preventing future infections,
up to date vaccines, hand hygiene, increased fluid intake if not contraindicated to 2.5-3
liters per day, P&PD if have someone to help.
, what does crepitus indicate - Answer-air in the subcutaneous tissue from a rupture
somewhere in the respiratory system or by infection with a gas producing organism
What does bubbling in the water seal chamber indicate? - Answer-air leak
components of nurse patient relationship - Answer-trust, genuine interest, empathy,
acceptance, positive regard, therapeutic use of self,
trust - Answer-introduce yourself, build rapport
genuine interest - Answer-don't look at your watch, computer, look down. act like you
really care
empathy - Answer-put yourself in that other persons shoes
acceptance - Answer-accept them, accept their choices and decisions - if not judgement
can come across
therapeutic use of self - Answer-what do you need from me? how can I help you? what
can I do today to make you feel better?
Phases of Nurse-Patient Relationship - Answer-pre- orientation, Orientation, working,
termination
Pre-orientation phase - Answer-self assessment, examine own feelings, fears,
anxieties, know where you stand so you won't show any biases
orientation phase - Answer-introductory phase, establish trust, share information with
client, discrete self disclosure. convey support, facilitate healing, educate
working phase - Answer-problems identified, give emotional support, ask what they
enjoy doing, provide outside resources
termination phase - - Answer-resolution phase, examine goals achieved, explore
feelings regarding termination
Obstacles to Therapeutic Communication - Answer-inappropriate boundaries,
encouraging dependence, non - acceptance/avoidance, resistance
Traits of Therapeutic Communication - Answer-Genuineness
Positive regard
Empathy
Trustworthiness
Clarity - resate- say back exactly what the patient says, reflecting - if they ask should I
have this treatment say do you think you should?
Responsibility
