NUR 230 – Respiratory Exam Questions With
Verified Answers
what is a nurses responsibility to screen every patient for in terms of smoking
screen every patient if they use nicotine and offer education about the ability to quit
what are the 5 A's for users who want to quit smoking
ask, advise, assess, assist, and arrange
what are the 5 R's for users unwilling to quit smoking
relevance, risks, rewards, roadblocks, repetition
what are some examples of smoking cessation products
nicotine patches, lozenges and gum, nicotine replacement therapy, non nicotine products like
buproprion
what are some advanced age related effects on the respiratory system
reduced chest expansion and function of alveoli, reduced immune system, body doesnt adapt very
well to changes
what are we listening/looking for in a respiratory assessment
comparison of right and left lobes (look, sound, etc.), cap refill, skin color, oral mucosa appearance,
etc.
what is hypoxia
not enough oxygen in the tissues
what is hypoxemia
not enough oxygen in the blood
what is the difference between central and peripheral cyanosis
central = comes from impaired gas exchange will see it
peripheral = impaired circulation seen in extremities and nail beds
what are some low flow oxygen devices
nasal cannula (1-6L), simple free mask, partial rebreather and non rebreather (up to 10L)
what are some high flow oxygen devices
venturi mask (2-15L), tracheostomy collar, face tent and high flow nasal cannula
what are face tents generally used for
facial trauma, burns, or surgery on upper airway
if we cant get a pulse ox on the finger where else could we put it
, earlobe, forehead, or toe - if not getting an accurate reading check on different extremity or different
machine
what are the different tests that can be done for the respiratory system
blood studies, pulse ox, ABGs, CO2 monitoring called EtCO2 (used for vent patients)
what is the biggest advantage of the CO2 monitoring EtCO2 system
it can detect changes in the patient before we can see symptoms occur
how can sputum studies be collected
expectoration/cough it up, suction, bronchoscopy, induction of a cough, nose and throat cultures
when are nose and throat cultures done
to diagnose different respiratory issues like covid, pneumonia, TB, flu, strep throat etc.
when a skin test is done what are we looking for
induration not redness or raised skin
what is the nursing care for a bronchoscopy
make sure gag reflex returns, monitor vital signs and pulse ox, if biopsy is taken watch for
pneumothorax or hemorrhage
if a patient is having a lung biopsy what is the nursing care to know
monitor for resp. distress, bleeding or pneumothorax, need a CXR, NPO and signed consent, monitor
breath sounds - if diminished contact provider
if a patient is having a thoracentesis what is out job as a nurse
have table in front of them to lean on and are in correct position, NPO, have signed consent and
monitor throughout procedure
what is the biggest risk for the patient after a thoracentesis
a tension pneumothorax also look for hypoxia and monitor breath sounds
describe acute bronchitis
inflammation of mucous membranes of bronchi - hyper secretion of submucosal glands lead to
obstruction of airways from too much mucous
what is the most prominent symptom of bronchitis
sputum production
what are the signs and symptoms of acute bronchitis
cough, clear/purulent sputum, fever, headache, malaise, dyspnea, chest pain
how is a diagnosis of bronchitis made
Verified Answers
what is a nurses responsibility to screen every patient for in terms of smoking
screen every patient if they use nicotine and offer education about the ability to quit
what are the 5 A's for users who want to quit smoking
ask, advise, assess, assist, and arrange
what are the 5 R's for users unwilling to quit smoking
relevance, risks, rewards, roadblocks, repetition
what are some examples of smoking cessation products
nicotine patches, lozenges and gum, nicotine replacement therapy, non nicotine products like
buproprion
what are some advanced age related effects on the respiratory system
reduced chest expansion and function of alveoli, reduced immune system, body doesnt adapt very
well to changes
what are we listening/looking for in a respiratory assessment
comparison of right and left lobes (look, sound, etc.), cap refill, skin color, oral mucosa appearance,
etc.
what is hypoxia
not enough oxygen in the tissues
what is hypoxemia
not enough oxygen in the blood
what is the difference between central and peripheral cyanosis
central = comes from impaired gas exchange will see it
peripheral = impaired circulation seen in extremities and nail beds
what are some low flow oxygen devices
nasal cannula (1-6L), simple free mask, partial rebreather and non rebreather (up to 10L)
what are some high flow oxygen devices
venturi mask (2-15L), tracheostomy collar, face tent and high flow nasal cannula
what are face tents generally used for
facial trauma, burns, or surgery on upper airway
if we cant get a pulse ox on the finger where else could we put it
, earlobe, forehead, or toe - if not getting an accurate reading check on different extremity or different
machine
what are the different tests that can be done for the respiratory system
blood studies, pulse ox, ABGs, CO2 monitoring called EtCO2 (used for vent patients)
what is the biggest advantage of the CO2 monitoring EtCO2 system
it can detect changes in the patient before we can see symptoms occur
how can sputum studies be collected
expectoration/cough it up, suction, bronchoscopy, induction of a cough, nose and throat cultures
when are nose and throat cultures done
to diagnose different respiratory issues like covid, pneumonia, TB, flu, strep throat etc.
when a skin test is done what are we looking for
induration not redness or raised skin
what is the nursing care for a bronchoscopy
make sure gag reflex returns, monitor vital signs and pulse ox, if biopsy is taken watch for
pneumothorax or hemorrhage
if a patient is having a lung biopsy what is the nursing care to know
monitor for resp. distress, bleeding or pneumothorax, need a CXR, NPO and signed consent, monitor
breath sounds - if diminished contact provider
if a patient is having a thoracentesis what is out job as a nurse
have table in front of them to lean on and are in correct position, NPO, have signed consent and
monitor throughout procedure
what is the biggest risk for the patient after a thoracentesis
a tension pneumothorax also look for hypoxia and monitor breath sounds
describe acute bronchitis
inflammation of mucous membranes of bronchi - hyper secretion of submucosal glands lead to
obstruction of airways from too much mucous
what is the most prominent symptom of bronchitis
sputum production
what are the signs and symptoms of acute bronchitis
cough, clear/purulent sputum, fever, headache, malaise, dyspnea, chest pain
how is a diagnosis of bronchitis made
