2025
ATI MED SURG RESPIRATORY 2 LATEST VERSIONS (VERSION A
AND B) AND STUDY GUIDE NEWEST 2025 ACTUAL EXAM 150
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
- use heparinized syringe
- perform Allen's test prior -
should turn pink within 15
sec
- surgical aseptic technique
Arterial Puncture
- specimen in basin of ice and
water
- hold direct pressure over
site for at least 5 min, 20 min
if client is on anticoag
place client on left side in
Air Embolism
trendelenburg
Bronchoscopy visualization of larynx,
bronchi, trachea
,2
- outpatient, general
anesthesia,
local/moderate(conscious)
sedation
- NPO 4-8 hr
- sitting/supine position intra
- mild fever for less than 24
hr not uncommon
- small amount of blood
tinged sputum is expected
- cough/deep breath q 2 hrs
for older adults
Thoracentesis - obtain specimens, instill
meds into pleural space,
remove fluid (effusion) or air
- local anesthesia
- ultrasound for guidance
,3
- strict surgical aseptic
technique
- limited to 1 L of fluid
removed at a time to prevent
re-expansion pulmonary
edema
- dressing over puncture site
- monitor VS/resp status q
hour for first several hours
following
- pre/post procedure chest-
xray
Thoracentesis potential - transudates (HF, cirrhosis,
Dx nephritic syndrome,
hypoproteinemia)
- exudates (inflammatory,
infectious, neoplastic)
- empyema
- pneumonia
, 4
- blunt, crushing, or
penetrating chest
injuries/trauma, lung or
cardiac surgery
pain, SOB, cough
Large amounts of fluid in
pleural space can cause... - abnormal breath sounds,
dull percussion, decreased
chest wall expansion
shift of thoracic structures to
Mediastinal Shift
one side of body
- diminished breath sounds,
distended neck veins,
asymmetry of chest wall,
cyanosis
- pain on affected side that
Pneumothorax S/S
worsens at the end of
inhalation and exhalation
- increased HR, rapid shallow
resp, nagging cough, air
hunger
Chest Tube 3 chambers 1 - drainage collection