3/19/25, 6:01 Med-Surg ATI: RESPIRATORY |
AM
MED-SURG ATI: RESPIRATORY EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
Terms in this set (37)
typically performed by a respiratory therapist --> perform Allen's Test prior to
ABGs (arterial blood gases) procedure where they compress ulnar & radial arteries simultaneously --> take
blood and after will need to hold pressure for at least 5mins (or if on blood thinner,
20 min)
pH 7.35 to 7.45
PaO2 80 to 100 mmHg
ABGs values PaCO2 35 to 45 mmHg
HCO3 21 to 28
SaO2 95 to 100%
diagnostic procedure allowing for visualization of a patient's airway, larynx,
trachea, and bronchi - can aspirate deep sputum and excise lesions as needed
NI:
bronchoscopy
-NPO 4-8 hrs
-gag reflex, swallowing
-will have sore throat, dry throat, small amount of blood-tinged sputum
surgical perforation of the chest wall with a large bore needle inserted into the
pleural space, to either obtain a specimen, inject meds, or remove fluids and/or air
from that pleural space
thoracentesis indication: pleural effusion
NI: sit upright, support arms on pillows or bedside table, remain still, closely monitor
respiratory status
complications: mediastinal shift, bleeding, infection, pneumothorax
s/s: deviated trachea, pain, unequal movement, air hunger, tachycardia, shallow
pneumothorax
1/
6
, 3/19/25, 6:01 Med-Surg ATI: RESPIRATORY |
AM
respirations
drainage device used to remove air, blood or fluid from the pleural space
indication: hemothorax (lower down), pneumothorax (higher up)
NI: High-Fowler's position; keep hemostats, sterile water, and dressings at bedside;
never milk/strip tubing; only clamp when ordered
chest tubes
-what if compromised? place end of tube in sterile water to maintain seal
-what is accidentally removed? occlusive dressing taped on 3 sides
-tension pneumothorax
drainage collection chamber of chest tube document amount & color of drainage --> report > 70 mL/hr of drainage to provider
sterile fluid is added to 2 cm line --> check level every 2 hours --> chambers must be
upright and below chest tube insertion site
tidaling: water level will rise and fall with inspiration and expiration & is expected --
water seal chamber of chest tube > if you do not see tidaling, it indicates that the lung has re-expanded or there is
an obstruction
bubbling: indicates an air leak, unexpected finding
suction control chamber of chest tube continuous bubbling is expected
oxygenation device providing b/t 1-6 L/min of O2
nasal cannula
NI: > 4 L/min requires humidification
face mask oxygenation device providing b/t 5-8 L/min
oxygenation device providing b/t 6-11 L/min
partial rebreather mask
NI: adjust flow to keep reservoir bag from deflating
oxygenation device allowing 10-15 L/min - delivers highest O2 concentration
non-rebreather mask
NI: important to keep reservoir bag 2/3 full and assess valve/flap hourly
oxygenation device with flow rates of 4-10 L/min - provides most precise oxygen
venturi mask
delivery
oxygenation device indicated for patients with facial trauma or burns - provides
aerosol mask or face tent
high humidification
s/s:
2/
6
AM
MED-SURG ATI: RESPIRATORY EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
Terms in this set (37)
typically performed by a respiratory therapist --> perform Allen's Test prior to
ABGs (arterial blood gases) procedure where they compress ulnar & radial arteries simultaneously --> take
blood and after will need to hold pressure for at least 5mins (or if on blood thinner,
20 min)
pH 7.35 to 7.45
PaO2 80 to 100 mmHg
ABGs values PaCO2 35 to 45 mmHg
HCO3 21 to 28
SaO2 95 to 100%
diagnostic procedure allowing for visualization of a patient's airway, larynx,
trachea, and bronchi - can aspirate deep sputum and excise lesions as needed
NI:
bronchoscopy
-NPO 4-8 hrs
-gag reflex, swallowing
-will have sore throat, dry throat, small amount of blood-tinged sputum
surgical perforation of the chest wall with a large bore needle inserted into the
pleural space, to either obtain a specimen, inject meds, or remove fluids and/or air
from that pleural space
thoracentesis indication: pleural effusion
NI: sit upright, support arms on pillows or bedside table, remain still, closely monitor
respiratory status
complications: mediastinal shift, bleeding, infection, pneumothorax
s/s: deviated trachea, pain, unequal movement, air hunger, tachycardia, shallow
pneumothorax
1/
6
, 3/19/25, 6:01 Med-Surg ATI: RESPIRATORY |
AM
respirations
drainage device used to remove air, blood or fluid from the pleural space
indication: hemothorax (lower down), pneumothorax (higher up)
NI: High-Fowler's position; keep hemostats, sterile water, and dressings at bedside;
never milk/strip tubing; only clamp when ordered
chest tubes
-what if compromised? place end of tube in sterile water to maintain seal
-what is accidentally removed? occlusive dressing taped on 3 sides
-tension pneumothorax
drainage collection chamber of chest tube document amount & color of drainage --> report > 70 mL/hr of drainage to provider
sterile fluid is added to 2 cm line --> check level every 2 hours --> chambers must be
upright and below chest tube insertion site
tidaling: water level will rise and fall with inspiration and expiration & is expected --
water seal chamber of chest tube > if you do not see tidaling, it indicates that the lung has re-expanded or there is
an obstruction
bubbling: indicates an air leak, unexpected finding
suction control chamber of chest tube continuous bubbling is expected
oxygenation device providing b/t 1-6 L/min of O2
nasal cannula
NI: > 4 L/min requires humidification
face mask oxygenation device providing b/t 5-8 L/min
oxygenation device providing b/t 6-11 L/min
partial rebreather mask
NI: adjust flow to keep reservoir bag from deflating
oxygenation device allowing 10-15 L/min - delivers highest O2 concentration
non-rebreather mask
NI: important to keep reservoir bag 2/3 full and assess valve/flap hourly
oxygenation device with flow rates of 4-10 L/min - provides most precise oxygen
venturi mask
delivery
oxygenation device indicated for patients with facial trauma or burns - provides
aerosol mask or face tent
high humidification
s/s:
2/
6
