4/4/25, 7:49 Exam 2 NR224 |
PM
EXAM 2 NR224 EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED LATEST UPDATE
Terms in this set (152)
The collapse of alveoli which prevents normal exchange of oxygen and carbon
What is atelectasis?
dioxide
How do we prevent atelectasis? deep breathing exercises, coughing after surgery, and using a spirometer
P- Pulmonary Bronchial Constriction
P- Possible Foreign Body
P- Pulmonary Embolus
6 p's of dyspnea
P- Pneumothorax
P- Pump Failure
P- Pneumonia
abnormal condition where a patient has to use multiple pillows when reclining to
Orthopnea
breathe easier - or they lean forward
Work of breathing The effort required to expand and contract the lungs
Ventilation moving gases into and out of the lungs
The ability of the cardiovascular system to pump oxygenated blood to the tissues
Perfusion
and return deoxygenated blood to the lungs
Stroke volume The amount of blood ejected from the heart in one contraction.
What intervention can we provide a Raise the head of their bed or put pillows behind their back
patient who is experiencing orthopnea in
bed?
apprehension, restlessness, inability to concentrate, decreased level of
Clinical signs & symptoms of hypoxia
consciousness, dizziness, and behavioral changes
FIRST sign of hypoxia elevated blood pressure and possible behavior changes
Bradycardia, cardiac dysrhythmias, cyanosis, decreased respiratory rate,
Late signs and symptoms of hypoxia
retractions
Who should get the flu vaccine? All patients 6 months and older that are physiologically able to
1/
6
, 4/4/25, 7:49 Exam 2 NR224 |
PM
All infants receive it & it's recommended for patients at an increased risk -
Who should received the pneumonia
chronic illness, immunocompromised, adults who smoke or have asthma, and
vaccine?
those living in nursing homes
Nasal cannula flow rate 1-6 L/min
Simple face mask flow rate 6-12L/min
Partial and nonbreather mask flow rate 10-15L/min
Oxygen-conserving cannula flow rate 8L
Venturi mask flow rate 4-10 L/min
to detect the presence of abnormal air or fluid in the lungs and also determine
Purpose of percussion in the respiratory diaphragmatic excursion
system
it is done by RTs to force secretions into larger airways for expectoration
Importance of incentive spirometer? encourages deep breathing by providing visual feedback
1. Hold in upright position
2.Exhale normally
3.Seal lips tightly around mouthpiece
4.Take in slow deep breaths to elevate the balls or cylinder for 2-6 seconds
(start low)
How to use an incentive spirometer 5.Avoid brisk low-volume breaths
6.Remove mouth piece and exhale normally
7. Cough after the incentive effort
8.Relax and take several breaths before using again
9.Repeat the procedure several times and four to five times per hour
10. Clean mouth piece and shake it dry.
Importance of hydration for the keeps mucocilliary clearance normal, the pulmonary secretions remain thin, white,
respiratory system watery, and easily removable
promotes the patient's airway patency and coughing helps to remove secretions
Importance of coughing
from the upper and lower airways
increases lung volume and airway diameter which allows air to pass through
Importance of deep breathing
partially obstructed mucus plugs or other foreign matter
Importance of staying mobile aerobic movement is necessary for improving heart and lung function
Impaired gas exchange
ineffective airway
Possible nursing diagnoses for a patient
clearance ineffective
with COPD
breathing pattern self-care
deficit
activity intolerance
pattern of breathing characterized by a gradual increase of depth and sometimes
Cheyne-Stokes respiration
rate to a maximum level, followed by a decrease, resulting in apnea
Invasive mechanical ventilation Life-saving technique used with artificial airways (ET or tracheostomy)
Technique uses positive pressure to keep alveoli open and improve gas
Noninvasive positive pressure ventilation
exchange without invasive procedures (BiPAP & CPAP)
catheter inserted through the thorax into the chest cavity for removing air or
Chest tube
fluid; used after chest or heart surgery or pneumothorax
Do we administer saline prior to NO!!!
suctioning to loosen up the secretions of
a trach tube?
remove waste products from the blood, regulate fluid and electrolyte balance,
Function of the kidneys
produce hormones, and produce urine
Function of ureters transport urine from each kidney pelvis and carry urinary waste to bladder
Bladder a hollow, distensible, muscular organ that holds urine
2/
6
PM
EXAM 2 NR224 EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED LATEST UPDATE
Terms in this set (152)
The collapse of alveoli which prevents normal exchange of oxygen and carbon
What is atelectasis?
dioxide
How do we prevent atelectasis? deep breathing exercises, coughing after surgery, and using a spirometer
P- Pulmonary Bronchial Constriction
P- Possible Foreign Body
P- Pulmonary Embolus
6 p's of dyspnea
P- Pneumothorax
P- Pump Failure
P- Pneumonia
abnormal condition where a patient has to use multiple pillows when reclining to
Orthopnea
breathe easier - or they lean forward
Work of breathing The effort required to expand and contract the lungs
Ventilation moving gases into and out of the lungs
The ability of the cardiovascular system to pump oxygenated blood to the tissues
Perfusion
and return deoxygenated blood to the lungs
Stroke volume The amount of blood ejected from the heart in one contraction.
What intervention can we provide a Raise the head of their bed or put pillows behind their back
patient who is experiencing orthopnea in
bed?
apprehension, restlessness, inability to concentrate, decreased level of
Clinical signs & symptoms of hypoxia
consciousness, dizziness, and behavioral changes
FIRST sign of hypoxia elevated blood pressure and possible behavior changes
Bradycardia, cardiac dysrhythmias, cyanosis, decreased respiratory rate,
Late signs and symptoms of hypoxia
retractions
Who should get the flu vaccine? All patients 6 months and older that are physiologically able to
1/
6
, 4/4/25, 7:49 Exam 2 NR224 |
PM
All infants receive it & it's recommended for patients at an increased risk -
Who should received the pneumonia
chronic illness, immunocompromised, adults who smoke or have asthma, and
vaccine?
those living in nursing homes
Nasal cannula flow rate 1-6 L/min
Simple face mask flow rate 6-12L/min
Partial and nonbreather mask flow rate 10-15L/min
Oxygen-conserving cannula flow rate 8L
Venturi mask flow rate 4-10 L/min
to detect the presence of abnormal air or fluid in the lungs and also determine
Purpose of percussion in the respiratory diaphragmatic excursion
system
it is done by RTs to force secretions into larger airways for expectoration
Importance of incentive spirometer? encourages deep breathing by providing visual feedback
1. Hold in upright position
2.Exhale normally
3.Seal lips tightly around mouthpiece
4.Take in slow deep breaths to elevate the balls or cylinder for 2-6 seconds
(start low)
How to use an incentive spirometer 5.Avoid brisk low-volume breaths
6.Remove mouth piece and exhale normally
7. Cough after the incentive effort
8.Relax and take several breaths before using again
9.Repeat the procedure several times and four to five times per hour
10. Clean mouth piece and shake it dry.
Importance of hydration for the keeps mucocilliary clearance normal, the pulmonary secretions remain thin, white,
respiratory system watery, and easily removable
promotes the patient's airway patency and coughing helps to remove secretions
Importance of coughing
from the upper and lower airways
increases lung volume and airway diameter which allows air to pass through
Importance of deep breathing
partially obstructed mucus plugs or other foreign matter
Importance of staying mobile aerobic movement is necessary for improving heart and lung function
Impaired gas exchange
ineffective airway
Possible nursing diagnoses for a patient
clearance ineffective
with COPD
breathing pattern self-care
deficit
activity intolerance
pattern of breathing characterized by a gradual increase of depth and sometimes
Cheyne-Stokes respiration
rate to a maximum level, followed by a decrease, resulting in apnea
Invasive mechanical ventilation Life-saving technique used with artificial airways (ET or tracheostomy)
Technique uses positive pressure to keep alveoli open and improve gas
Noninvasive positive pressure ventilation
exchange without invasive procedures (BiPAP & CPAP)
catheter inserted through the thorax into the chest cavity for removing air or
Chest tube
fluid; used after chest or heart surgery or pneumothorax
Do we administer saline prior to NO!!!
suctioning to loosen up the secretions of
a trach tube?
remove waste products from the blood, regulate fluid and electrolyte balance,
Function of the kidneys
produce hormones, and produce urine
Function of ureters transport urine from each kidney pelvis and carry urinary waste to bladder
Bladder a hollow, distensible, muscular organ that holds urine
2/
6
