NSG 3800 EXAM 2 EXAM WITH CORRECT QUESTIONS AND ANSWERS 2025
what o2 saturation do we prefer patients without respiratory issues to be above? - correct
answers92%
When is their cough the worst with COPD? - correct answersin the morning
s/s of COPD (emphysema and chronic bronchitis) - correct answersdyspnea, chronic cough,
barrel chest d/t loss of elasticity with emphysema, weight loss,
what results with an ABG show in a patient with COPD? - correct answershypercapnia and
decreased O2 (hypoxemia)
how do they diagnose COPD? - correct answersPFT-track how well their lungs are functioning
over a period of time, ABG- assess gas exchange in alveoli, chest xray-to rule out other
conditions, CT, transbronchial biopsy
COPD prevention - correct answersdon't inhale chemicals, minimize air pollution on high alert
days patients don't go outside
The single most cost-effective intervention to reduce the risk of developing COPD or slow
progression is? - correct answersno smoking/avoid tobacco
transbronchial biopsy nursing considerations - correct answersnumb throat & conscious
sedation means NOTHING by mouth until they are awake, and alert and gag reflex has
returned- can cause aspiration
,sarcoidosis treatment - correct answerssteroids (for up to 1 year) to help with inflammation
which can cause immunosuppression and increases blood sugar- MUST MONITOR
normal blood sugar level - correct answers70-110
how do you discontinue steroid use in a patient? - correct answerstaper them off, do not just
immediately stop
pneumothorax tension - correct answersd/t traumatic experience, opening in chest wall
s/s of pneumothorax - correct answersdepends on the size of the pneumothorax: chest pain,
absent/ diminished breath sounds on effected side, tachypnea, agitation, air hungry,
restlessness, cyanosis if 02 is extremely compromised, tracheal shift to contralateral side
nursing care of patient with a pneumothorax - correct answersmonitor o2 status, chest tube
placement
nurses job DURING chest tube placement - correct answersPOSITIONING patient- and
advocacy for our patients, patient will be hooked to low wall suction
suction control chamber, what will you see? - correct answersGENTLE continuous bubbling
what will you see in the water seal chamber? - correct answersintermittent bubbling as the air
escapes the pleural space and goes into the tube
what will you see in the patient drainage section of the chest tube/suctioning? - correct
answers3 large chambers where the fluid escapes pleural space and stays in the machine
, What do we assess with the chest tube and drainage? - correct answersCOCA, sudden
increase in fluid drainage would be a bad sign, changes in color of drainage would also be
concerning
What will they give patients before chest tube placement? - correct answersopioids
what are we supposed to monitor throughout the duration that the patient has the chest
tube? - correct answersoxygen status- VERY IMPORTANT
pleural effusion - correct answerscollection of fluid in the pleural space- there is normally
some there so that friction doesnt occur, but now there is too much.
what is a pleural effusion usually associated with? - correct answersmalignancies
what is the pain called that patients with pleural effusions experience? - correct
answerspleuritic pain- in response to respirations/sneezing/coughing, feel better when
holding their breath, pain is usually unilateral
can pleuritic pain radiate? - correct answersyes- to the shoulder or the abdomen
what will you hear on auscultation with a pleurisy? - correct answerspleural friction rub
diagnostics for pleurisy - correct answersfriction rub, xray, sputum assessment if they have a
productive cough, thoracentesis if there is too much fluid in the pleuritic space
how do we treat pleurisies? - correct answerstreat the underlying cause-what was the reason
that it occurred in the first place? infectious process?- antibiotics
what o2 saturation do we prefer patients without respiratory issues to be above? - correct
answers92%
When is their cough the worst with COPD? - correct answersin the morning
s/s of COPD (emphysema and chronic bronchitis) - correct answersdyspnea, chronic cough,
barrel chest d/t loss of elasticity with emphysema, weight loss,
what results with an ABG show in a patient with COPD? - correct answershypercapnia and
decreased O2 (hypoxemia)
how do they diagnose COPD? - correct answersPFT-track how well their lungs are functioning
over a period of time, ABG- assess gas exchange in alveoli, chest xray-to rule out other
conditions, CT, transbronchial biopsy
COPD prevention - correct answersdon't inhale chemicals, minimize air pollution on high alert
days patients don't go outside
The single most cost-effective intervention to reduce the risk of developing COPD or slow
progression is? - correct answersno smoking/avoid tobacco
transbronchial biopsy nursing considerations - correct answersnumb throat & conscious
sedation means NOTHING by mouth until they are awake, and alert and gag reflex has
returned- can cause aspiration
,sarcoidosis treatment - correct answerssteroids (for up to 1 year) to help with inflammation
which can cause immunosuppression and increases blood sugar- MUST MONITOR
normal blood sugar level - correct answers70-110
how do you discontinue steroid use in a patient? - correct answerstaper them off, do not just
immediately stop
pneumothorax tension - correct answersd/t traumatic experience, opening in chest wall
s/s of pneumothorax - correct answersdepends on the size of the pneumothorax: chest pain,
absent/ diminished breath sounds on effected side, tachypnea, agitation, air hungry,
restlessness, cyanosis if 02 is extremely compromised, tracheal shift to contralateral side
nursing care of patient with a pneumothorax - correct answersmonitor o2 status, chest tube
placement
nurses job DURING chest tube placement - correct answersPOSITIONING patient- and
advocacy for our patients, patient will be hooked to low wall suction
suction control chamber, what will you see? - correct answersGENTLE continuous bubbling
what will you see in the water seal chamber? - correct answersintermittent bubbling as the air
escapes the pleural space and goes into the tube
what will you see in the patient drainage section of the chest tube/suctioning? - correct
answers3 large chambers where the fluid escapes pleural space and stays in the machine
, What do we assess with the chest tube and drainage? - correct answersCOCA, sudden
increase in fluid drainage would be a bad sign, changes in color of drainage would also be
concerning
What will they give patients before chest tube placement? - correct answersopioids
what are we supposed to monitor throughout the duration that the patient has the chest
tube? - correct answersoxygen status- VERY IMPORTANT
pleural effusion - correct answerscollection of fluid in the pleural space- there is normally
some there so that friction doesnt occur, but now there is too much.
what is a pleural effusion usually associated with? - correct answersmalignancies
what is the pain called that patients with pleural effusions experience? - correct
answerspleuritic pain- in response to respirations/sneezing/coughing, feel better when
holding their breath, pain is usually unilateral
can pleuritic pain radiate? - correct answersyes- to the shoulder or the abdomen
what will you hear on auscultation with a pleurisy? - correct answerspleural friction rub
diagnostics for pleurisy - correct answersfriction rub, xray, sputum assessment if they have a
productive cough, thoracentesis if there is too much fluid in the pleuritic space
how do we treat pleurisies? - correct answerstreat the underlying cause-what was the reason
that it occurred in the first place? infectious process?- antibiotics
