NSG 3105 Week 3: Respiratory System Questions With
Complete Solutions
3 factors that influence perfusion Correct Answer Cardiac
output - MAP
Gravity
Pulmonary vascular resistance
3 mechanisms of breathing Correct Answer ventilation,
diffusion, perfusion
Abnormal bleeding as a complication of a tracheostomy - causes
and nursing management Correct Answer Causes: surgery,
erosion of blood vessel
Management: monitor bleeding, notify MD if excessive
Arterial Oxygen Saturation Correct Answer amount of
oxygen bound to hemoglobin, in % (90% of attachments on
hemoglobin have oxygen)
Asthma Medication: Combination inhalers Correct Answer
Combines a long-acting corticosteroid and LABA
Fluticasone, mometasone, ciclesonide, budenoside,
Beclomethasone
Asthma Medication: Controller - Anti-IgE medication Correct
Answer Binds to IgE to prevent an allergic/immune reaction
Ex. Omalizumab
Asthma Medication: Controller - Leukotrine Modifiers Correct
Answer Blocks the effects of leukotrines, which are
,bronchoconstrictors and cause airway edema and inflammation.
Ex. Montelukast
Asthma Medication: Controller Bronchodilators - LABA
Correct Answer Long-Acting Beta-2 Adrenergic Agonists:
bind to b2 receptor causing smooth muscle relaxation and
bronchodilation, Ex. Formoterol (oxeze, foradil), Salmeterol
(serevent discus)
Asthma Medication: Controller Bronchodilators -
Methylxanthines Correct Answer Narrow therapeutic - toxic
ratio, Last resort, mild anti-inflammatory effects
Ex. Theophyllin
Asthma Medication: Reliever Bronchodilators -
Anticholinergics Correct Answer Relaxes smooth muscle in
airway to prevent narrowing
Ex.: Ipratropium
Asthma medication: reliever bronchodilators - SABA Correct
Answer Short-Acting Beta-2 Adrenergic Agonists: bind to b2
receptor causing smooth muscle relaxation and bronchodilation
Salbutamol/Ventolin, Terbutaline/Bricanyl
Baseline Assessment of COPD Correct Answer Thorough
health history
Modified Medical Research Council (mMRC) Dyspnea Scale
Pulmonary function studies
Bubbling in chest tube means: Correct Answer air still in
pneumo
,air leak in system (watch respirations)
Causes of aspiration pneumonia Correct Answer Decreased
level of consciousness Drug overdose
Elevated stomach volume
Neuromuscular diseases
Seizures
Dysphagia
Presence of a feeding tube
Causes of COPD Correct Answer Cigarette smoking
Occupational chemicals and dusts
Infection
Heredity
Aging
Chest tubes for pneumothorax Correct Answer Chest tubes
are inserted into the pleural space to remove air and fluid and to
allow the lung to re-expand.
Clinical manifestations of a small vs large pneumothorax
Correct Answer Small: mild tachycardia and dyspnea
Large: respiratory distress, shallow, rapid respirations; dyspnea;
decreased O saturation
Both will show sharp chest pain on one side of the chest
Clinical manifestations of restrictive pulmonary disorders
Correct Answer Increased resp rate
Decreased tidal Volume
Normal or decreases PaO2
Shortness of breath
, Cough
Chest pain/discomfort
Fatigue
History of wt loss
Closed pneumothorax Correct Answer air enters the pleural
space through an opening in the pleura that covers the lung.
when the chest wall remains intact.
Collaborative care for COPD Correct Answer
Collaborative Care for pneumothorax Correct Answer May
resolve spontaneously
Aspiration of pleural space
Insertion of chest tube (water-seal drainage)
Collaborative Care for Tuberculosis Correct Answer Airborne
precautions isolation
Single-occupancy room with negative pressure
High-efficiency particulate air (HEPA) masks
Teach client to cover the nose and mouth with paper tissues
whenever coughing, sneezing, or producing sputum.
Emphasize careful hand washing after handling sputum and
soiled tissues.
If client needs to be out of the negative-pressure room, he or she
must wear a standard isolation mask to prevent exposure to
others.
Collaborative management of pneumonia Correct Answer
Hand washing to reduce cross-contamination
Blood and sputum cultures
Complete Solutions
3 factors that influence perfusion Correct Answer Cardiac
output - MAP
Gravity
Pulmonary vascular resistance
3 mechanisms of breathing Correct Answer ventilation,
diffusion, perfusion
Abnormal bleeding as a complication of a tracheostomy - causes
and nursing management Correct Answer Causes: surgery,
erosion of blood vessel
Management: monitor bleeding, notify MD if excessive
Arterial Oxygen Saturation Correct Answer amount of
oxygen bound to hemoglobin, in % (90% of attachments on
hemoglobin have oxygen)
Asthma Medication: Combination inhalers Correct Answer
Combines a long-acting corticosteroid and LABA
Fluticasone, mometasone, ciclesonide, budenoside,
Beclomethasone
Asthma Medication: Controller - Anti-IgE medication Correct
Answer Binds to IgE to prevent an allergic/immune reaction
Ex. Omalizumab
Asthma Medication: Controller - Leukotrine Modifiers Correct
Answer Blocks the effects of leukotrines, which are
,bronchoconstrictors and cause airway edema and inflammation.
Ex. Montelukast
Asthma Medication: Controller Bronchodilators - LABA
Correct Answer Long-Acting Beta-2 Adrenergic Agonists:
bind to b2 receptor causing smooth muscle relaxation and
bronchodilation, Ex. Formoterol (oxeze, foradil), Salmeterol
(serevent discus)
Asthma Medication: Controller Bronchodilators -
Methylxanthines Correct Answer Narrow therapeutic - toxic
ratio, Last resort, mild anti-inflammatory effects
Ex. Theophyllin
Asthma Medication: Reliever Bronchodilators -
Anticholinergics Correct Answer Relaxes smooth muscle in
airway to prevent narrowing
Ex.: Ipratropium
Asthma medication: reliever bronchodilators - SABA Correct
Answer Short-Acting Beta-2 Adrenergic Agonists: bind to b2
receptor causing smooth muscle relaxation and bronchodilation
Salbutamol/Ventolin, Terbutaline/Bricanyl
Baseline Assessment of COPD Correct Answer Thorough
health history
Modified Medical Research Council (mMRC) Dyspnea Scale
Pulmonary function studies
Bubbling in chest tube means: Correct Answer air still in
pneumo
,air leak in system (watch respirations)
Causes of aspiration pneumonia Correct Answer Decreased
level of consciousness Drug overdose
Elevated stomach volume
Neuromuscular diseases
Seizures
Dysphagia
Presence of a feeding tube
Causes of COPD Correct Answer Cigarette smoking
Occupational chemicals and dusts
Infection
Heredity
Aging
Chest tubes for pneumothorax Correct Answer Chest tubes
are inserted into the pleural space to remove air and fluid and to
allow the lung to re-expand.
Clinical manifestations of a small vs large pneumothorax
Correct Answer Small: mild tachycardia and dyspnea
Large: respiratory distress, shallow, rapid respirations; dyspnea;
decreased O saturation
Both will show sharp chest pain on one side of the chest
Clinical manifestations of restrictive pulmonary disorders
Correct Answer Increased resp rate
Decreased tidal Volume
Normal or decreases PaO2
Shortness of breath
, Cough
Chest pain/discomfort
Fatigue
History of wt loss
Closed pneumothorax Correct Answer air enters the pleural
space through an opening in the pleura that covers the lung.
when the chest wall remains intact.
Collaborative care for COPD Correct Answer
Collaborative Care for pneumothorax Correct Answer May
resolve spontaneously
Aspiration of pleural space
Insertion of chest tube (water-seal drainage)
Collaborative Care for Tuberculosis Correct Answer Airborne
precautions isolation
Single-occupancy room with negative pressure
High-efficiency particulate air (HEPA) masks
Teach client to cover the nose and mouth with paper tissues
whenever coughing, sneezing, or producing sputum.
Emphasize careful hand washing after handling sputum and
soiled tissues.
If client needs to be out of the negative-pressure room, he or she
must wear a standard isolation mask to prevent exposure to
others.
Collaborative management of pneumonia Correct Answer
Hand washing to reduce cross-contamination
Blood and sputum cultures
