NSG 3800 All Exams Nursing (U.S.) |
Complete Course Review & Verified Answers
what o2 saturation do we prefer patients without respiratory issues to be above? -
answers 92%
When is their cough the worst with COPD? - answers in the morning
s/s of COPD (emphysema and chronic bronchitis) - answers dyspnea, chronic cough,
barrel chest d/t loss of elasticity with emphysema, weight loss,
what results with an ABG show in a patient with COPD? - answers hypercapnia and
decreased O2 (hypoxemia)
how do they diagnose COPD? - answers PFT-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 - answers don'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? - answers no smoking/avoid tobacco
transbronchial biopsy nursing considerations - answers numb throat & conscious
sedation means NOTHING by mouth until they are awake, and alert and gag reflex has
returned- can cause aspiration
sarcoidosis treatment - answers steroids (for up to 1 year) to help with inflammation
which can cause immunosuppression and increases blood sugar- MUST MONITOR
normal blood sugar level - answers 70-110
how do you discontinue steroid use in a patient? - answers taper them off, do not just
immediately stop
pneumothorax tension - answers d/t traumatic experience, opening in chest wall
s/s of pneumothorax - answers depends 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 - answers monitor o2 status, chest tube
placement
nurses job DURING chest tube placement - answers POSITIONING patient- and
advocacy for our patients, patient will be hooked to low wall suction
suction control chamber, what will you see? - answers GENTLE continuous bubbling
what will you see in the water seal chamber? - answers intermittent 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? - answers
3 large chambers where the fluid escapes pleural space and stays in the machine
What do we assess with the chest tube and drainage? - answers COCA, 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? - answers opioids
what are we supposed to monitor throughout the duration that the patient has the chest
tube? - answers oxygen status- VERY IMPORTANT
pleural effusion - answers collection 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? - answers malignancies
what is the pain called that patients with pleural effusions experience? - answers
pleuritic pain- in response to respirations/sneezing/coughing, feel better when holding
their breath, pain is usually unilateral
can pleuritic pain radiate? - answers yes- to the shoulder or the abdomen
what will you hear on auscultation with a pleurisy? - answers pleural friction rub
diagnostics for pleurisy - answers friction 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? - answers treat the underlying cause-what was the reason
that it occurred in the first place? infectious process?- antibiotics
what do we use to control the pain associated with pleurisies? - answers NSAIDS- very
effective, long term use can cause GI bleed so educate on taking them with food or milk
so that their stomach doesn't become upset. Opioids- worry about addiction and
decreased rr
Complete Course Review & Verified Answers
what o2 saturation do we prefer patients without respiratory issues to be above? -
answers 92%
When is their cough the worst with COPD? - answers in the morning
s/s of COPD (emphysema and chronic bronchitis) - answers dyspnea, chronic cough,
barrel chest d/t loss of elasticity with emphysema, weight loss,
what results with an ABG show in a patient with COPD? - answers hypercapnia and
decreased O2 (hypoxemia)
how do they diagnose COPD? - answers PFT-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 - answers don'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? - answers no smoking/avoid tobacco
transbronchial biopsy nursing considerations - answers numb throat & conscious
sedation means NOTHING by mouth until they are awake, and alert and gag reflex has
returned- can cause aspiration
sarcoidosis treatment - answers steroids (for up to 1 year) to help with inflammation
which can cause immunosuppression and increases blood sugar- MUST MONITOR
normal blood sugar level - answers 70-110
how do you discontinue steroid use in a patient? - answers taper them off, do not just
immediately stop
pneumothorax tension - answers d/t traumatic experience, opening in chest wall
s/s of pneumothorax - answers depends 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 - answers monitor o2 status, chest tube
placement
nurses job DURING chest tube placement - answers POSITIONING patient- and
advocacy for our patients, patient will be hooked to low wall suction
suction control chamber, what will you see? - answers GENTLE continuous bubbling
what will you see in the water seal chamber? - answers intermittent 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? - answers
3 large chambers where the fluid escapes pleural space and stays in the machine
What do we assess with the chest tube and drainage? - answers COCA, 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? - answers opioids
what are we supposed to monitor throughout the duration that the patient has the chest
tube? - answers oxygen status- VERY IMPORTANT
pleural effusion - answers collection 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? - answers malignancies
what is the pain called that patients with pleural effusions experience? - answers
pleuritic pain- in response to respirations/sneezing/coughing, feel better when holding
their breath, pain is usually unilateral
can pleuritic pain radiate? - answers yes- to the shoulder or the abdomen
what will you hear on auscultation with a pleurisy? - answers pleural friction rub
diagnostics for pleurisy - answers friction 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? - answers treat the underlying cause-what was the reason
that it occurred in the first place? infectious process?- antibiotics
what do we use to control the pain associated with pleurisies? - answers NSAIDS- very
effective, long term use can cause GI bleed so educate on taking them with food or milk
so that their stomach doesn't become upset. Opioids- worry about addiction and
decreased rr
