Med Surg 1 Exam 2 Questions and
Answers (100% Correct Answers)
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What is the purpose of the respiratory system? Ans: Have
adequate gas exchange
What is palpated in the chest? Ans: Symmetry of expension,
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heaves, crepitus,
When do we hear crackles? Ans: Pneumonia
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What do crackles sound like? Ans: Popping
What type of crackles are low pitched? Ans: Coarse
What do wheezes sound like? Ans: Whistle
When do we see wheezes? Ans: Asthma
What does rhonchus sound like? Ans: Sounds like snoring
What does a pleural friction rub sound like? Ans: Scratching
When do we see a pleural friction rub? Ans: Pleurisy
(inflammation of pleura)
When do we see absent lung sounds? Ans: Pneumothorax
What procedure uses a fine needle to drain fluid from lungs or
drain air from pleural space? Ans: Thoracentesis
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True or false: Educate the pt. on the procedure before a
thoracentesis and biopsy. Ans: True
How is the patient positioned for thoracentesis? Ans: Have to
be sitting up and propped up during procedure
True or false: Don't breathe deeply, cough, or move during
thoracentesis. Ans: True
What is the follow up for thoracentesis? Ans: Chest X-ray, vital
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signs, listen to lungs
What is a complication of both thoracentesis and biopsy? Ans:
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Absent lung sounds
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What are the low flow oxygen types? Ans: Nasal cannula and
face mask
Why must we provide cushion and protect skin when using
oxygen mask? Ans: Mask can be harsh on skin
How can you counter drying from oxygen therapy? Ans: Offer
moisture, hydration, and oral care
What lip product can be used when on oxygen? Ans: Water
based
Why can't petroleum based lip products be used when on
oxygen? Ans: Because they are flammable
True or false: No smoking while on oxygen. Ans: True
What is epistaxis? Ans: Nose bleed
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What should be noted about epistaxis? Ans: Color and amount
How do you position a patient with a nose bleed? Ans: Have
patient sit up and lean forward
What should be avoided with epistaxis? Ans: Vigorous blowing
of nose and taking aspirin
How do you stop a nose bleed? Ans: Pinching nose and holding
for 10 minutes
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What should you do if your nose bleed doesn't stop? Ans: Go
to the ER
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What type of nose bleed is hard to stop and needs intervention
of packing? Ans: Posterior
What is the education on packing? Ans: Make sure they can
breathe ok because it will be in for 1-2 days
How much oxygen can be used by a nasal cannula? Ans: 1-6 L
True or false: PE comes from DVT. Ans: True
What are the reasons for getting a chest tube? Ans: Drain
pleural space, reestablish negative pressure, and lung
expansion
What are the nursing implications of chest tubes? Ans: Pain
management, respiratory management, and prevent
complications
With what is there a risk of air being trapped around insertion
site? Ans: Chest tube