NUR 355 Exam 3 - Questions With Fully
Explained Solutions
What are the risk factors for Asthma? Correct Answer -
Smoking (2nd hand), eczema (especially as a baby), Pollution
(environmental)
What clinical manifestations would you see in a pt with suspected
Asthma? Correct Answer - Coughing, expiratory wheezing,
tachypnea, frequent respiratory infections, & anxiety
What are some signs of a pt that is experiencing acute exacerbation
of their asthma that needs immediate intervention? Correct
Answer - Inspiratory & expiratory wheezes, cyanosis, & use of
accessory muscles
What would you see in a pt with asthma that is a PRIORITY and
requires a need to apply O2? Correct Answer - Increased WOB
w/ SOB, gasping, and in a tripod position
pt education for asthma? Correct Answer - How to use an
inhaler, importance of rest & activity, teach abt the desired effects &
side effects of medications, and the use of a peak flow meter
What do we wanna make sure pts know about the peak flow meter
(in the RED ZONE)? Correct Answer - In the red zone it
indicates abt 75% below their baseline = pt needs to go the ED
it requires a use of a bronchodilator (albuterol), recheck the peak
flow meter, & notify doctor of increased wheezing
, pt education for pneumonia? Correct Answer - Rest as needed,
take all their meds, increase fluids, eat small frequent meals, stop
smoking, & ambulation (early ambulation is key)
If a pt has pneumonia & becomes altered mental status what could it
indicate? Correct Answer - That your pt is becoming sepsis or
bacteremia
W/ a pt w/ pneumonia a PaO2 <60mmHg increases what for them?
Correct Answer - It increases a pts mortality & morbidity
associated with pneumonia (this would be hard to recover)
Define cystic fibrosis? Correct Answer - hereditary disease that
causes excessive production of thick mucus by the endocrine glands
What are the 3 different systems that cystic fibrosis affect? Correct
Answer - GI, Respiratory, & Reproductive
What are some clinical manifestations with cystic fibrosis? Correct
Answer - thick sticky sputum, greasy foul smelling stools, poor
weight gain & growth, severe intestinal blockage, constipation, and
pancreatic insufficiency.
mostly affect males bc of sterility
What tx do you give to a pt w/ cystic fibrosis? Correct Answer -
CPT (Chest Physiotherapy) -> daily, 1 hr before meals not over
buttons & zippers,
Medications: pancreatic enzymes, fat soluble vitamins, mucolytics,
and CFTR modulators
Define COPD? Correct Answer - umbrella term for a collection
of diseases including chronic bronchitis, emphysema, and asthma.
characterized by airflow limitation.
Explained Solutions
What are the risk factors for Asthma? Correct Answer -
Smoking (2nd hand), eczema (especially as a baby), Pollution
(environmental)
What clinical manifestations would you see in a pt with suspected
Asthma? Correct Answer - Coughing, expiratory wheezing,
tachypnea, frequent respiratory infections, & anxiety
What are some signs of a pt that is experiencing acute exacerbation
of their asthma that needs immediate intervention? Correct
Answer - Inspiratory & expiratory wheezes, cyanosis, & use of
accessory muscles
What would you see in a pt with asthma that is a PRIORITY and
requires a need to apply O2? Correct Answer - Increased WOB
w/ SOB, gasping, and in a tripod position
pt education for asthma? Correct Answer - How to use an
inhaler, importance of rest & activity, teach abt the desired effects &
side effects of medications, and the use of a peak flow meter
What do we wanna make sure pts know about the peak flow meter
(in the RED ZONE)? Correct Answer - In the red zone it
indicates abt 75% below their baseline = pt needs to go the ED
it requires a use of a bronchodilator (albuterol), recheck the peak
flow meter, & notify doctor of increased wheezing
, pt education for pneumonia? Correct Answer - Rest as needed,
take all their meds, increase fluids, eat small frequent meals, stop
smoking, & ambulation (early ambulation is key)
If a pt has pneumonia & becomes altered mental status what could it
indicate? Correct Answer - That your pt is becoming sepsis or
bacteremia
W/ a pt w/ pneumonia a PaO2 <60mmHg increases what for them?
Correct Answer - It increases a pts mortality & morbidity
associated with pneumonia (this would be hard to recover)
Define cystic fibrosis? Correct Answer - hereditary disease that
causes excessive production of thick mucus by the endocrine glands
What are the 3 different systems that cystic fibrosis affect? Correct
Answer - GI, Respiratory, & Reproductive
What are some clinical manifestations with cystic fibrosis? Correct
Answer - thick sticky sputum, greasy foul smelling stools, poor
weight gain & growth, severe intestinal blockage, constipation, and
pancreatic insufficiency.
mostly affect males bc of sterility
What tx do you give to a pt w/ cystic fibrosis? Correct Answer -
CPT (Chest Physiotherapy) -> daily, 1 hr before meals not over
buttons & zippers,
Medications: pancreatic enzymes, fat soluble vitamins, mucolytics,
and CFTR modulators
Define COPD? Correct Answer - umbrella term for a collection
of diseases including chronic bronchitis, emphysema, and asthma.
characterized by airflow limitation.
