Solution
Sarcoidosis - CORRECT ANSWER✔✨-Common in African Americans
-gradual onset
-hemoptysis
-fibrosis
-uveitis (eyes)
-lesions on the skin
Sarcoidosis nursing management - CORRECT ANSWER✔✨-Corticosteroids 12 months
Neutropenia precautions
High calorie, small frequent meals
Chronic Bronchitis - CORRECT ANSWER✔✨-Alveoli boggy—> cannot take in or expel as much O2 and
CO2
-Pulmonary HTN
-Right sided heart failure
blue bloater
Pleurisy - CORRECT ANSWER✔✨-Inflammation of both layers of the pleura
-sharp-knife like pain
-pain increase with deep breath, coughing, sneezing
-pain can radiate
-pleural friction rub
Simple pneumothorax - CORRECT ANSWER✔✨--spontaneous
, -bleb rupture
-NO TRAUMA
(Young, very lean male)
Traumatic pneumthorax - CORRECT ANSWER✔✨--laceration
-chest wall wound
-hemothorax
Tension pneumothorax - CORRECT ANSWER✔✨--air accumulation from lacerated lung
-mediastinal shift (unaffected side of chest)
-air and fluid cannot escape so large bore needle
Chest Tube - CORRECT ANSWER✔✨-Traditional (wet)- bubbling good
Dry Water Seal- quieter, suction regulator dial
Dry suction- one way, works even if turned over, best for ambulating
Pleural Effusion - CORRECT ANSWER✔✨-Fluid in pleural space
-absent breath sounds
-decreased fremitis
-dull, flat sound on percussion
-tracheal deviation
Pleural effusion treatment - CORRECT ANSWER✔✨-Find underlying cause and treat
-positioning for chest tube (side lying)
-potential thoracentesis