NUR 234 TEST 3 (100% Errorless Answers)

What are the different oxygen therapies used? How much oxygen can be delivered for each one? correct answers Nasal Cannula: 1-6LSimple Mask: 6-10LPartial Non-Rebreather: 10-15LVenturi Mask: COPD patients for delivery of precise O2, to minimize CO2Mist Tent: Noninvasive for pediatric patients, tuck ends tent , humidified air. Bedding and gown to remain dry. Allowed a security object but cant have batteries, be flammable, or combust., or absorb moisture. Incentive Spirometry correct answers Promote lung expansion and prevent atelectasis, inhaling air to move marker up. Hold breath for 3-5 secs to expand lungs. Semi-fowlers position for maximum lung expansion, do it 10x every hour when awake, before meals or 2-3 hours post meal to prevent nausea. Peak Flow Meter correct answers Recommended for patients with asthma. Daily for mild asthma, 2-3x a day for moderate/severe. Opposite of Incentive spirometry, patient blows out and records the best of three. Peak flow can predict an attack before the worst part. Three colors, Green, yellow and red. No narrowing (green), slight narrowing (yellow), narrowing (red) Suction Concepts correct answers Sterile procedure. Wear goggles and mask for risk of bodily fluids splashing. Provide supplemental oxygen before and after the procedure. Suctions for 10-15 seconds only. (adults as high as 15, pediatrics 10 seconds) When going in apply positive pressure, coming out apply negative pressure to get mucus. Provide oral hygiene afterwards. Chest physiotherapy (CPT)/Vest Therapy correct answers Percussion, vibration and positioning.Promotes break up and drainage of mucus. Contraindicated in patients with recent cardiac surgery or chest surgery or any signs of bleeding. Do before meals or at bedtime, increase oral intake if allowed, provide oral care Inhaler use: correct answers Bronchodilator: use first before steroid to open airwaysSteroid Component: Use mouthpiece with space, inhale while pumping for 10 seconds for meds to get into lower tract. Provide oral care to prevent fungus growth Flutter Valve correct answers Utilized to loosen secretions. Used by blowing into it just like peak valve, Mouthpiece- blow/exhale Examples of Acyanotic Congenital Heart Defects correct answers Patent Ductus Arteriosus (PDA)Atrial Septal Defect (ASD)Ventricular Septal Defect (VSD) What are the signs and symptoms of Acyanotic Congenital Heart Defects? correct answers Increased fatigue- extra workload for the heartHeart murmurIncreased risk of endocarditisCHFGrowth retardation* typically end up with right side heart failure and children are developmentally delayed due to decreased oxygenation Management for Acyanotic Congenital Heart Defects correct answers Medicine: Indomethacin- speed up the closure of the heartSuturing it closedCatheterization for minimal invasive