Nur 155 Exam 3 with Complete Solutions | Verified & Updated

Nur 155 Exam 3 with Complete Solutions | Verified & Updated Describe Venous insufficiency - Answer ️️ -Swelling of legs & ankles, leg cramps, shallow wounds, varicose veins, normal pedal pulses, increase edema, normal skin temp., skin dry & flaky, pain is mild to moderate, elevation lessens pain Describe the face tent mask - Answer ️️ -Used when a standard type mask is not tolerated well by patient varying O2 concentrations; Delivers 4-8 L/min Describe the venture mask - Answer ️️ -Allows for precise O2 concentration & liter flow delivers 4-10 L/min Describe the simple face mask - Answer ️️ -Standard face mask; delivers 5-8 L/min Describe the partial rebreather mask - Answer ️️ -Simple face mask w/ O2 reservoir bag attached allows pt to rebreathe the first 1/3 of exhaled O2 Define Eupnea - Answer ️️ -normal respirations quiet, rhythmic, effortless Define Tachypnea - Answer ️️ -rapid respirations seen w/ fever, hypoxemia, metabolic acidosis Define Apnea - Answer ️️ -Absence of breathing Define Hyperventilation - Answer ️️ -Increased air movement more CO2 is eliminated than produced Define Kussmaul's breathing - Answer ️️ -Metabolic acidosis, body attempts to compensate for increased metabolic acid in form of CO2 Define Bradypnea - Answer ️️ -Abnormally slow respiratory rate seen in pt who took morphine or sedatives, pt w/ metabolic acidosis, pt w/ increased inter-cranial pressure from TBI Define hypoventilation - Answer ️️ -Inadequate alveolar ventilation caused by slow or shallow breathing, may occur due to disease of respiratory muscle, drugs or anesthesia How do we implement care for cardia patients? - Answer ️️ -Positioning, ambulation, exercise, I/O, medications, prevent venous stasis Define Orthopnea - Answer ️️ -Inability to breathe easily unless sitting upright or standing Define cheyne stokes respirations - Answer ️️ -Marked rhythmic waxing & waning of respirations from deep to very shallow w/ short periods of apnea commonly caused by chronic disease, TBI or overdose What is the risk assessment tool for skin impairment? - Answer ️️ -Braden Scale for predicting pressure sore risk Pressure area risk assessment form scale Define non-modifiable risk factos - Answer ️️ -Cannot be reduced; heredity, age, gender What do we do for patients in respiratory distress? - Answer ️️ -Assess, administer meds(inhalers), monitor vitals, place in high flo