CC3 EXAM 2 STUDY GUIDE EXAM QUESTIONS AND CORRECT DETAILED / VERIFIED ANSWERS LATEST UPDATE

Respiratory system defense mechanisms SATA Coughing Sneezing Surfactant Mucus Prioritizing Patients ABC: AirwayBreathingCirculation Then if needed: acute vs chronic , maslows hierarchy Elderly and respiratory complications - SATA Comorbidities and polypharmacy Decreased immune system Decreased cough reflex Decreased ciliary action Decreased elasticity/recoil Muscle atrophy If oxygen levels drop , what actions does the nurse take? Apply Oxygen Notify Provider Assess/vitals Raise head of the bed, HighFowlers Breathing treatment if PRN order is in MAR Deep breathing - Pursed lip breathing/coughing/ Incentive spirometer(IS) Where else can we put a oxygen probe if you can't use fingers or toes ? Earlobe Pinna Oxygen sensor troubleshooting Try a different finger/reposition Early sign of low oxygen Confusion Which breath sounds are heard over the anterior third of the chest near the sternum and around the scapula, with equal inspiration and expiration? Bronchovesicular Abnormal breath sounds are called ? Adventitious breath sounds Crackles -intermittent Stridor- barking Rales-continuous, rattling Rhonchi- continuous , clears w cough Wheezing - musical or squeaking , whistling Pleural friction rub Silent/absent What lung sound is a Fine snap/Popping ? Crackles Trachea obstruction sound ? Stridor Contraindication for IVP dye? Shellfish Things to watch for after a tonsillectomy that require immediate intervention? Bleeding Frequent coughing/clearing throat, bright red emesis, frequent swallowing, dark tarry stool (melenia) What types of food/drink should it be given to a tonsillectomy patient ? -SATA Super hot Spicy/highly seasoned foods Rough/crunchy Acidic - citrus / OJ / grapefruit juice