Nu 412 Test 3 Questions And Already
Passed Answers.
what is the nurse's role in a bronchoscopy? - Answer obtain informed consent, keep pt NPO for 8-12
hours before procedure, provide throat local anesthetic, monitor bleeding and gag reflex post procedure
what do you get before and after a thoracentesis? - Answer a chest x ray (to look for pneumothorax
post procedure)
what is asthma? - Answer chronic inflammatory disorder of the airways with bronchospasms; S&S of
sudden severe dyspnea, wheezing, gasping, sweating, anxiety, coughing, chest tightness
what are three examples of short acting beta agonists that you should give first for an asthma attack? -
Answer albuterol, levabuterol, terbutaline
what are two examples of long acting beta agonists used to prevent asthma attacks and are taken daily
and are not used in acute asthma attacks? - Answer salmeterol and formoterol
what is theophylline? - Answer a bronchodilator and anti-inflammatory drug used in asthma to prevent
attacks; therapeutic level is 5-15, >20 is toxic (tremor, seizures are two signs of toxicity)
what two corticosteroids are used the most for asthma? - Answer fluticasone and prednisone
what are three side effects of corticosteroids? - Answer weight gain, decreased wound healing,
hyperglycemia, always taper to prevent an Addisonian crisis
what is Montelukast? - Answer an oral leukotriene antagonist to reduce inflammatory response and
treat asthma
what are the two sets of combination agents used in treatment of asthma? - Answer ipratropium and
albuterol, fluticasone and salmeterol
, what is status asthmaticus and what are nursing interventions? - Answer - life threatening episode of
asthma that is unresponsive to treatment
- don't leave the patient, put them in High Fowlers position, prepare for emergency intubation,
administer oxygen, epinephrine, and systemic steroid as prescribed
what are the top four symptoms of emphysema/COPD? - Answer dyspnea upon exertion, barrel chest,
weight loss, clubbed fingernails
what is emphysema/COPD? - Answer permanent enlargement of the gas exchanging airways with loss
of lung elasticity and narrowing of bronchioles; smoking is biggest risk factor; dyspnea with cough,
wheezing, barrel chest, and clubbed fingernails
what is chronic bronchitis/COPD? - Answer inflammation and hypersecretion of mucus in the airways
causing airway obstruction; **excessive mucus production for at least 3 months duration for at least 2
consecutive years**
what are the main S&S seen with chronic bronchitis/COPD? - Answer dyspnea, thick tenacious sputum,
productive cough, hypoxia, respiratory acidosis
what is the most common mucolytic you give to COPD patients to thin their secretions? - Answer
Guaifenesin
what may be the only presenting sign of pneumonia in the elderly? - Answer altered level of
consciousness
what are risk factors for TB? - Answer older and homeless populations, travel, immunosuppression,
overcrowded living conditions (prisons, nursing homes)
what does a positive TB skin test indicate? - Answer exposure not active disease
how do you confirm a TB diagnosis? - Answer positive morning sputum culture three days in a row
Passed Answers.
what is the nurse's role in a bronchoscopy? - Answer obtain informed consent, keep pt NPO for 8-12
hours before procedure, provide throat local anesthetic, monitor bleeding and gag reflex post procedure
what do you get before and after a thoracentesis? - Answer a chest x ray (to look for pneumothorax
post procedure)
what is asthma? - Answer chronic inflammatory disorder of the airways with bronchospasms; S&S of
sudden severe dyspnea, wheezing, gasping, sweating, anxiety, coughing, chest tightness
what are three examples of short acting beta agonists that you should give first for an asthma attack? -
Answer albuterol, levabuterol, terbutaline
what are two examples of long acting beta agonists used to prevent asthma attacks and are taken daily
and are not used in acute asthma attacks? - Answer salmeterol and formoterol
what is theophylline? - Answer a bronchodilator and anti-inflammatory drug used in asthma to prevent
attacks; therapeutic level is 5-15, >20 is toxic (tremor, seizures are two signs of toxicity)
what two corticosteroids are used the most for asthma? - Answer fluticasone and prednisone
what are three side effects of corticosteroids? - Answer weight gain, decreased wound healing,
hyperglycemia, always taper to prevent an Addisonian crisis
what is Montelukast? - Answer an oral leukotriene antagonist to reduce inflammatory response and
treat asthma
what are the two sets of combination agents used in treatment of asthma? - Answer ipratropium and
albuterol, fluticasone and salmeterol
, what is status asthmaticus and what are nursing interventions? - Answer - life threatening episode of
asthma that is unresponsive to treatment
- don't leave the patient, put them in High Fowlers position, prepare for emergency intubation,
administer oxygen, epinephrine, and systemic steroid as prescribed
what are the top four symptoms of emphysema/COPD? - Answer dyspnea upon exertion, barrel chest,
weight loss, clubbed fingernails
what is emphysema/COPD? - Answer permanent enlargement of the gas exchanging airways with loss
of lung elasticity and narrowing of bronchioles; smoking is biggest risk factor; dyspnea with cough,
wheezing, barrel chest, and clubbed fingernails
what is chronic bronchitis/COPD? - Answer inflammation and hypersecretion of mucus in the airways
causing airway obstruction; **excessive mucus production for at least 3 months duration for at least 2
consecutive years**
what are the main S&S seen with chronic bronchitis/COPD? - Answer dyspnea, thick tenacious sputum,
productive cough, hypoxia, respiratory acidosis
what is the most common mucolytic you give to COPD patients to thin their secretions? - Answer
Guaifenesin
what may be the only presenting sign of pneumonia in the elderly? - Answer altered level of
consciousness
what are risk factors for TB? - Answer older and homeless populations, travel, immunosuppression,
overcrowded living conditions (prisons, nursing homes)
what does a positive TB skin test indicate? - Answer exposure not active disease
how do you confirm a TB diagnosis? - Answer positive morning sputum culture three days in a row
