Medsurg Respiratory Practice Exam Questions And Answers

MEDSURG RESPIRATORY PRACTICE EXAM QUESTIONS AND ANSWERS Venturi masks -Answer-- A medium-flow device that delivers 24% to 40% oxygen - Has fine adjustment capabilities in long-term management of physiologically stable patients nasal cannula -Answer-A device that delivers low concentrations of oxygen through two prongs that rest in the patient's nostrils. (2-6l) epistaxis -Answer-nosebleed Acute viral rhinitis/coryza -Answer-Common cold, caused by a virus,Virus can survive on inanimate objects up to 3 days ,Airborne droplet transmission ASA -Answer-Acetylsalicylic Acid (Aspirin) cough suppressants -Answer-Dextromethorphan (Delsym, Robafen Cough, Robitussin Cough) - CI: do not use within 14 days of MAOi - Warning: serotonin syndrome - do not use in children 4 Codeine (C-V, combo products used for cough/cold) -BBW: respiratory depression in children -CI: children 12, children18 after tonsillectomy and/or adenoidectomy - FDA recommends avoiding in patients 18 Benzonatate (Tessano Perles) - do not use in children 10 Diphenhydramine (Benadryl) pharyngitis -Answer-inflammation of the pharynx Streptococal Pharyngitis (Strep throat) treatment -Answer-Penicillin Rhinosinusitis -Answer-inflammation of the nares and paranasal sinuses, including frontal, ethmoid, maxillary, and sphenoid sinuses; replaces the term sinusitis. Can be viral or bacterial. S/S : severe headache/facial pain with position changes, bad breath Isoniazid (INH) -Answer-Antitubercular. Use: prevention and treatment of TB. Latent TB INH: 6-9 months. Active TB: multiple therapy up to 24 months. Precautions: risk of neuropathies and hepatotoxicity, consume foods high in vitamin B6, avoid foods with tryamine, increase risk of phenytoin (Dilantin) toxicity, avoid alcohol. Influenza virus -Answer-Viral infection of respiratory tract. Influenza transmission -Answer-droplet laryngectomy -Answer-surgical removal of the larynx Tuberculosis transmission -Answer-airborne droplets BCG vaccine -Answer-Anyone who has had this will have a positive skin test and must be evaluated by a chest radiograph Tuberculosis symptoms -Answer-productive cough, fatigue, fever, weight loss (older adults behavior changes, anorexia, weight loss) night sweats Sputum for AFB( acid fast bacillus) -Answer-When tuberculosis is suspected, which is caused by an acid-fast bacillus. Asked whether the patient should be placed in isolation while waiting for test results. Broad-spectrum anabiotic's covers until results identify issue pneumothorax -Answer-air in the pleural cavity Henothorax -Answer-blood in the pleural cavity chest tube -Answer-Catheter inserted through the thorax into the chest cavity for removing air or fluid; used after chest or heart surgery or pneumothorax. chest tube precautions -Answer-keep below level of chest, do not tip over COPD -Answer-Chronic Obstructive Pulmonary Disease, lung Dz commonly seen in smokers Asthma -Answer-A chronic allergic disorder characterized by episodes of severe breathing difficulty, coughing, and wheezing. status asthmaticus -Answer-a severe, life-threatening asthma attack that is refractory to usual treatment and places the patient at risk for developing respiratory failure. Doesn't respond to traditional therapy chronic bronchitis -Answer-inflammation of the bronchi persisting over a long time Emphysema -Answer-a condition in which the air sacs of the lungs are damaged and enlarged, causing breathlessness. Rescue medications -Answer-group of meds used during acute asthma attack Sore throat -Answer-What is the most common complaint after a bronchoscopy hemotysis -Answer-coughing up blood Allen test -Answer-test that determines the patency of the radial and ulnar arteries by compressing one artery site and observing return of skin color as evidence of patency of the other artery