NUR 195 - EXAM 2 (WEEKS 3-4)
week 3 -->
what happens in decreased compliance of the lungs? Examples - Answers :lungs are
stiff and require greater effort to breathe
morbid obesity
pneumo/hemothorax
what happens in wheezing? examples - Answers :narrowing of the airway
asthma and COPD
watch adventitious breath sounds video
- https://www.youtube.com/watch?v=2NvBk61ngDY
- https://www.youtube.com/watch?v=i6khX2gwuBs - Answers :now
PFT, ABG abbreviations - Answers :pulmonary function test
arterial blood gas
arterial blood gases report........ - Answers :status of Oxygenation and Acid-Base
Balance in the Blood
ABGs assesses ............. - Answers :•ability of Lungs to Provide Adequate Oxygen and
Remove Carbon Dioxide
•ability of Kidneys to Maintain Normal Body pH
what are common causes of
- respiratory acidosis
- respiratory alkalosis
- metabolic acidosis
- metabolic alkalosis - Answers :respiratory depression, COPD and asthma, PNA
hyperventilation (anxiety, pain)
diabetes, shock, renal failure
prolonged vomiting, NG drainage
what is the most accurate respiratory assessment? - Answers :ABGs
,what is thoracentesis used for? - Answers :Aspiration of overflow of Fluid from the
Pleural Space
- pneumo/hemothorax and pleural effusion
Thoracentesis is used to diagnose ....... - Answers :•Pleural Fluid (transudates or
exudates)
•Blood
•Pus or Infected Fluid
how much fluid can we draw during thoracentesis? - Answers :up to 1 L
after done with thoracentesis, apply ... - Answers :dressing
what are the complications of thoracentesis? - Answers :Mediastinal shift,
pneumothorax, bleeding, infection
what is the function of a chest tube drainage? - Answers :water seal drains air or fluid
from the pleural space
tidaling meaning - Answers :rhythmic rise and fall of water in a chest tube drainage
system
what are possible reasons for lack of tidaling when using a chest tube drainage? -
Answers :•Lung Re-Expansion
•Obstruction
chest tube insertion indications - Answers :•Pneumothorax/Hemothorax
•Postoperative Chest Drainage
•Pleural Effusion
•Pulmonary Empyema (collection of pus)
chest tube drainage procedures
- pre
- intra - Answers :pre - administer pain meds and sedatives
intra - monitor VS
chest tube drainage procedures
- post - Answers :- monitor VS
- Encourage Coughing and Deep Breathing
- Monitor Chest Tube Placement and Function
•Document Drainage
•Check for Tidaling and Bubbling
•Monitor for Infection
•Position Patient in Semi- to High-Fowler's with Canister Below Chest
, complications of chest tube drainage - Answers :air leak (leak in tubing, tape on body)
Tension Pneumothorax (kinked/clamped tubing)
steps of scheduled disconnection of chest tube drainage - Answers :•Pain Medication
30 Min Before
•Remove Sutures
•Patient will Bear Down
Post-Removal
•Apply Airtight, Sterile Petroleum Jelly Gauze Dressing
•Obtain Chest X-Ray
•Monitor Wound Drainage
what to have at the bedside in case the chest tube drainage disconnects by accident? -
Answers :sterile water (when disconnected from canister)
occlusive dressing (when disconnected from patient)
what is the function of a mechanical ventilator? - Answers :Breathes for Patient as Life
Support
indications for mechanical ventilation? - Answers :•Hypoxemia
•Hypoventilation
•Apnea
•Bradypnea
•Respiratory Acidosis
•Respiratory Distress or Failure
•Compromised Airway
•Confusion with Need for Airway Protection
•Controlled Hyperventilation
•Increased Work of Breathing Not Relieved by Other Interventions
when Attempting to Wean a patient off a mechanical ventilator the nurse should monitor
..... - Answers :ABGs
Nursing Considerations for Ventilated Patients - Answers :•Assess Respiratory Status
q2h
•Suction (Hyper oxygenate)
•Reposition Patient q2h
•Administer Medications
•sedation (Fentanyl, Propofol)
•Paralyzation (Vecuronium)
Mechanical Ventilation Complications - Answers :•Trauma
week 3 -->
what happens in decreased compliance of the lungs? Examples - Answers :lungs are
stiff and require greater effort to breathe
morbid obesity
pneumo/hemothorax
what happens in wheezing? examples - Answers :narrowing of the airway
asthma and COPD
watch adventitious breath sounds video
- https://www.youtube.com/watch?v=2NvBk61ngDY
- https://www.youtube.com/watch?v=i6khX2gwuBs - Answers :now
PFT, ABG abbreviations - Answers :pulmonary function test
arterial blood gas
arterial blood gases report........ - Answers :status of Oxygenation and Acid-Base
Balance in the Blood
ABGs assesses ............. - Answers :•ability of Lungs to Provide Adequate Oxygen and
Remove Carbon Dioxide
•ability of Kidneys to Maintain Normal Body pH
what are common causes of
- respiratory acidosis
- respiratory alkalosis
- metabolic acidosis
- metabolic alkalosis - Answers :respiratory depression, COPD and asthma, PNA
hyperventilation (anxiety, pain)
diabetes, shock, renal failure
prolonged vomiting, NG drainage
what is the most accurate respiratory assessment? - Answers :ABGs
,what is thoracentesis used for? - Answers :Aspiration of overflow of Fluid from the
Pleural Space
- pneumo/hemothorax and pleural effusion
Thoracentesis is used to diagnose ....... - Answers :•Pleural Fluid (transudates or
exudates)
•Blood
•Pus or Infected Fluid
how much fluid can we draw during thoracentesis? - Answers :up to 1 L
after done with thoracentesis, apply ... - Answers :dressing
what are the complications of thoracentesis? - Answers :Mediastinal shift,
pneumothorax, bleeding, infection
what is the function of a chest tube drainage? - Answers :water seal drains air or fluid
from the pleural space
tidaling meaning - Answers :rhythmic rise and fall of water in a chest tube drainage
system
what are possible reasons for lack of tidaling when using a chest tube drainage? -
Answers :•Lung Re-Expansion
•Obstruction
chest tube insertion indications - Answers :•Pneumothorax/Hemothorax
•Postoperative Chest Drainage
•Pleural Effusion
•Pulmonary Empyema (collection of pus)
chest tube drainage procedures
- pre
- intra - Answers :pre - administer pain meds and sedatives
intra - monitor VS
chest tube drainage procedures
- post - Answers :- monitor VS
- Encourage Coughing and Deep Breathing
- Monitor Chest Tube Placement and Function
•Document Drainage
•Check for Tidaling and Bubbling
•Monitor for Infection
•Position Patient in Semi- to High-Fowler's with Canister Below Chest
, complications of chest tube drainage - Answers :air leak (leak in tubing, tape on body)
Tension Pneumothorax (kinked/clamped tubing)
steps of scheduled disconnection of chest tube drainage - Answers :•Pain Medication
30 Min Before
•Remove Sutures
•Patient will Bear Down
Post-Removal
•Apply Airtight, Sterile Petroleum Jelly Gauze Dressing
•Obtain Chest X-Ray
•Monitor Wound Drainage
what to have at the bedside in case the chest tube drainage disconnects by accident? -
Answers :sterile water (when disconnected from canister)
occlusive dressing (when disconnected from patient)
what is the function of a mechanical ventilator? - Answers :Breathes for Patient as Life
Support
indications for mechanical ventilation? - Answers :•Hypoxemia
•Hypoventilation
•Apnea
•Bradypnea
•Respiratory Acidosis
•Respiratory Distress or Failure
•Compromised Airway
•Confusion with Need for Airway Protection
•Controlled Hyperventilation
•Increased Work of Breathing Not Relieved by Other Interventions
when Attempting to Wean a patient off a mechanical ventilator the nurse should monitor
..... - Answers :ABGs
Nursing Considerations for Ventilated Patients - Answers :•Assess Respiratory Status
q2h
•Suction (Hyper oxygenate)
•Reposition Patient q2h
•Administer Medications
•sedation (Fentanyl, Propofol)
•Paralyzation (Vecuronium)
Mechanical Ventilation Complications - Answers :•Trauma
