NURSING484
Nursing Care of Patients with Complex Health Problems
DUKE UNIVERSITY NURSING 484 Midterm
EXAM LATEST SUMMER-FALL SEMESTER
GRADED A (REAL EXAM INSIGHT) 100%
VERIFIED
What are the consequences of hypoxemia?
Metabolic acidosis and cell death, decreased cardiac output, impaired
renal function, rapid, shallow breathing pattern, dyspnea, retractions,
decreased perfusion
What does ARDS result in?
severe dyspnea, hypoxia, hypoxemia, decreased lung compliance
What is acute respiratory distress syndrome (ARDS)?
progressive form of respiratory failure, alveoli fill with fluid
What are indications for Mechanical Venitlation?
upper airway obstruction, apnea, aspiration risk, ineffective clearance of
secretions, respiratory distress including ARDS, surgery
,NURSING484
Nursing Care of Patients with Complex Health Problems
What supplies are needed for intubation?
bag valve mask hooked up to 12L O2, suction, intubation tray (including
scope, stylet, ET tube and syringe), end tidal CO2 detector, stethoscope,
ventilator at the bedside ready to be connected to ET tube, ET tube
securing device
What medications are used for intubation?
Rapid sequence Intubation Kits, Sedatives/Hypnotics, Narcotics, Paralytics
What are the clinical manifestations of respiratory alkalosis?
increased neuromuscular excitability, numbness, and tingling, feet and
hand spasms, dizziness, cerebral vasoconstriction
What are the associated lab values for respiratory alkalosis?
pH = ↑
PCO2 = ↓
HCO3 = - (normal)
, NURSING484
Nursing Care of Patients with Complex Health Problems
What is a pneumothorax?
accumulation of atmospheric air in the pleural space resulting in a rise in
intrathoracic pressure which results in "collapsed lung"
What are the assessment findings for a pneumothorax?
Absent breath sounds, cyanosis, decreased chest expansion unilaterally,
dyspnea, chest pain, crepitus, tachycardia, tachypnea, tracheal deviation
unaffected side (tension)
What is an initial characteristic symptom of a simple pneumothorax?
sudden onset of chest pain
What is a pulmonary embolism?
occurs when a thrombus forms in a vein, detaches and travels back to the
heart and lodges in the pulmonary artery
What are the risk factors for a pulmonary embolism?
pregnancy, prolonged travel where sitting still, prolonged immobilization,
History of DVT or PE
Nursing Care of Patients with Complex Health Problems
DUKE UNIVERSITY NURSING 484 Midterm
EXAM LATEST SUMMER-FALL SEMESTER
GRADED A (REAL EXAM INSIGHT) 100%
VERIFIED
What are the consequences of hypoxemia?
Metabolic acidosis and cell death, decreased cardiac output, impaired
renal function, rapid, shallow breathing pattern, dyspnea, retractions,
decreased perfusion
What does ARDS result in?
severe dyspnea, hypoxia, hypoxemia, decreased lung compliance
What is acute respiratory distress syndrome (ARDS)?
progressive form of respiratory failure, alveoli fill with fluid
What are indications for Mechanical Venitlation?
upper airway obstruction, apnea, aspiration risk, ineffective clearance of
secretions, respiratory distress including ARDS, surgery
,NURSING484
Nursing Care of Patients with Complex Health Problems
What supplies are needed for intubation?
bag valve mask hooked up to 12L O2, suction, intubation tray (including
scope, stylet, ET tube and syringe), end tidal CO2 detector, stethoscope,
ventilator at the bedside ready to be connected to ET tube, ET tube
securing device
What medications are used for intubation?
Rapid sequence Intubation Kits, Sedatives/Hypnotics, Narcotics, Paralytics
What are the clinical manifestations of respiratory alkalosis?
increased neuromuscular excitability, numbness, and tingling, feet and
hand spasms, dizziness, cerebral vasoconstriction
What are the associated lab values for respiratory alkalosis?
pH = ↑
PCO2 = ↓
HCO3 = - (normal)
, NURSING484
Nursing Care of Patients with Complex Health Problems
What is a pneumothorax?
accumulation of atmospheric air in the pleural space resulting in a rise in
intrathoracic pressure which results in "collapsed lung"
What are the assessment findings for a pneumothorax?
Absent breath sounds, cyanosis, decreased chest expansion unilaterally,
dyspnea, chest pain, crepitus, tachycardia, tachypnea, tracheal deviation
unaffected side (tension)
What is an initial characteristic symptom of a simple pneumothorax?
sudden onset of chest pain
What is a pulmonary embolism?
occurs when a thrombus forms in a vein, detaches and travels back to the
heart and lodges in the pulmonary artery
What are the risk factors for a pulmonary embolism?
pregnancy, prolonged travel where sitting still, prolonged immobilization,
History of DVT or PE
