NSG 3800 exam 2 - question and answer by A+ solutions
what o2 saturation do we prefer patients without respiratory issues to be above? - Correct
Answer 92%
When is their cough the worst with COPD? - Correct Answer in the morning
s/s of COPD (emphysema and chronic bronchitis) - Correct Answer dyspnea, chronic cough,
barrel chest d/t loss of elasticity with emphysema, weight loss,
what results with an ABG show in a patient with COPD? - Correct Answer hypercapnia and
decreased O2 (hypoxemia)
how do they diagnose COPD? - Correct Answer PFT-track how well their lungs are functioning
over a period of time, ABG- assess gas exchange in alveoli, chest xray-to rule out other
conditions, CT, transbronchial biopsy
COPD prevention - Correct Answer don't inhale chemicals, minimize air pollution on high alert
days patients don't go outside
The single most cost-effective intervention to reduce the risk of developing COPD or slow
progression is? - Correct Answer no smoking/avoid tobacco
transbronchial biopsy nursing considerations - Correct Answer numb throat & conscious
sedation means NOTHING by mouth until they are awake, and alert and gag reflex has returned-
can cause aspiration
sarcoidosis treatment - Correct Answer steroids (for up to 1 year) to help with inflammation
which can cause immunosuppression and increases blood sugar- MUST MONITOR
normal blood sugar level - Correct Answer 70-110
, how do you discontinue steroid use in a patient? - Correct Answer taper them off, do not just
immediately stop
pneumothorax tension - Correct Answer d/t traumatic experience, opening in chest wall
s/s of pneumothorax - Correct Answer depends on the size of the pneumothorax: chest pain,
absent/ diminished breath sounds on effected side, tachypnea, agitation, air hungry, restlessness,
cyanosis if 02 is extremely compromised, tracheal shift to contralateral side
nursing care of patient with a pneumothorax - Correct Answer monitor o2 status, chest tube
placement
nurses job DURING chest tube placement - Correct Answer POSITIONING patient- and
advocacy for our patients, patient will be hooked to low wall suction
suction control chamber, what will you see? - Correct Answer GENTLE continuous bubbling
what will you see in the water seal chamber? - Correct Answer intermittent bubbling as the air
escapes the pleural space and goes into the tube
what will you see in the patient drainage section of the chest tube/suctioning? - Correct Answer 3
large chambers where the fluid escapes pleural space and stays in the machine
What do we assess with the chest tube and drainage? - Correct Answer COCA, sudden increase
in fluid drainage would be a bad sign, changes in color of drainage would also be concerning
What will they give patients before chest tube placement? - Correct Answer opioids
what are we supposed to monitor throughout the duration that the patient has the chest tube? -
Correct Answer oxygen status- VERY IMPORTANT
what o2 saturation do we prefer patients without respiratory issues to be above? - Correct
Answer 92%
When is their cough the worst with COPD? - Correct Answer in the morning
s/s of COPD (emphysema and chronic bronchitis) - Correct Answer dyspnea, chronic cough,
barrel chest d/t loss of elasticity with emphysema, weight loss,
what results with an ABG show in a patient with COPD? - Correct Answer hypercapnia and
decreased O2 (hypoxemia)
how do they diagnose COPD? - Correct Answer PFT-track how well their lungs are functioning
over a period of time, ABG- assess gas exchange in alveoli, chest xray-to rule out other
conditions, CT, transbronchial biopsy
COPD prevention - Correct Answer don't inhale chemicals, minimize air pollution on high alert
days patients don't go outside
The single most cost-effective intervention to reduce the risk of developing COPD or slow
progression is? - Correct Answer no smoking/avoid tobacco
transbronchial biopsy nursing considerations - Correct Answer numb throat & conscious
sedation means NOTHING by mouth until they are awake, and alert and gag reflex has returned-
can cause aspiration
sarcoidosis treatment - Correct Answer steroids (for up to 1 year) to help with inflammation
which can cause immunosuppression and increases blood sugar- MUST MONITOR
normal blood sugar level - Correct Answer 70-110
, how do you discontinue steroid use in a patient? - Correct Answer taper them off, do not just
immediately stop
pneumothorax tension - Correct Answer d/t traumatic experience, opening in chest wall
s/s of pneumothorax - Correct Answer depends on the size of the pneumothorax: chest pain,
absent/ diminished breath sounds on effected side, tachypnea, agitation, air hungry, restlessness,
cyanosis if 02 is extremely compromised, tracheal shift to contralateral side
nursing care of patient with a pneumothorax - Correct Answer monitor o2 status, chest tube
placement
nurses job DURING chest tube placement - Correct Answer POSITIONING patient- and
advocacy for our patients, patient will be hooked to low wall suction
suction control chamber, what will you see? - Correct Answer GENTLE continuous bubbling
what will you see in the water seal chamber? - Correct Answer intermittent bubbling as the air
escapes the pleural space and goes into the tube
what will you see in the patient drainage section of the chest tube/suctioning? - Correct Answer 3
large chambers where the fluid escapes pleural space and stays in the machine
What do we assess with the chest tube and drainage? - Correct Answer COCA, sudden increase
in fluid drainage would be a bad sign, changes in color of drainage would also be concerning
What will they give patients before chest tube placement? - Correct Answer opioids
what are we supposed to monitor throughout the duration that the patient has the chest tube? -
Correct Answer oxygen status- VERY IMPORTANT
