NUR 155 EXAM 4 QUESTIONS AND 100% APPROVED CORRECT ANSWERS GRADED A+ 2025 FIRST CLASS PASS

NUR 155 EXAM 4 QUESTIONS AND 100% APPROVED CORRECT ANSWERS GRADED A+ 2025 FIRST CLASS PASS 2025 EXAM  NUR 155 EXAM 4 QUESTIONS AND 100% APPROVED CORRECT ANSWERS GRADED A+ 2025 FIRST CLASS PASS Describe Venous insufficiency - CORRECT ANSWER Swelling of legs & ankles, leg cramps, shallow wounds, varicose veins, normal pedal pulses, increase edema, normal skin temp., skin dry & flaky, pain is mild to moderate, elevation lessens pain Describe the face tent mask - CORRECT ANSWER Used when a standard type mask is not tolerated well by patient varying O2 concentrations; Delivers 4-8 L/min Describe the venture mask - CORRECT ANSWER Allows for precise O2 concentration & liter flow delivers 4-10 L/min Describe the simple face mask - CORRECT ANSWER Standard face mask; delivers 5-8 L/min Describe the partial rebreather mask - CORRECT ANSWER Simple face mask w/ O2 reservoir bag attached allows pt to rebreathe the first 1/3 of exhaled O2 Define Eupnea - CORRECT ANSWER normal respirations quiet, rhythmic, effortless Define Tachypnea - CORRECT ANSWER rapid respirations seen w/ fever, hypoxemia, metabolic acidosis Define Apnea - CORRECT ANSWER Absence of breathing Define Hyperventilation - CORRECT ANSWER Increased air movement more CO2 is eliminated than produced Define Kussmaul's breathing - CORRECT ANSWER Metabolic acidosis, body attempts to compensate for increased metabolic acid in form of CO2 Define Bradypnea - CORRECT ANSWER Abnormally slow respiratory rate seen in pt who took morphine or sedatives, pt w/ metabolic acidosis, pt w/ increased inter-cranial pressure from TBI Define hypoventilation - CORRECT ANSWER Inadequate alveolar ventilation caused by slow or shallow breathing, may occur due to disease of respiratory muscle, drugs or anesthesia How do we implement care for cardia patients? - CORRECT ANSWER Positioning, ambulation, exercise, I/O, medications, prevent venous stasis Define Orthopnea - CORRECT ANSWER Inability to breathe easily unless sitting upright or standing Define cheyne stokes respirations - CORRECT ANSWER Marked rhythmic waxing & waning of respirations from deep to very shallow w/ short periods of apnea commonly caused by chronic disease, TBI or overdose What is the risk assessment tool for skin impairment? - CORRECT ANSWER Braden Scale for predicting pressure sore risk Pressure area risk assessment form scale Define non-modifiable risk factos - CORRECT ANSWER Cannot be reduced; heredity, age, gender What do we do for patients in respiratory distress? - CORRECT ANSWER Assess, administer meds(inhalers), monitor vitals, place in high flowers, place O2 on patient, call provider Define modifiable risk factors - CORRECT ANSWER Can be reduced; smoking, diabetes, obesity, elevated serum lipids, hypertension, sedentary lifestyle Describe mustache reservoir cannula - CORRECT ANSWER looks like mustache, O2 conserving, delivers 100% O2 bolus Labs that are altered during acute problems - CORRECT ANSWER Troponin, CMP, hemoglobin, Creatine Kinase (CK) Describe the non-rebreather mask - CORRECT ANSWER Delivers highest O2 concentration possible, 95-100% delivers 10-15 L/min Implementing of promoting oxygenation - CORRECT ANSWER Position high fowlers, deep breathing exercise, use O2 incentive spirometer, ambulation, percussion, clear secretions S/S of decreased oxygen - CORRECT ANSWER rapid pulse, rapid or shallow respirations and dyspnea, increased restlessness, light headedness, flaring nostrils, intercostal retractions cyanosis, irritability What effect does ROM have on the respiratory system? - CORRECT ANSWER Strengthens lungs Define dyspnea - CORRECT ANSWER Difficulty breathing or feeling of being short of breath, flared nostrils, labored breathing, cyanosis, increased heart rate Describe chronic confusion - CORRECT ANSWER Dementia Never try to reorient we step into their world