N2261 Week 13 Thoracic Exam
Questions And Correct Answers
what does lob, pneumon, bronch and thorac stand for - ANSWER lob- : lobe
pneumon- : lung
bronch- : windpipe
thorac- : "breastplate"; thorax
what does ecopy, ectomy, otomy, centesis and ia mean - ANSWER -scopy : visual
examination of
-ectomy : surgical removal of
-otomy : incision into-centesis : surgical puncture (to remove fluid)
-ia : disorder of
Turbinates function - ANSWER rolling projections in the interior of the nose; help
increase surface area for moistening and warming air.
Lower respiratory tract structures - ANSWER bronchi
bronchioles
alveolar duicts
alveoli
which structures are not contianed within the lungs - ANSWER bronchi
how can air move from one alveoli to then ext - ANSWER Alveoli are interconnected by
pores of Kohn (discrete holes in walls of adjacent alveoli.)
lobes for each lung - ANSWER right lobe: 3
left = 2
structure and function of surfactant - ANSWER function:
▪Reduces the amount of pressure needed to inflate the alveoli
▪Reduces the likelihood of alveoli collapsing
structure
,lipoprotein
Atelectasis: - ANSWER collapsed airless alveoli
Bloodwork for respiratory function:
Electrolytes you wound monitor for
Tests
Cardiac markers - ANSWER CBC
Electrolytes (some facilities may say extended electrolytes to
include Magnesium and phosphate levels)
ABGs -reflective of the acid-base balance; provides information
on ventilation status
Cardiac Markers -useful in helping predict outcomes of
respiratory health challenges (eg.Troponin level)
Lactate levels -elevated levels as a byproduct of anaerobic
metabolism (a process allowing cells to use energy when oxygen
levels are insufficient)
Renal function -lungs and kidneys work together to maintain a
healthy acid-base balance
Radiology diagnostics - ANSWER ▪Chest X-ray
▪Provides snapshot of lung inflation, rib structure, heart size
▪CT Chest
▪More thorough image than an x-ray
▪Can help showcase fluid collections, cancers, lung issues
(pneumonia, clots)
Bronchoscopy: uses, complications - ANSWER ▪Endoscope used for specimen
collection, biopsy, diagnosis and assessment
▪Flexible tube is inserted into client's nose or mouth, down respiratory tract
and into airways
, ▪Useful in removal of foreign objects, and mucous plugs
▪Potential complications: infection, punctured lung space, hemorrhage
▪Lung biopsy: when is it done - ANSWER ▪ Can be done during a bronchoscopy
▪ Sample can be taken during an operative procedure
▪ Sample undergoes laboratory analysis
▪Thoracentesis: nursing management - ANSWER ▪ Large bore needle is inserted into
the pleural space
▪ Pleural fluid sample can be obtained
▪ Medication can be instilled
Nursing management: focused respiratory assessments, monitor for respiratory
distress, pain management, pneumothorax
risk
Pulmonary function test - ANSWER ▪ Evaluation of lung function ▪ Helpful in diagnosing
lung diseases, monitoring disease progression and evaluation of response to
bronchodilators
where is it inserted? where is it done? what is the purpose of it - ANSWER ▪A tube is
inserted into the pleural space
▪Diameter of tube can vary (pigtail to large
bore)
▪Can be done in IR, OR and at bedside
(depending on clientst status, concerns, etc)
▪Tube is helps promote appropriate lung
expansion by the removal of fluids (i.e.
blood, pus) or air
Nursing cure for chest tubes + primary goal - ANSWER ▪ Identify chest tube location,
insertion
date, suction setting, air leak,
subcutaneous emphysema, safety
Questions And Correct Answers
what does lob, pneumon, bronch and thorac stand for - ANSWER lob- : lobe
pneumon- : lung
bronch- : windpipe
thorac- : "breastplate"; thorax
what does ecopy, ectomy, otomy, centesis and ia mean - ANSWER -scopy : visual
examination of
-ectomy : surgical removal of
-otomy : incision into-centesis : surgical puncture (to remove fluid)
-ia : disorder of
Turbinates function - ANSWER rolling projections in the interior of the nose; help
increase surface area for moistening and warming air.
Lower respiratory tract structures - ANSWER bronchi
bronchioles
alveolar duicts
alveoli
which structures are not contianed within the lungs - ANSWER bronchi
how can air move from one alveoli to then ext - ANSWER Alveoli are interconnected by
pores of Kohn (discrete holes in walls of adjacent alveoli.)
lobes for each lung - ANSWER right lobe: 3
left = 2
structure and function of surfactant - ANSWER function:
▪Reduces the amount of pressure needed to inflate the alveoli
▪Reduces the likelihood of alveoli collapsing
structure
,lipoprotein
Atelectasis: - ANSWER collapsed airless alveoli
Bloodwork for respiratory function:
Electrolytes you wound monitor for
Tests
Cardiac markers - ANSWER CBC
Electrolytes (some facilities may say extended electrolytes to
include Magnesium and phosphate levels)
ABGs -reflective of the acid-base balance; provides information
on ventilation status
Cardiac Markers -useful in helping predict outcomes of
respiratory health challenges (eg.Troponin level)
Lactate levels -elevated levels as a byproduct of anaerobic
metabolism (a process allowing cells to use energy when oxygen
levels are insufficient)
Renal function -lungs and kidneys work together to maintain a
healthy acid-base balance
Radiology diagnostics - ANSWER ▪Chest X-ray
▪Provides snapshot of lung inflation, rib structure, heart size
▪CT Chest
▪More thorough image than an x-ray
▪Can help showcase fluid collections, cancers, lung issues
(pneumonia, clots)
Bronchoscopy: uses, complications - ANSWER ▪Endoscope used for specimen
collection, biopsy, diagnosis and assessment
▪Flexible tube is inserted into client's nose or mouth, down respiratory tract
and into airways
, ▪Useful in removal of foreign objects, and mucous plugs
▪Potential complications: infection, punctured lung space, hemorrhage
▪Lung biopsy: when is it done - ANSWER ▪ Can be done during a bronchoscopy
▪ Sample can be taken during an operative procedure
▪ Sample undergoes laboratory analysis
▪Thoracentesis: nursing management - ANSWER ▪ Large bore needle is inserted into
the pleural space
▪ Pleural fluid sample can be obtained
▪ Medication can be instilled
Nursing management: focused respiratory assessments, monitor for respiratory
distress, pain management, pneumothorax
risk
Pulmonary function test - ANSWER ▪ Evaluation of lung function ▪ Helpful in diagnosing
lung diseases, monitoring disease progression and evaluation of response to
bronchodilators
where is it inserted? where is it done? what is the purpose of it - ANSWER ▪A tube is
inserted into the pleural space
▪Diameter of tube can vary (pigtail to large
bore)
▪Can be done in IR, OR and at bedside
(depending on clientst status, concerns, etc)
▪Tube is helps promote appropriate lung
expansion by the removal of fluids (i.e.
blood, pus) or air
Nursing cure for chest tubes + primary goal - ANSWER ▪ Identify chest tube location,
insertion
date, suction setting, air leak,
subcutaneous emphysema, safety
