adult health 2 exam 1
Study online at https://quizlet.com/_ayh8jt
1. How do nurses assess tissue perfusion and ~inspection of chest rise
oxygenation? (analyzing and recognizing ~auscultate lung sounds
cues) ~apply SPO2
~assess RR
~assess cap refill
2. Why do nurses care about blood gases? ~helps us understand and be able to as-
sess if the pt. is perfusing, do they have
good oxygenation
3. Non pharmacological measures for mucos- ~rest
al membranes to promote gas exchange ~2000-3000ml fluids daily
~soft, bland diet
~salt water gargles
~elevate HOB
~steam/humidification
~warm compresses
~saline nasal spray
4. Why is maintaining the airway important ~tissue perfusion
~oxygenation
~maintaining good gas exchange
5. Atelectasis ~total or partial collapse of lung tissue
~basic patho with loss of volume (impairs gas exchange
~risk factors and impacts perfusion and oxygenation)
~clinical manifestations ~prolonged bed rest or post operative
~medical management pts.
~nursing management ~dyspnea, chest pain, hypoxemia, de-
creased breath sounds over affected ar-
eas
~bronchoscopy, thoracentesis, avoid over
, adult health 2 exam 1
Study online at https://quizlet.com/_ayh8jt
sedation
~incentive spirometer, cough and deep
breath, oral care, HOB elevated, get pt up
and moving, promote gas exchange
6. Pneumonia ~acute inflammation of the lungs, caused
~patho by various microorganisms including bac-
~interferes with teria, fungi, viruses
~nurses' role ~inflammation interferes with gas ex-
change
~control inflammation, get rid of infection
7. Aspiration pneumonia ~complication of pulmonary aspiration,
~basic patho pt. can aspirate GI contents, food, saliva
~clinical manifestation ~sudden onset of coughing, dyspnea,
crackles, rhonchi, altered mental status,
fever, chest pain
8. Pharmacological therapy for pneumonia ~appropriate antibiotics AFTER culture
~supportive treatments (fluids, oxygen for
hypoxia, antipyretics, antitussives, decon-
gestants, and antihistamines)
9. Pulmonary Tuberculosis (TB) ~highly communicable
~transmitted via airborne (N95, negative
pressure rooms)
10. Risk factors of TB ~direct contact with a positive
~immunocompromised
~substance abuse
~travel to high prevalence countries
~living in overcrowded areas, substan-
dard housing
, adult health 2 exam 1
Study online at https://quizlet.com/_ayh8jt
~health care workers
~improper use of PPE
11. Signs and symptoms of TB ~early stages can be asymptomatic until
advanced stages
~may progress too:
~low grade fever, night sweats, loss of ap-
petite, fatigue, denial, anxiety, tachycar-
dia, sputum
12. Mantoux Test ~reliable screening tool
~positive reaction indicates exposure and
possible infection (not definite)
13. A false positive test can occur with which ~TB Mantoux test
test when Bacile Calmette Guerin vaccine
(BCG) was previously administered
14. QuantiFERON- TB gold test ~most reliable
~but does not indicate active or latent
15. Pharmacology therapy for TB ~long period of treatment
~first line of drugs for the active disease
(isoniazid (INH), Rifampin, pyrazinamide,
ethambutol)
~all are hepatotoxic
16. Isoniazid (INH) ~kills actively growing mycobacteria
~TB drug ~avoid antacids and take on empty stom-
ach
~take complex B vitamins~ can deplete
body of B vitamins (peripheral neuropa-
thy)
Study online at https://quizlet.com/_ayh8jt
1. How do nurses assess tissue perfusion and ~inspection of chest rise
oxygenation? (analyzing and recognizing ~auscultate lung sounds
cues) ~apply SPO2
~assess RR
~assess cap refill
2. Why do nurses care about blood gases? ~helps us understand and be able to as-
sess if the pt. is perfusing, do they have
good oxygenation
3. Non pharmacological measures for mucos- ~rest
al membranes to promote gas exchange ~2000-3000ml fluids daily
~soft, bland diet
~salt water gargles
~elevate HOB
~steam/humidification
~warm compresses
~saline nasal spray
4. Why is maintaining the airway important ~tissue perfusion
~oxygenation
~maintaining good gas exchange
5. Atelectasis ~total or partial collapse of lung tissue
~basic patho with loss of volume (impairs gas exchange
~risk factors and impacts perfusion and oxygenation)
~clinical manifestations ~prolonged bed rest or post operative
~medical management pts.
~nursing management ~dyspnea, chest pain, hypoxemia, de-
creased breath sounds over affected ar-
eas
~bronchoscopy, thoracentesis, avoid over
, adult health 2 exam 1
Study online at https://quizlet.com/_ayh8jt
sedation
~incentive spirometer, cough and deep
breath, oral care, HOB elevated, get pt up
and moving, promote gas exchange
6. Pneumonia ~acute inflammation of the lungs, caused
~patho by various microorganisms including bac-
~interferes with teria, fungi, viruses
~nurses' role ~inflammation interferes with gas ex-
change
~control inflammation, get rid of infection
7. Aspiration pneumonia ~complication of pulmonary aspiration,
~basic patho pt. can aspirate GI contents, food, saliva
~clinical manifestation ~sudden onset of coughing, dyspnea,
crackles, rhonchi, altered mental status,
fever, chest pain
8. Pharmacological therapy for pneumonia ~appropriate antibiotics AFTER culture
~supportive treatments (fluids, oxygen for
hypoxia, antipyretics, antitussives, decon-
gestants, and antihistamines)
9. Pulmonary Tuberculosis (TB) ~highly communicable
~transmitted via airborne (N95, negative
pressure rooms)
10. Risk factors of TB ~direct contact with a positive
~immunocompromised
~substance abuse
~travel to high prevalence countries
~living in overcrowded areas, substan-
dard housing
, adult health 2 exam 1
Study online at https://quizlet.com/_ayh8jt
~health care workers
~improper use of PPE
11. Signs and symptoms of TB ~early stages can be asymptomatic until
advanced stages
~may progress too:
~low grade fever, night sweats, loss of ap-
petite, fatigue, denial, anxiety, tachycar-
dia, sputum
12. Mantoux Test ~reliable screening tool
~positive reaction indicates exposure and
possible infection (not definite)
13. A false positive test can occur with which ~TB Mantoux test
test when Bacile Calmette Guerin vaccine
(BCG) was previously administered
14. QuantiFERON- TB gold test ~most reliable
~but does not indicate active or latent
15. Pharmacology therapy for TB ~long period of treatment
~first line of drugs for the active disease
(isoniazid (INH), Rifampin, pyrazinamide,
ethambutol)
~all are hepatotoxic
16. Isoniazid (INH) ~kills actively growing mycobacteria
~TB drug ~avoid antacids and take on empty stom-
ach
~take complex B vitamins~ can deplete
body of B vitamins (peripheral neuropa-
thy)
