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NSG 3800 exam 2 Questions with Answers (100% Correct Answers)

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NSG 3800 exam 2 Questions with Answers (100% Correct Answers)NSG 3800 exam 2 Questions with Answers (100% Correct Answers)

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NSG 3800 exam 2 Questions with Answers (100% Correct
Answers)

what o2 saturation do we prefer patients without respiratory issues to

be above?— Answer: 92%

When is their cough the worst with COPD?— Answer: in the morning

s/s of COPD (emphysema and chronic bronchitis)— 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?— Answer:

hypercapnia and decreased O2 (hypoxemia)

how do they diagnose COPD?— 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— Answer: don't inhale chemicals, minimize air

pollution on high alert days patients don't go outside




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,2

The single most cost-effective intervention to reduce the risk of

developing COPD or slow progression is?— Answer: no

smoking/avoid tobacco

transbronchial biopsy nursing considerations— 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— 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— Answer: 70-110

how do you discontinue steroid use in a patient?— Answer: taper

them off, do not just immediately stop

pneumothorax tension— Answer: d/t traumatic experience, opening in

chest wall

s/s of pneumothorax— 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

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nursing care of patient with a pneumothorax— Answer: monitor o2

status, chest tube placement

nurses job DURING chest tube placement— Answer: POSITIONING

patient- and advocacy for our patients, patient will be hooked to low

wall suction

suction control chamber, what will you see?— Answer: GENTLE

continuous bubbling

what will you see in the water seal chamber?— 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?— 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?— 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?— Answer:

opioids



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