NURS 3105 Final Review Jeopardy Exam
Questions With Correct Answers
3 |actions |to |take |when |a |patient |is |in |respiratory |distress
Raise |HOB, |apply |oxygen, |assess |SpO2, |auscultate |lung |sounds, |obtain |arterial |blood |gas
What |are |signs |of |respiratory |distress?
-Patient |reports |dyspnea, |-Increased |RR |(tachypnea),
-labored |breathing
-Accessory |muscles |(intercostal |retractions, |raising |shoulders). |Ped |and |newborns |often |have |
nasal |flaring |and |grunting.
What |are |s/s |of |hypoxia?
SpO2 |less |than |92%,
PaO2 |less |than |80 |mmHg, |Altered |level |of |consciousness |(confusion, |lethargy, |etc)
|anxiety/restlessness, |dusky |or |cyanotic |skin |color
Condition |when |the |small |air |sacs |in |the |lungs |(alveoli) |are |collapsed
Atelectasis
,What |are |causes |of |atelectasis?
Limited |air |movement |due |to |shallow |breaths |(immobility, |surgery, |decreased |level |of |
consciousness, |etc)
How |can |we |prevent |atelectasis?
Encourage |turn/cough/deep |breathe, |incentive |spirometer
A |Bronchodilator |medication
Albuterol
What |lung |sound |would |you |hear |that |indicates |bronchoconstriction |or |narrowing |of |the |
airways?
wheezing
Nursing |considerations |for |suctioning |a |tracheostomy
Hyper |oxygenate, |suction |for |no |more |than |10-15 |seconds, |stop |suctioning |if |bradycardia, |
insert |catheter |until |patient |coughs |or |meet |resistance
What |are |indications |for |suctioning?
Suctioning |is |NOT |routine, |only |if.....
•S/S |respiratory |distress
•Rhonchi |heard |audibly |or |to |auscultation
, •Ineffective |cough
•Patient |asks |you |to
An |oxygen |delivery |method |that |provides |non-invasive |positive |pressure |ventilation |(NIPPV)
CPAP |or |BIPAP
CPAP |(continuous |positive |airway |pressure):
continuous |flow |of |air |keeps |airway |open |with |mild |pressure.
CPAP |used |for
Used |primarily |for |Obstructive |sleep |apnea, |often |used |at |home. |Patient |must |be |
spontaneously |breathing- |it |is |NOT |for |patients |in |respiratory |distress
BIPAP |(bi-level |positive |airway |pressure):
different |levels |of |inspiratory |and |expiratory |pressure |to |support |delivery |of |breaths.
BIPAP |used |for
used |in |acute |respiratory |distress |scenarios.
-If |a |non-rebreather |mask |or |high-flow |nasal |cannula |were |not |sufficient, |this |would |be |the |
next |level |of |oxygen |support.
Questions With Correct Answers
3 |actions |to |take |when |a |patient |is |in |respiratory |distress
Raise |HOB, |apply |oxygen, |assess |SpO2, |auscultate |lung |sounds, |obtain |arterial |blood |gas
What |are |signs |of |respiratory |distress?
-Patient |reports |dyspnea, |-Increased |RR |(tachypnea),
-labored |breathing
-Accessory |muscles |(intercostal |retractions, |raising |shoulders). |Ped |and |newborns |often |have |
nasal |flaring |and |grunting.
What |are |s/s |of |hypoxia?
SpO2 |less |than |92%,
PaO2 |less |than |80 |mmHg, |Altered |level |of |consciousness |(confusion, |lethargy, |etc)
|anxiety/restlessness, |dusky |or |cyanotic |skin |color
Condition |when |the |small |air |sacs |in |the |lungs |(alveoli) |are |collapsed
Atelectasis
,What |are |causes |of |atelectasis?
Limited |air |movement |due |to |shallow |breaths |(immobility, |surgery, |decreased |level |of |
consciousness, |etc)
How |can |we |prevent |atelectasis?
Encourage |turn/cough/deep |breathe, |incentive |spirometer
A |Bronchodilator |medication
Albuterol
What |lung |sound |would |you |hear |that |indicates |bronchoconstriction |or |narrowing |of |the |
airways?
wheezing
Nursing |considerations |for |suctioning |a |tracheostomy
Hyper |oxygenate, |suction |for |no |more |than |10-15 |seconds, |stop |suctioning |if |bradycardia, |
insert |catheter |until |patient |coughs |or |meet |resistance
What |are |indications |for |suctioning?
Suctioning |is |NOT |routine, |only |if.....
•S/S |respiratory |distress
•Rhonchi |heard |audibly |or |to |auscultation
, •Ineffective |cough
•Patient |asks |you |to
An |oxygen |delivery |method |that |provides |non-invasive |positive |pressure |ventilation |(NIPPV)
CPAP |or |BIPAP
CPAP |(continuous |positive |airway |pressure):
continuous |flow |of |air |keeps |airway |open |with |mild |pressure.
CPAP |used |for
Used |primarily |for |Obstructive |sleep |apnea, |often |used |at |home. |Patient |must |be |
spontaneously |breathing- |it |is |NOT |for |patients |in |respiratory |distress
BIPAP |(bi-level |positive |airway |pressure):
different |levels |of |inspiratory |and |expiratory |pressure |to |support |delivery |of |breaths.
BIPAP |used |for
used |in |acute |respiratory |distress |scenarios.
-If |a |non-rebreather |mask |or |high-flow |nasal |cannula |were |not |sufficient, |this |would |be |the |
next |level |of |oxygen |support.
