Exam 4 funds ;)
• Chronic respiratory condition that leads to
hyperventilation is kussmauls
• Staff education on prevention of pulmonary infections
most important point would be to have pt to turn cough
& deep breathe Q 2 hrs PRN
• Most effective way for nurse to check pt for s/sx of
hypoxia would be through ABGs
• COPD leaves a pts resp system assessment findings
would be
o Hyperinflation of chest
o Decreased elasticity of alveoli
o Increased mucus in bronchioles
• The following steps are in order for trach suctioning
o Adjust suction
o Don on sterile gloves
o Check function of suction catheter
o Hyperoxygenation the client
o Insert catheters w/suction
in
worbate
o Apply suction while rotating catheter
o Assess for clearance of secretions
• Pt is ordered to get 12L/min you give this oxygen
delivery via a nonrebreather mask
• If you’re looking at a o
chest
Chart and you’re given lab values,
v/s, physical assessment & medication reconciliation
form.
o If you have on o2 sat at 85% that will be the most
, concerning for the nurse.
• Pt w/left sided paralysis, p 105, BP 156/90, R 18, which
nursing dx is priority?
o Risk for aspiration r/t impaired swallowing
• You have a pt c/o SOB what do you do 1 ? st
o Raise HOB
• Cardiac output is one of the factors that influence 02
transport from lungs to tissues
• Clubbing of the fingers is a finding for a pt w/ chronic
respiratory insufficiency
• Pt/ fam teaching about endotracheal suctioning.
o Nurse includes-apply suction, for less than 15
seconds.
• Purpose for suctioning is to: Maintain airway & remove
any secretions or mucous blockage
• 2L/m via nasal cannula is 28 inspired 02 concentration
• Nurse teaching atelectasis, pt indicates a correct
understanding: It is important to do breathing exercises
every hr to prevent atelectasis (lung collapse)
• If pt states “when I feel SOB, I will breathe through my
mouth” needs follow up teaching.
• Pt w/ new trach which task can you delegate to UAP?
o Obtain supplies (gloves, mask suction supplies)
o Help reassure pt before and after, during procedure
o Transport sputum samples to lab for c&s testing
• Nurse sees this pt 1 , pt with hypercapnia & wearing O2
st
mask
• Further education is needed by nurse if states;
“antibiotics provide protection against communicable
diseases such as flu and pneumonia.”
• Chronic respiratory condition that leads to
hyperventilation is kussmauls
• Staff education on prevention of pulmonary infections
most important point would be to have pt to turn cough
& deep breathe Q 2 hrs PRN
• Most effective way for nurse to check pt for s/sx of
hypoxia would be through ABGs
• COPD leaves a pts resp system assessment findings
would be
o Hyperinflation of chest
o Decreased elasticity of alveoli
o Increased mucus in bronchioles
• The following steps are in order for trach suctioning
o Adjust suction
o Don on sterile gloves
o Check function of suction catheter
o Hyperoxygenation the client
o Insert catheters w/suction
in
worbate
o Apply suction while rotating catheter
o Assess for clearance of secretions
• Pt is ordered to get 12L/min you give this oxygen
delivery via a nonrebreather mask
• If you’re looking at a o
chest
Chart and you’re given lab values,
v/s, physical assessment & medication reconciliation
form.
o If you have on o2 sat at 85% that will be the most
, concerning for the nurse.
• Pt w/left sided paralysis, p 105, BP 156/90, R 18, which
nursing dx is priority?
o Risk for aspiration r/t impaired swallowing
• You have a pt c/o SOB what do you do 1 ? st
o Raise HOB
• Cardiac output is one of the factors that influence 02
transport from lungs to tissues
• Clubbing of the fingers is a finding for a pt w/ chronic
respiratory insufficiency
• Pt/ fam teaching about endotracheal suctioning.
o Nurse includes-apply suction, for less than 15
seconds.
• Purpose for suctioning is to: Maintain airway & remove
any secretions or mucous blockage
• 2L/m via nasal cannula is 28 inspired 02 concentration
• Nurse teaching atelectasis, pt indicates a correct
understanding: It is important to do breathing exercises
every hr to prevent atelectasis (lung collapse)
• If pt states “when I feel SOB, I will breathe through my
mouth” needs follow up teaching.
• Pt w/ new trach which task can you delegate to UAP?
o Obtain supplies (gloves, mask suction supplies)
o Help reassure pt before and after, during procedure
o Transport sputum samples to lab for c&s testing
• Nurse sees this pt 1 , pt with hypercapnia & wearing O2
st
mask
• Further education is needed by nurse if states;
“antibiotics provide protection against communicable
diseases such as flu and pneumonia.”
