HESI / NCLEX COMPLETE GUIDE 2022/2023_Terms in this set (837)

HESI / NCLEX COMPLETE GUIDE 2022 PPD 10 mm or more is considered as _____ positive 3 sputum cultures are negative - Pt is considered noninfectious at this point - it is performed 2-4 weeks after TB therapy TB private room description -at least 6 air exchange per hour -venting to the outside - have contravention lights installed Tracheostamy wall suction maintained between _________ mm hg of pressure 120-180 (one question said 100-150) 80-100 for infants 100-120 for children Tracheostomy care insert catheter until pt coughs or resistance is felt then withdraw 1 cm to move away from mucosa -hyperoxygenate the client before and after suctioning -use intermittent suction in the airway ( not constant) for 10-15 sec Bell of the stetoscope should not be used in auscultating lung sounds chronic airflow limitation (cal) -should alternate periods of activity with rest periods to conserve energy -sit when performing activities -limit activities that involve arm movements -avoid raising the arms above the head incentive spirometry dont breath through nose Pleurisy splint the chest during coughing and deep breathing to prevent atelectasis -lie on the affected side to minimize movement on the affected chest wall silicosis avoid exposure to sands, quarzes, flints and many other stones.. also soaps, polishes and filters may contant silica CPT or chest physicay therapy assist in mobilizing secretions to enhance more effective breathing -will indirectly assist the pt with coughing a client being weaned from a mechanical ventilator antianxiety medications and opioid analgesics western blot test to conform HIV psychosocial needs helping the client deal with his or her own feelings client with endotracheal tube cannot talk so use 'pictures or word board' to communicate peak flow meter for asthma record the final position of the indicator wall sunction pressure : Adults children adults: 80-120 children: 60-110 ... always remove the oxygen just before the ABG levels are drawn pulmonary embolism symptoms CHEST PAIN, dyspnea, tachypnea others: tachycardia, diaphoresis, cough, hemopytosis,fever, andsyncope WBC with a shift to the left proliferation of WBCs complication of empysema carbon monoxide narcosis: s/s occipital headache, drowsiness and inability to concentrate, bounding pulse, co2 of >75 mm hg, confusion, coma, asterixis flail chest multiple chest fractures -apply firm but gentle pressure inward in inspiration, outward in expiration nasal polyp nasal obstruction 1 toxoplasmosis 2 cryptosporydiosis 3 malignant lymphoma 4 pneumocystis pneumonia 1 changes in mental status, neurological deficits, headaches, fever 2 mild diarrhea to cholera-like syndrome with body wasting and electrolyte imbalances (15-20 L/day) 3 weight loss, fever and night sweats 4 fungal infection of the lung (usually seen with HIV) fever, dyspnea, tachypnea, persistent dry cough, crackles - - - -