RESPIRATORY ATI - MED SURG
RESPIRATORY ATI - MED SURG RESPIRATORY ATI - MED SURG What diagnostic resp procedure determines lung function & breathing difficulties? - CORRECT ANSWER PFT's If a client is a smoker or has asthma, what do you advise to do before a PFT? - CORRECT ANSWER do not smoke 6-8 hr prior do not use inhaler 4-6 hr prior What is the amount of free hydrogen ions in the arterial blood also known as? - CORRECT ANSWER pH What does PaO2 and PaCO2 mean? - CORRECT ANSWER partial pressure of oxygen partial pressure of carbon dioxide What are 2 ways ABG's can be obtained? - CORRECT ANSWER arterial puncture Through an arterial line What type of syringe do you use for arterial puncture? - CORRECT ANSWER heparinized syringe for the sample collection How do you verify patent radial and ulnar circ prior to arterial puncture? - CORRECT ANSWER Allen's test How quickly should a client's hand turn pink indicating patency of ulnar artery and ability to use radial artery to obtain ABG's (with Allen's test)? - CORRECT ANSWER 15 secs Where do you put the specimen directly after an arterial puncture? - CORRECT ANSWER in a basin of ice and water to preserve pH and O2 pressure. Send to lab immediately How long do you hold pressure over site of Arterial puncture? What if pt is taking anticoags? - CORRECT ANSWER 5 min 20 min w/ anticoags What is the rr for PAO2? - CORRECT ANSWER 80-100 mm Hg What are 2 complications of arterial puncture? - CORRECT ANSWER hematoma (apply pressure) air embolism (put pt in trendelenburg position- on left side) What parts does the bronchoscopy visualize? - CORRECT ANSWER larynx, trachea, bronchi What type of scope is used for bronchoscopy? - CORRECT ANSWER flexible fiber-optic rigid bronchoscope What type of anesthesia is used for bronchoscopy? - CORRECT ANSWER general or local anesthesia outpt procedure What does bronchscope look for? - CORRECT ANSWER tumors, inflammation, strictures, suspicious tissue (lung cancer), aspirate sputum for C&S (not only a dx test, also performed for therapeutic purposes) If client has dentures what should you do prior to bronchoscopy? - CORRECT ANSWER remove them how long is client NPO prior to bronchoscopy? - CORRECT ANSWER 4-8 hrs What are some preprocedure meds for bronchoscopy? - CORRECT ANSWER anxiolytic atropine viscous lidocaine local anesthetic throat spray what position is pt supposed to be in during bronchscopy? - CORRECT ANSWER supine or sitting Post bronchscopy, what should RN assess? - CORRECT ANSWER LOC, gag reflex, ability to swallow prior to resuming oral intake -- also monitor for significant fever, productive cough, significant hemoptysis, hypoxemia What are possible complications of bronchoscopy? - CORRECT ANSWER Laryngospasm, pneumothorax, aspiration What does laryngospasm impede? - CORRECT ANSWER ability to inhale. -- monitor for s/s of resp distress If the provider used a rigid bronchoscope, what addt'l complcation is possible? - CORRECT ANSWER pneumothorax -- when rigid scope used What procedure perforates the chest wall & pleural space with a large-bore needle? - CORRECT ANSWER Thoracentesis What can thoracentesis dx? - CORRECT ANSWER transudates,exudates, empyema, pneumonia, chest injuries/trauma, ?? invasive thoracic procedures?? How may a client present that needs a thoracentesis? - CORRECT ANSWER pain, SOB, cough, abnormal breath sounds, dull percussion, dec chest wall expansion What do you analyze about fluid obtained w/ thoracentesis? - CORRECT ANSWER general appearance, cell counts, protein & glucose content, enzymes such as LDH & amylase, abnormal cells and culture What is a preproc
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- RESPIRATORY ATI - MED SURG
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- December 21, 2022
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- 2022/2023
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- respiratory ati
- med surg
- respiratory
- med surg exam
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respiratory ati med surg
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what diagnostic resp procedure determines lung function amp breathing difficulties
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if a client is a smoker or has asthm
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