NR 224 Exam 2 Questions and Answers Solved Correctly

Atelectasis - The collapse of the alveoli that prevents normal exchange of oxygen and CO2 how to prevent atelectasis - deep breathing exercises, coughing after surgery, smoking cessation prior to surgery Respiratory Observations on a patient - observe nails for clubbing, chest wall retraction and accessory muscle use, breathing pattern, and assess for paradoxical breathing or asynchronous breathing 6 P's of Dyspnea - P- Pulmonary Bronchial Constriction P- Possible Foreign Body P- Pulmonary Embolus P- Pneumothorax P- Pump Failure P- Pneumonia If patient is at 89% SPO2, do not place pt on oxygen, what do we do instead? - Reposition patient to maximize ventilation , ask them to take a few deep breaths and check equipment is working properly Orthopenea - shortness of breath that occurs when lying flat What invention can improve orthopenea? - use multiple pillows to make it easier for he patient to breathe, have patient sit forward with arms elevated or patient can sleep in a recliner chair Signs and Symptoms of Hypoxia - Apprehension, restlessness, inability o concentrate, decreased level of consciousness, dizziness, behavioral changes, inability to lay flat, VS changes ( increased pulse and increase in depth of respiration), decline in respiratory rate due to respiratory muscle fatigue.First sign of hypoxia - Elevated BP, unless condition is caused by shock