NUR 265 Respiratory FINAL UPDATED ACTUAL Questions and CORRECT Answers

NUR 265 Respiratory FINAL UPDATED
ACTUAL Questions and CORRECT
Answers
Hypoxia - CORRECT ANSWER Early - tachy, pale, nasal flaring, restlessness
Late - cyanosis, hypotension, confusion


Atelectasis - CORRECT ANSWER - closure or collapse of alveoli (where gas exchange
occurs)


Atelectasis s/s - CORRECT ANSWER - dyspnea
- cough
- tachy
- sputum production


Atelectasis interventions - CORRECT ANSWER - frequent turning
- oral care
- incentive spirometry
- Increase HOB
- deep breathing


Increase BP - CORRECT ANSWER Increase HOB



Decrease BP - CORRECT ANSWER Decrease HOB



Pneumonia - CORRECT ANSWER inflammation of lungs

, Community aquired pneumonia (CAP) - CORRECT ANSWER - occurs in community
setting or w/in first 48 hours after hospitalization


Hospital Aquired Pneumonia - CORRECT ANSWER - develops 48 hours or more after
admin


Pneumonia s/s - CORRECT ANSWER * similar to decrease resp. and infection s/s
- cough
- tachy
- dyspnea
- chills / fever


Pneumonia assessment - CORRECT ANSWER Increase WBC
sputum culture (rinse mouth before)


Pneumonia prevention - CORRECT ANSWER - hand washing
- pneumococcal vaccine (65 +)
- smoking cessation
- suction


Pneumonia Medical Management - CORRECT ANSWER - antibiotics (start with board
(Rocephin) then specific based on culture results)
** antibiotics are ineffective in viral infections


Pneumonia: what to report - CORRECT ANSWER - low BP because could be septic



Aspiration - CORRECT ANSWER - inhalation of foreign material into lungs
S/S