NUR 3111 Exam 3 (Ventilation) – Questions With
Perfect Solutions
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Terms in this set (206)
_____ are located in the chemoreceptors
medulla, bifurcation of the
carotid arteries, aortic arch
and can respond quickly to
changes in pH, sending
message to lungs
______ are located in the mechanical receptors
lungs, upper airways,
diaphragm and chest wall.
They are stimulated by
irritants, stretching, etc.
They keep the lungs from
overinflating, in part
Filtration of air
Mucociliary clearance system
Respiratory system
Cough Reflex
Reflex bronchoconstriction
Defense Mechanisms (6)
Alveolar macrophages
Gas Exchange
____ is the main cause of Smoking
lung cancer and COPD. It
also is a cause of coronary
heart disease, stroke and a
host of other cancers and
diseases.
Number one cause of Smoking
preventable disease and
death worldwide
,Smoking is directly 90% of lung cancer
responsible for
approximately _______ deaths COPD
and approximately 80% of
deaths caused by ______.
acute lung injury
E-cigarettes contain a
COPD
herbicide primarily used to
asthma
kill weeds. It can cause ______
lung cancer
Know your reasons (health, cost, family etc.)
Set a quit date
Understand what to expect (cravings, prepare for food
Smoking cessation (4 tips)
substitutions, weight control, stress management, etc.)
Get help (support, acupuncture, biofeedback, etc.)
Talk to provider (meds and resources)
_____ gas exchange in the Pulmonary Diffusion
lungs
In ______ oxygen and carbon Pulmonary diffusion
dioxide diffuse across the
alveolar capillary
membrane with ease due to
concentration differences
in the gases
Pulmonary perfusion blood flow to the lungs
Blood flow to the lungs Right ventricle ➡️ pulmonary artery ➡️ blood vessels
occurs from:
______ is increased when Compliance
lungs can easily inflate
within the thoracic cavity.
Lungs can become emphysema
overdistended and lose
their elastic recoil with
increased compliance.
Disease example _____________
,Compliance is decreased pulmonary fibrosis
when the lungs don't easily
inflate within the thoracic
cavity. They meet resistance
and can not fully inflate.
Disease example _______
The amount of pressure partial pressure
each gas exerts is its "part"
in the total gas mix, or it's pO2 = the partial pressure of oxygen
____ pCO2 = the partial pressure of carbon dioxide
Blood
Hgb, Hct, Arterial blood gas (ABG)
Other labs
Sputum and Blood Cultures
Pulmonary Function
Diagnostics
Radiology
Chest x-ray, CT, MRI, V/Q, Angiogram, PET
Endoscopy
Bronchoscopy, mediastinoscopy
Indications for pulse S/S of increased work of breathing, confusion,
oximetry wheezing, rales
____ measures saturation of Pulse oximetry
O2 in blood
Measure lung volume
Pulmonary Function Tests Measure air flow
(PFTs)
Diffusion capacity (how effectively gas travels from the
lungs to the blood)
______ permits visualization of Bronchoscopy
the larynx, trachea, and
bronchi through either a
flexible fiber-optic or rigid
bronchoscope.
, Bronchoscopy can also be endotracheal tube.
performed on clients who
are receiving mechanical
ventilation by inserting the
scope through the client's
_____
Potential Diagnoses:
Visualization (tumors, inflammation, etc.)
Biopsy (lung cancer)
-Additional risks for bleeding and/or perforation.
Aspiration of deep sputum or lung abscesses for C&S or
cytology (pneumonia)
Bronchoscopy
Therapeutic reasons:
Indications
Removal of foreign bodies and secretions
Postoperative atelectasis
Destroy and excise lesions
**ATI
Assess for anesthesia allergies or anticoagulants use.
Ensure consent form is signed
Bronchoscopy
Remove dentures
Preprocedure - Nursing
Maintain the pt NPO 4 to 8 hr prior
Actions
Administer preprocedure medications (anxiolytic,
atropine, viscous lidocaine, local anesthetic throat
spray).
Perfect Solutions
Save
Terms in this set (206)
_____ are located in the chemoreceptors
medulla, bifurcation of the
carotid arteries, aortic arch
and can respond quickly to
changes in pH, sending
message to lungs
______ are located in the mechanical receptors
lungs, upper airways,
diaphragm and chest wall.
They are stimulated by
irritants, stretching, etc.
They keep the lungs from
overinflating, in part
Filtration of air
Mucociliary clearance system
Respiratory system
Cough Reflex
Reflex bronchoconstriction
Defense Mechanisms (6)
Alveolar macrophages
Gas Exchange
____ is the main cause of Smoking
lung cancer and COPD. It
also is a cause of coronary
heart disease, stroke and a
host of other cancers and
diseases.
Number one cause of Smoking
preventable disease and
death worldwide
,Smoking is directly 90% of lung cancer
responsible for
approximately _______ deaths COPD
and approximately 80% of
deaths caused by ______.
acute lung injury
E-cigarettes contain a
COPD
herbicide primarily used to
asthma
kill weeds. It can cause ______
lung cancer
Know your reasons (health, cost, family etc.)
Set a quit date
Understand what to expect (cravings, prepare for food
Smoking cessation (4 tips)
substitutions, weight control, stress management, etc.)
Get help (support, acupuncture, biofeedback, etc.)
Talk to provider (meds and resources)
_____ gas exchange in the Pulmonary Diffusion
lungs
In ______ oxygen and carbon Pulmonary diffusion
dioxide diffuse across the
alveolar capillary
membrane with ease due to
concentration differences
in the gases
Pulmonary perfusion blood flow to the lungs
Blood flow to the lungs Right ventricle ➡️ pulmonary artery ➡️ blood vessels
occurs from:
______ is increased when Compliance
lungs can easily inflate
within the thoracic cavity.
Lungs can become emphysema
overdistended and lose
their elastic recoil with
increased compliance.
Disease example _____________
,Compliance is decreased pulmonary fibrosis
when the lungs don't easily
inflate within the thoracic
cavity. They meet resistance
and can not fully inflate.
Disease example _______
The amount of pressure partial pressure
each gas exerts is its "part"
in the total gas mix, or it's pO2 = the partial pressure of oxygen
____ pCO2 = the partial pressure of carbon dioxide
Blood
Hgb, Hct, Arterial blood gas (ABG)
Other labs
Sputum and Blood Cultures
Pulmonary Function
Diagnostics
Radiology
Chest x-ray, CT, MRI, V/Q, Angiogram, PET
Endoscopy
Bronchoscopy, mediastinoscopy
Indications for pulse S/S of increased work of breathing, confusion,
oximetry wheezing, rales
____ measures saturation of Pulse oximetry
O2 in blood
Measure lung volume
Pulmonary Function Tests Measure air flow
(PFTs)
Diffusion capacity (how effectively gas travels from the
lungs to the blood)
______ permits visualization of Bronchoscopy
the larynx, trachea, and
bronchi through either a
flexible fiber-optic or rigid
bronchoscope.
, Bronchoscopy can also be endotracheal tube.
performed on clients who
are receiving mechanical
ventilation by inserting the
scope through the client's
_____
Potential Diagnoses:
Visualization (tumors, inflammation, etc.)
Biopsy (lung cancer)
-Additional risks for bleeding and/or perforation.
Aspiration of deep sputum or lung abscesses for C&S or
cytology (pneumonia)
Bronchoscopy
Therapeutic reasons:
Indications
Removal of foreign bodies and secretions
Postoperative atelectasis
Destroy and excise lesions
**ATI
Assess for anesthesia allergies or anticoagulants use.
Ensure consent form is signed
Bronchoscopy
Remove dentures
Preprocedure - Nursing
Maintain the pt NPO 4 to 8 hr prior
Actions
Administer preprocedure medications (anxiolytic,
atropine, viscous lidocaine, local anesthetic throat
spray).
