Nur 155 Exam 3 Questions with 100% Correct
Answers
Describe Venous insufficiency Correct Answer: Swelling
of legs & ankles, leg cramps, shallow wounds, varicose
veins, normal pedal pulses, increase edema, normal skin
temp., skin dry & flaky, pain is mild to moderate,
elevation lessens pain
Describe the face tent mask Correct Answer: Used when
a standard type mask is not tolerated well by patient
varying O2 concentrations; Delivers 4-8 L/min
Describe the venture mask Correct Answer: Allows for
precise O2 concentration & liter flow delivers 4-10 L/min
Describe the simple face mask Correct Answer:
Standard face mask; delivers 5-8 L/min
Describe the partial rebreather mask Correct Answer:
Simple face mask w/ O2 reservoir bag attached allows
pt to rebreathe the first 1/3 of exhaled O2
Define Eupnea Correct Answer: normal respirations
quiet, rhythmic, effortless
,Define Tachypnea Correct Answer: rapid respirations
seen w/ fever, hypoxemia, metabolic acidosis
Define Apnea Correct Answer: Absence of breathing
Define Hyperventilation Correct Answer: Increased air
movement more CO2 is eliminated than produced
Define Kussmaul's breathing Correct Answer: Metabolic
acidosis, body attempts to compensate for increased
metabolic acid in form of CO2
Define Bradypnea Correct Answer: Abnormally slow
respiratory rate seen in pt who took morphine or
sedatives, pt w/ metabolic acidosis, pt w/ increased
inter-cranial pressure from TBI
Define hypoventilation Correct Answer: Inadequate
alveolar ventilation caused by slow or shallow breathing,
may occur due to disease of respiratory muscle, drugs or
anesthesia
How do we implement care for cardia patients? Correct
Answer: Positioning, ambulation, exercise, I/O,
medications, prevent venous stasis
, Define Orthopnea Correct Answer: Inability to breathe
easily unless sitting upright or standing
Define cheyne stokes respirations Correct Answer:
Marked rhythmic waxing & waning of respirations from
deep to very shallow w/ short periods of apnea
commonly caused by chronic disease, TBI or overdose
What is the risk assessment tool for skin impairment?
Correct Answer: Braden Scale for predicting pressure
sore risk
Pressure area risk assessment form scale
Define non-modifiable risk factos Correct Answer:
Cannot be reduced; heredity, age, gender
What do we do for patients in respiratory distress?
Correct Answer: Assess, administer meds(inhalers),
monitor vitals, place in high flowers, place O2 on
patient, call provider
Define modifiable risk factors Correct Answer: Can be
reduced; smoking, diabetes, obesity, elevated serum
lipids, hypertension, sedentary lifestyle
Answers
Describe Venous insufficiency Correct Answer: Swelling
of legs & ankles, leg cramps, shallow wounds, varicose
veins, normal pedal pulses, increase edema, normal skin
temp., skin dry & flaky, pain is mild to moderate,
elevation lessens pain
Describe the face tent mask Correct Answer: Used when
a standard type mask is not tolerated well by patient
varying O2 concentrations; Delivers 4-8 L/min
Describe the venture mask Correct Answer: Allows for
precise O2 concentration & liter flow delivers 4-10 L/min
Describe the simple face mask Correct Answer:
Standard face mask; delivers 5-8 L/min
Describe the partial rebreather mask Correct Answer:
Simple face mask w/ O2 reservoir bag attached allows
pt to rebreathe the first 1/3 of exhaled O2
Define Eupnea Correct Answer: normal respirations
quiet, rhythmic, effortless
,Define Tachypnea Correct Answer: rapid respirations
seen w/ fever, hypoxemia, metabolic acidosis
Define Apnea Correct Answer: Absence of breathing
Define Hyperventilation Correct Answer: Increased air
movement more CO2 is eliminated than produced
Define Kussmaul's breathing Correct Answer: Metabolic
acidosis, body attempts to compensate for increased
metabolic acid in form of CO2
Define Bradypnea Correct Answer: Abnormally slow
respiratory rate seen in pt who took morphine or
sedatives, pt w/ metabolic acidosis, pt w/ increased
inter-cranial pressure from TBI
Define hypoventilation Correct Answer: Inadequate
alveolar ventilation caused by slow or shallow breathing,
may occur due to disease of respiratory muscle, drugs or
anesthesia
How do we implement care for cardia patients? Correct
Answer: Positioning, ambulation, exercise, I/O,
medications, prevent venous stasis
, Define Orthopnea Correct Answer: Inability to breathe
easily unless sitting upright or standing
Define cheyne stokes respirations Correct Answer:
Marked rhythmic waxing & waning of respirations from
deep to very shallow w/ short periods of apnea
commonly caused by chronic disease, TBI or overdose
What is the risk assessment tool for skin impairment?
Correct Answer: Braden Scale for predicting pressure
sore risk
Pressure area risk assessment form scale
Define non-modifiable risk factos Correct Answer:
Cannot be reduced; heredity, age, gender
What do we do for patients in respiratory distress?
Correct Answer: Assess, administer meds(inhalers),
monitor vitals, place in high flowers, place O2 on
patient, call provider
Define modifiable risk factors Correct Answer: Can be
reduced; smoking, diabetes, obesity, elevated serum
lipids, hypertension, sedentary lifestyle
