Respiratory
1. What finding is consistent for a patient with PE (pulmonary embolism)?
Pleural friction rub
For A patient with shortness of breath and chest pain, rapid response is
called, the head of the bed is elevated, and oxygen is applied. What do
you do next?
Place the patient on a cardiac monitor. And pulse oximetry.
A patient is d/c’d on warfarin for PE. What Comment from the patient
achieves a clear understanding?
My INR is to be monitored frequently.
Which ABG will a patient who has just developed PE likely have?
pH 7.60, PaO2 85, PaCO2 32, HCO3 23, SaO2 88
(Respiratory alkalosis)
5. Who is a priority patient?
A patient on day 10 of heparin with blood oozing from their
Foley catheter.
6. A chest tube is continuously bubbling in the suction control chamber.
Do you call the doctor?
No. This is normal in the suction control chamber.
, 7. A patient with a chest tube has asymmetrical chest expansion. Do you
call the doctor?
Absolutely! YES!!
8. A patient has 95 mL of drainage from their chest tube in one hour. Do
you call the provider?
Yes! Itis >70 ml/hr
9. Eyelets of the chest tube become visible. Do you call the provider?
Yes! The tube is coming out of the pleural space.
10. It is day 4 with chest tube therapy. Now, there is a continuous
bubbling of water in the water seal chamber. What priority action
needs to come next?
Call the doctor to report a leak in the system.
11. A patient with dyspnea, BP 145/86, R 10, HR 110, pH 7.28.,
Pa02 60, PaCo2 52, HCO3 24, Sa02 84%. What would be this
problem?
Acute respiratory failure.
12. Who is at greatest risk for ARDS?
A burn victim receiving IV fluid boluses.
13. Who would be considered a priority patient?
A patient receiving 100% oxygen therapy and their PAO2 is 55.
14. A patient with ARDS was intubated 45 minutes ago. What is the
next priority?
1. What finding is consistent for a patient with PE (pulmonary embolism)?
Pleural friction rub
For A patient with shortness of breath and chest pain, rapid response is
called, the head of the bed is elevated, and oxygen is applied. What do
you do next?
Place the patient on a cardiac monitor. And pulse oximetry.
A patient is d/c’d on warfarin for PE. What Comment from the patient
achieves a clear understanding?
My INR is to be monitored frequently.
Which ABG will a patient who has just developed PE likely have?
pH 7.60, PaO2 85, PaCO2 32, HCO3 23, SaO2 88
(Respiratory alkalosis)
5. Who is a priority patient?
A patient on day 10 of heparin with blood oozing from their
Foley catheter.
6. A chest tube is continuously bubbling in the suction control chamber.
Do you call the doctor?
No. This is normal in the suction control chamber.
, 7. A patient with a chest tube has asymmetrical chest expansion. Do you
call the doctor?
Absolutely! YES!!
8. A patient has 95 mL of drainage from their chest tube in one hour. Do
you call the provider?
Yes! Itis >70 ml/hr
9. Eyelets of the chest tube become visible. Do you call the provider?
Yes! The tube is coming out of the pleural space.
10. It is day 4 with chest tube therapy. Now, there is a continuous
bubbling of water in the water seal chamber. What priority action
needs to come next?
Call the doctor to report a leak in the system.
11. A patient with dyspnea, BP 145/86, R 10, HR 110, pH 7.28.,
Pa02 60, PaCo2 52, HCO3 24, Sa02 84%. What would be this
problem?
Acute respiratory failure.
12. Who is at greatest risk for ARDS?
A burn victim receiving IV fluid boluses.
13. Who would be considered a priority patient?
A patient receiving 100% oxygen therapy and their PAO2 is 55.
14. A patient with ARDS was intubated 45 minutes ago. What is the
next priority?
