NR341 / NR-341 Exam 1 (Latest
Update ): Complex Adult
Health | Complete Guide with
Questions and Verified Answers |
100% Correct - Chamberlain
Question:
What to do if when the endotracheal tube is removed the patient is having
stridor and difficulty breathing?
Answer:
bipap or re intubated may be needed.. always stay with the patient a little bit
after exubation
Question:
irreversible disease causing hypoxemia and respiratory acidosis
Complications:
- right sided heart failure
Answer:
COPD
,Question:
- PCO2 > 50mm Hg with pH < 7.35
- ventilation problem
- body cannot remove CO2
Causes:
- asthma (severe exacerbation)
- chronic obstructive pulmonary disease (COPD)
- cystic fibrosis
- spinal cord injury
- pain which limits respiration
- severe obesity
- multiple sclerosis
- sedative or opioid overdose
Answer:
hypercapnic respiratory failure
Question:
- PaO2 < 60mm Hg on FiO2 > 0.50
- ineffective oxygenation
Causes:
- massive PE
,- ARDS
- smoke inhalation
- cardiogenic shock
- drowning (pulmonary edema)
- sepsis
- pneumonia
- COVID
- ventilation/perfusion mismatch
Answer:
Hypoxic Respiratory Failure
Question:
- occurs when oxygen levels drop (hypoxia) and carbon dioxide levels are too
high (hypercapnia)
- COPD patient who has pneumonia
- PaO2 ≤60 mmHg on ≥60% oxygen
- PaCO2 >50 mmHg with arterial pH <7.35
Answer:
Hypoxic-Hypercapnic Respiratory Failure
, Question:
progressive disease that develops over many years; fatty streak found in the
artery --> fibrous plaque is created on on top of it --> complicated lesion -->
inflammation inside the artery --> rupture of plaque --> clot can develop
which can partially or totally occlude the artery --> ischemia
- most will be asymptomatic or have chronic stable angina
- can progress to acute coronary syndrome
Answer:
atheroscerlosis (CAD)
Question:
- narrowing or occlusion of peripheral arteries that mainly affect the lower
extremities
- caused by atherosclerosis
- blood flow is decreased
Manifestations:
- intermittent claudification (caused by exercise and resolves with rest
- paresthesia in toes or feet
- thin, shiny, and taut skin on lower legs; no hair
- lower extremity pulses are decreased or absent
- pallor of the feet when legs are elevated
- rubor of the feet when in dependent position
- ulcers on feet and toes that have defined borders and are dry
Update ): Complex Adult
Health | Complete Guide with
Questions and Verified Answers |
100% Correct - Chamberlain
Question:
What to do if when the endotracheal tube is removed the patient is having
stridor and difficulty breathing?
Answer:
bipap or re intubated may be needed.. always stay with the patient a little bit
after exubation
Question:
irreversible disease causing hypoxemia and respiratory acidosis
Complications:
- right sided heart failure
Answer:
COPD
,Question:
- PCO2 > 50mm Hg with pH < 7.35
- ventilation problem
- body cannot remove CO2
Causes:
- asthma (severe exacerbation)
- chronic obstructive pulmonary disease (COPD)
- cystic fibrosis
- spinal cord injury
- pain which limits respiration
- severe obesity
- multiple sclerosis
- sedative or opioid overdose
Answer:
hypercapnic respiratory failure
Question:
- PaO2 < 60mm Hg on FiO2 > 0.50
- ineffective oxygenation
Causes:
- massive PE
,- ARDS
- smoke inhalation
- cardiogenic shock
- drowning (pulmonary edema)
- sepsis
- pneumonia
- COVID
- ventilation/perfusion mismatch
Answer:
Hypoxic Respiratory Failure
Question:
- occurs when oxygen levels drop (hypoxia) and carbon dioxide levels are too
high (hypercapnia)
- COPD patient who has pneumonia
- PaO2 ≤60 mmHg on ≥60% oxygen
- PaCO2 >50 mmHg with arterial pH <7.35
Answer:
Hypoxic-Hypercapnic Respiratory Failure
, Question:
progressive disease that develops over many years; fatty streak found in the
artery --> fibrous plaque is created on on top of it --> complicated lesion -->
inflammation inside the artery --> rupture of plaque --> clot can develop
which can partially or totally occlude the artery --> ischemia
- most will be asymptomatic or have chronic stable angina
- can progress to acute coronary syndrome
Answer:
atheroscerlosis (CAD)
Question:
- narrowing or occlusion of peripheral arteries that mainly affect the lower
extremities
- caused by atherosclerosis
- blood flow is decreased
Manifestations:
- intermittent claudification (caused by exercise and resolves with rest
- paresthesia in toes or feet
- thin, shiny, and taut skin on lower legs; no hair
- lower extremity pulses are decreased or absent
- pallor of the feet when legs are elevated
- rubor of the feet when in dependent position
- ulcers on feet and toes that have defined borders and are dry
