Solutions
3 late clinical manifestations of inadequate oxygenation
Correct Answer BED
Bradycardia, extreme restlessness, dyspnea at rest
4 early clinical manifestations of in adequate oxygenation
Correct Answer RATT
Restlessness, anxiety, tachycardia, tachypnea, compensatory
mechanisms
A patient has a weak pulse, pulse 118, respirations 36 but
shallow and labored, nailbeds are cyanotic and patient says they
have chest pain. The first thing the nurse should do is Correct
Answer Administer oxygen because the patient is cyanotic
Acute management and nursing interventions for asthma
Correct Answer Stay calm. Position patient in high Fowlers.
Pursed lip breathing 1:3 seconds.Smell the roses and blow out
100 birthday candles. Yes or no questions. Normal Celine IV
fluids. Small frequent meals. Oxygen and medications for a
quick and long-term control
Acute management for COPD Correct Answer Assess
respiratory system, use yes or no questions, position sitting up or
tripod, breathing techniques, small frequent meals, caloric
intake, IB fluids, medications for quick relief and oxygen.
Airway clearance techniques or ACTs
,Acute management for COPD when they are going downhill
Correct Answer Paradoxical respiration. Abdomen: in on
inspiration. As far the doctor and suggest higher intervention
like BiPAP. Will happen before changes in ABGs, respiratory
failure
Acute management for COPD with normal breathing Correct
Answer Diaphragmatic movement. Abdomen: out of on
inspiration, in on exhalation
Acute management in nursing interventions for pulmonary
embolism Correct Answer Stay with patient, position upright
in high Fowlers, assess vital signs, respiratory assessment,
provide oxygen PRN, IV access, anticoagulation with Coumadin
or heparin, anxiety treatment with morphine to help calm patient
and vasodilate in extremities
Adverse effect of heparin includes HIT, heparin induced
thrombocytopenia. What lab value should be monitored, what is
the normal range, what is the range where the provider must be
notified and when will this complication happen after therapy?
Correct Answer Platelet levels should be monitored and the
normal range is 150 to 400,000. Anything less than 100,000 the
healthcare provider should be notified. Complications of HIT
happens 5 to 10 days after therapy.
Adverse reactions and side effects of albuterol Correct Answer
Sometimes it stimulates beta one receptors and can cause
nervousness, restlessness, tremors, dizziness. Other clinical
adverse reactions include chest pain, tachycardia, palpitations
and cardiac dysrhythmias
, After confirmation that a patient has DVT the nurse should
anticipate this drug therapy Correct Answer Heparin therapy
After using albuterol you must wait Correct Answer One
minute between doses and rinse mouth after those
Airway clearance techniques for COPD Correct Answer Huff
coughing is affective coughing, chest physiotherapy for postural
drainage is a positioning technique that drain secretions with the
use of gravity. Position depends on client, bronchodilators and
hydration prior to, position held for five minutes with percussion
and vibration therapy
Albuterol Correct Answer Beta 2 adrenergic bronchodilator,
treatment of bronchospasms and obstructive disorders.
Stimulates beta two receptors and stimulates bronchodilation.
Smooth muscles relax.
Anticoagulants Correct Answer Have no direct effect on a
blood clot that is already formed, are used prophylactically to
prevent clot formation, thrombus or an embolus, a dislodged clot
Antidote that is given if patient is bleeding and PTT is too high
after getting heparin Correct Answer Protamine sulfate, the
antidote for heparin
Assessment for orthopnea, chest pain and vital signs Correct
Answer Orthopnea, needs to sit up to breathe easier. Chest
pain, do they have wheezing, shortness of breath, cough,