HESI RN MED SURG 2022 UPDATE (A+)

HESI RN MED SURG 2022 UPDATE (A+) (Thoracentesis) What Position you going to place them in? - ANS-Upright leaning over table to increase lung expansion Metabolic Acidosis Respirations - - ANS-Kussmaul respirations Wheezing - ANS-are short high pitched sounds made on expiratory Abnormal Breathe sounds - - ANS-used to describe bronchial or bronchovesicular sounds heard in the peripheral lung fields. Adventitous sounds - - ANS-are extra breath sounds that are abnormal The presence of bronchovesicular breath sounds in the peripheral lung fields is described as? - - ANS-abnormal lung sounds To prepare the patient for a thoracentesis, the nurse positions the patient - - ANS-sitting upright with the elbows on an over-the-bed table. Bronchoscopy - ANS-After procedure keep the patient NPO until gag reflux returns. Hypoxemia - - ANS-PaO2 is at 55% and SpO2 is 88 What test do you use to verify pulmonary embolus? - - ANS-CT scan A patient with an SaO2 of 85% has a PaO2 of 50mm Hg. This indicates? - - ANS-shift to the left in the oxygen-hemoglobin dissociation curve that could be caused by hypothermia. Normal Arterial Blood Gases - - ANS-pH 7.35-7.45, PaO2 80-100mm Hg, SaO2 >95%, PaCO2 32-48 mm Hg, HCO3- 22-26 mEq/L To determine when the patient with a tracheostomy tube can be effectively swallow, the nurse deflates the cuff and? - - ANS-has the patient drink a small amount of bluecolored water, observing for coughing and colored secretions. When obtaining a health history from a patient with possible cancer of the mouth, the nurse would expect the patient to report? - - ANS-Heavy tobacco and alcohol use. The most normal functioning method of speech restoration in the patient with a total larynectomy is - - ANS-a voice presthesis A patients tracheostomy tube becomes dislodged with vigorous coughing. The first action by the nurse is to? - - ANS-attempt to replace the tube CONTINUES...