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83 Cards in this Set
- Front
- Back
What is the movement of air in and out of the lungs |
Ventilation |
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What is the exchange of oxygen and carbon dioxide |
Respiration |
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What type of respiration takes place at the most distal point in the airway between the alveolar and capillary membranes |
External |
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What type of respiration occurs at the cellular level by means of hemoglobin and body cells |
Internal |
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Functional changes to the respiratory system for older adults include |
Diminished coughing and gag reflexes, increased use of accessory muscles for breathing, diminished efficiency of gas exchange in the lungs, and increased mouth breathing and snoring. |
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What is insufficient oxygen within arterial blood |
Hypoxemia |
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What is inadequate oxygen at the cellular level |
Hypoxia |
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All clients under five years of age, over 65 years, or anyone with a compromising chronic health condition should be assessed for and offered what vaccination for reducing infection with 13 strains of Streptococcus pneumoniae? |
Prevnar 13 |
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What is a common sign of inadequate oxygenation |
A change in level of consciousness |
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What is a non-invasive, transcutaneous technique for periodically or continuously monitoring the oxygen saturation of blood |
Pulse oximetry |
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SaO2 is? |
The percentage of hemoglobin saturated with oxygen. Should be between 95-100 |
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Normal range for pH in arterial blood gases |
7.35 to 7.45 |
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When obtaining an ABG, apply pressure to the arterial puncture site for how long? |
5 to 10 minutes |
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What technique for deep breathing uses a calibrated device that encourages clients to reach a goal directed volume of inspired air |
Incentive spirometry |
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What is a form of controlled ventilation in which the client continuously prolonged the expiration phase of breathing |
Pursed lip breathing |
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What type of breathing promotes the use of the diaphragm rather than the upper chest muscles? It helps completely expel air from the lungs |
Diaphragmatic breathing |
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⭐️ what is an intervention for administering more oxygen than is present in the atmosphere to prevent or relieve hypoxemia? |
Oxygen therapy |
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What type of oxygen unit converts cooled liquid oxygen into gas by passing it through heated coals |
Liquid oxygen unit |
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How much oxygen does a liquid oxygen unit typically hold |
4 to 8 hours worth |
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What type of machine collects and concentrates oxygen from room air and stores it for client use |
An oxygen concentrator |
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What type of gauge is used to regulate the amount of oxygen delivered to the client and is attached to the oxygen source |
A flow meter |
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The fraction of inspired oxygen is the concentration of oxygen that the physician prescribes. The joint commission recommends that would be used rather than what? |
The joint commission recommends the oxygen be prescribed as percentage rather than in liters per minute because depending on the oxygen delivery device liters per minute may provide different percentages of oxygen |
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What is a device that measures the percentage of delivered oxygen to determine whether the client is receiving amounts prescribed by the physician |
An oxygen analyzer |
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What is a device that produces small water droplets and maybe used during oxygen administration because oxygen is drying to the mucous membranes |
A humidifier |
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What is the most common oxygen delivery device |
Nasal cannula |
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What type of oxygen mask fits over the mouth and ears and allows atmospheric air to enter and exit through side ports |
A simple mask |
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When a simple mask is used oxygen is delivered at no less than what per minute? |
No less than 5 L per minute |
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What oxygen delivery device where a client inhales and mixture of atmospheric air, oxygen from its source, and oxygen contain within a reservoir bag? |
Partial rebreather mask |
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What type of oxygen delivery device is where all the exhaled air leaves the mask rather than partially entering the reservoir bag? |
A nonrebreather mask |
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What type of mask mix is a precise amount of oxygen and atmospheric air? |
A Venturi mask |
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What type of mask has a large rink to extending from it, adapters within the tube, which are color-coded or regulated by a dial system? |
A Venturi mask |
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What provides oxygen to the nose and mouth without the discomfort of a mask? |
A face tent |
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What delivers oxygen near an artificial opening in the neck? |
A tracheostomy collar |
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What is a method for delivering oxygen with a tube inserted through the nose into the posterior nasal pharynx? |
A nasal catheter |
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The two main oxygen hazards are |
Fire, and toxicity |
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What refers to lung damage that develops when oxygen concentrations of more than 50% are administered for longer than 48 to 72 hours? |
Oxygen toxicity |
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What is a Lipo proteins produced by cells in the alveoli that promotes elasticities of the lungs and enhances gas diffusion? |
Surfacant |
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What are the two types of positive airway pressure machines |
A CPAP and a BiPAP |
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What type of mask is attached to a portable ventilator that maintains a continuous positive airway pressure, one pressure, keeping the alveoli partially inflated even during periods of expiration |
CPAP |
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What type of mask provides two different levels of airway pressure, inspiratory positive airway pressure, which is higher during inhalation, and expiratory positive airway pressure during expiration? |
BiPAP |
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What is a technique for evacuating air or blood from the pleural cavity which helps restore negative Intrapleural pressure and reinflate the lung? |
Water seal chest tube drainage |
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Water seal chest tube drainage machines have a three chamber system. What are the three chambers for? |
When chamber collects blood or acts as an exit route for plural air. A second compartment holds water that prevents atmospheric air from reentering the plural space hence the term water seal. A third chamber, if used, facilitates the use of suction, which may speed the evacuation of blood or air. |
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The most important principle when caring for clients with a water seal drainage, is that you always do what before removing the chest tube? |
The chest tube must never be separated from the drainage system unless it is clamped. |
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How much water in a water seal chest tube drainage system seals The seal? |
2cm |
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What type of oxygen therapy consist of the delivery of 100% oxygen at three times the normal atmospheric pressure with an airtight chamber? |
Hyperbaric oxygen therapy |
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What is the primary function of the respiratory system |
To permit ventilation |
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What is A collective system of tubes in the upper and lower respiratory tract |
The airway |
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Which airway consist of the nose in pharynx, which is subdivided into the nasopharynx, oropharynx and laryngeal pharynx? |
The upper airway |
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Which airway consists of the trachea, bronchi, bronchioles, and alveoli? |
The lower airway |
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What is mucus raised the level of the upper airways? |
Sputum |
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Respiratory cilia become less efficient, pre-disposing what age group to a high incidence of pneumonia? |
The elderly |
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What group are the techniques including postural drainage, percussion, and vibration from? |
Chest physiotherapy |
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In most hospitals, respiratory therapist are responsible for postural drainage. In long-term care facilities and home health care, who teaches the clients and families to perform this technique? |
The nurses |
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What is the rhythmatic striking of the chest wall with cupped hands? |
Percussion. Used to break up secretions |
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What technique uses the palms of the hands to shake underlying tissue to loosen retain secretions? |
Vibration |
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What type of removing secretions relies on negative pressure to remove liquid secretions with a catheter? |
Suctioning |
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What is a curved device that keeps the relaxed tongue position forward within the mouth preventing the tongue from obstructing the airway? |
An oral airway |
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What is a curved guide with a bullet shaped tip that is used at the time of tube insertion to prevent the edge of the cannula from traumatizing tracheal tissue? |
An obturator |
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Because the tracheostomy tube is below the level of the larynx, clients cannot speak. One exception is if they have a type with holes in the outer cannula which allows air to pass through the vocal cords allowing speech. What is this called? |
Fenestrated tracheostomy tube |
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How much urine is eliminated each day |
1500 mL to 3000 mL |
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At what point of bladder distention do you feel the urge to urinate |
150-300ml |
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What are abnormal urination amounts for a 24 hour period |
Anything less than 400 mL, or anything greater than 3000 mL |
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What type of sample is preferred for a void in specimen |
The first void of the day |
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What causes Albuminuria? |
A plasma protein |
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What is classified as oliguria |
400 mL or less in a day |
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Residual urine is how much |
more than 50ml after voiding |
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What is the act of bending forward and applying pressure to the bladder |
Credes maneuver |
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What is it called to lightly massage or tap the skin about the pubic area to facilitate urination |
Cutaneous triggering |
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What is the fifth most common type of HAI? |
CAUTI. A catheter associated urinary tract infection |
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What is the efficient use of the musculoskeletal system |
Body mechanics |
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What is the specialty field of engineering science devoted to promoting comfort performance and health in the workplace |
Ergonomics |
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What type of bed slowly and continuously rocks the client from side to side to relieve skin pressure and help mobilize respiratory secretions |
osculating support bed |
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What type of bed supports the client on a six or 7 foot anterior or posterior platform |
circular bed |
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What is body composition? |
The amount of body tissue that is lean versus the amount that is fat |
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What is an electrical conduction through the heart during maximal activity? |
A stress electrocardiogram |
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What type of test is a continuous recording of the heart rate during normal activity? |
Ambulatory electrocardiogram |
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Exercise prescriptions are based on the target heart rate, how do you find your Target heart rate? |
It is your age subtracted from 220. This is the highest you want your heart to go during exercise. |
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What type of exercise is it when you actually move? |
Isotonic. |
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What type of exercise is it when you just contract muscles sometimes against resistance |
Isometric |
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What type of exercise combines movement in speed with resistance? |
Isokinetic |
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What is a device that immobilizes and protects an injured part of the body |
Splint |
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Describe semi Fowler |
Elevated head, but hips are still less than 60° |
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Your |
Mom |