Funds Ch 27

Front 1

What's the difference between hypoxia and hypoxemia?

Back 1

Hypoxia is low level of O2 in tissues: Hypoxemia is low level of O2 in blood

Front 2

What is the first sign of hypoxia?

Back 2

Confusion

Front 3

What are retractions?

Back 3

Muscles move upward upon inspiration

Front 4

Some patients with neuromuscular diseases develoop hypoxemia because of:

Back 4

Weak respiratory muscles

Front 5

In an unconscious patient what's the most common cause of airway obstruction?

Back 5

Tongue

Front 6

What is normal SaO2?

Back 6

95-99 percent

Front 7

In using a pulse oximeter how often do you rotate the sites?

Back 7

Clip on every 4 hours; disposable probes every 24 hours

Front 8

In administering the heimlich maneuver, where do you put your hands?

Back 8

1/2 way between the xiphoid process and the umbilicus with the thumb of fist inward.

Front 9

If you're doing the heimlich on an unconscious person, how many abdominal thrusts do you do?

Back 9

5, then check the Jaw to see if there's a foreign body

Front 10

If the choking victim is very obese or pregnant, what do you do?

Back 10

Chest thrusts rather than abdominal thrusts.

Front 11

Single rescuer rescue breathing is how often

Back 11

12 X a minute

Front 12

For postural drainage, how much should the patient drink?

Back 12

1500-2000 CCs

Front 13

To drain the apical segment of the upper lobe, what position do you have the patient in?

Back 13

High Fowlers

Front 14

How often should a patient deep breathe after surgery?

Back 14

5-10 deep breaths every 2 hours

Front 15

When are the best results from postural drainage?

Back 15

In the AM and 45 to 60 mins before a meal

Front 16

How much O2 can a nurse administer w/o dr involvement?

Back 16

2 liters

Front 17

What is the venturi mask?

Back 17

Delivers O2 - most accurate - must be removed for eating and meds

Front 18

What is the advantage of the non rebreathing mask?

Back 18

Highest O2 delivery

Front 19

The patient with COPD has what abmormality?

Back 19

Decreased elasticity of the lung tissue.

Front 20

In general, a safe level of O2 for someone with normal lungs is:

Back 20

3 - 5 liters per minute

Front 21

If the patient is showing restlessness and irritability, the nurse should:

Back 21

TCDB

Front 22

If a patient is undergoing O2 therapy, what must the nurse do?

Back 22

Mouth care

Front 23

If there is continuous bubbling in a water seal drainage system that is not hooked up to suction, the nurse knows that:

Back 23

There's an air leak in the system

Front 24

Many elderly pts have trouble breathing deep enough because of:

Back 24

Arthritis of the rib cage

Front 25

How often are the settings on respiratory support equipment checked?

Back 25

Once a shift (at least)

Front 26

When deep breathing, how long should they hold it?

Back 26

at least 3 seconds

Front 27

How does the incentive spirometer work

Back 27

The pt takes a deep breath and the ball moves upward. Should do 10 X hour

Front 28

Pts with difficulty breathing are in what position usually?

Back 28

High fowlers

Front 29

What is the orthopenic position?

Back 29

Hunched over a table with 2 or 3 pillows

Front 30

When O2 is in use, give oral hygiene how often

Back 30

Every 3 to 4 hours

Front 31

What is the obturator?

Back 31

Guide for the tracheostomy tube to be inserted, then it is removed

Front 32

When taking care of chest tubes, you should report drainage in excess of what?

Back 32

100 ml per hour

Front 33

Wall suction unit pressure is set to ??

Back 33

80 to 120 mm HG

Front 34

How is oxygen delivered?

Back 34

Flowmeter

Front 35

How often must a tracheostomy tube be deflated?

Back 35

every 8 hours

Front 36

Where is the chest drainage tube placed?

Back 36

Intrapleural space

Front 37

Pertinent nursing diagnoses are:

Back 37

Ineffective airway clearance
Impaired gas exchange
Risk for infection
Knowledge deficit
Risk for injury

Front 38

What is another name for COPD?

Back 38

CAL (Chronic airflow limitation)

Front 39

Evaluation is based on what?

Back 39

Pulse OX, ABG, assessment findings

Front 40

It is important to relieve anxiety in a patient with impaired lung function because:

Back 40

tense muscles need more oxygen

Front 41

For a disposable chest drainage unit, you know there has to be what?

Back 41

Continuous bubbling in the suction chamber

Front 42

Elderly more prone to problems because:

Back 42

reduced elasticity of lung tissues

Front 43

One nursing measure that can prevent respiratory insufficiency is to:

Back 43

administer lo flow O2 constantly

Front 44

What is a tension pneumothorax?

Back 44

Air that enters the pleural space and is trapped there