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45 Cards in this Set
- Front
- Back
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Which of the following laboratory findings in a patient with dyspnea would indicate to the nurse that the patient is hypoxemia?
a. PaCO2 of 50 mmHg c. Hemoglobin level of 12 gm/dl d. oxygenation saturation of 95% |
b. PaO2 of 50 mmHg |
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The nurse prepares the patient for a bronchoscopy. In preparing the patient the nurse would:
a. administer a pre-procedure narcotic to prevent pain b. inform the patient that they will not eat or drink after the test until their gag reflex returns c. check for allergy to contrast dye d. hold all PO intake for 24 hours prior to the test |
b. inform the patient that they will not eat or drink after the test until their gag reflex retutns |
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Pneumovax vaccination is recommended for those in the following categories. (Select all that apply)
a. those who are over weight b. those who are 65 or older with no medical conditions c. those with asthma or other chronic diseases d. young adults with no medical conditions e. infants f. young children or teens with cardiac disease |
c. those with asthma or other chronic diseases f. young children or teens with cardiac disease |
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Bronchoscopy allows visualization of the larynx, trachea and _____________. The patient is kept NPO for atleast ___________ hours prior to the procedure |
bronchi 6 hours |
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After a bronchoscopy, the patient must be monitored for _____________ distress |
respiratory |
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A patient with a history of COPD presents to the emergency department with complaints of increasing shortness of breath, diaphoresis, and headache. The patients ____________________ and vital signs are priority assessment for the nurse to complete at this time |
oxygen saturation |
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A Patient with pneumonia is being discharged with a prescription for levofloxacin (Levaquin), a fluroquinolone. The nurse understands that the patient needs addition teaching when which of the following statements are made. (select all that apply)
a. this drug can cause damage to children's joints if children get ahold of them b. I will take this medication in the morning with breakfast when I take my vitamin and mineral pill c. I will drink lots of water and fluids, at least 2-3 liters per day, to keep from developing kidney problems d. I can start going to the tanning bed again now that I am leaving the hospital |
b. I will take this medication in the morning with breakfast when I take my vitamin and mineral pill d. I can start going to the tanning bed again now that I am leaving the hospital |
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______________________ is a possible side effect of Gentamycin
a. orange tears and urine b. peripheral neuropathy c. decreased visual acuity d. ototoxicity e. pseudomembranous colitis
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d. ototoxicity |
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____________________ is a possible side effect of Penicillin
a. orange tears and urine b. peripheral neuropathy c. decreased visual acuity d. ototoxicity e. pseudomembranous colitis
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e. pseudomembranous colitis |
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___________________ is a possible side effect of Rifampin
a. orange tears and urine b. peripheral neuropathy c. decreased visual acuity d. ototoxicity e. pseudomembranous colitis
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a. orange tears and urine |
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_______________________ is a possible side effect of Isoniazid
a. orange tears and urine b. peripheral neuropathy c. decreased visual acuity d. ototoxicity e. pseudomembranous colitis
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b. peripheral neuropathy |
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______________________ is a possible side effect of Ethambutol
a. orange tears and urine b. peripheral neuropathy c. decreased visual acuity d. ototoxicity e. pseudomembranous colitis
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c. decreased visual acuity |
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A client who is receiving his first dose of gentamicin IV for severe postoperative infection tells the nurse that he feels itchy. The nurse also observes a rash on the clients arms and face. Which action should the nurse do next
a. call the physician STAT b. stop the gentamicin infusion immediately c. assess the clients level of orientation d. take the clients vital signs |
b. stop the gentamicin infusion immediately |
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________________ involves inspiration (movement of air into the lungs)
a. ventilation b. expiration c. elastic recoil d. compliance |
a. ventilation |
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________________ involves movement of air out of the lungs
a. ventilation b. expiration c. elastic recoil d. compliance |
b. expiration |
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__________________ is the tendency for the lungs to relax after being stretched or expanded
a. ventilation b. expiration c. elastic recoil d. compliance |
c. elastic recoil |
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_________________ is a measure of the ease of expansion of the lungs
a. ventilation b. expiration c. elastic recoil d. compliance |
d. compliance |
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you would inspect barrel chest, cyanosis and the use of accessory muscles in a patient with
a. asthma (in exacerbation) b. COPD c. asthma (not in exacerbation) |
b. COPD |
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you would inspect prolonged expirations and pursed lips in a patient with
a. asthma (in exacerbation) b. COPD c. asthma (not in exacerbation) |
a. asthma (in exacerbation) |
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when auscultating a patient with ____________________ you would hear crackles, rhonchi, wheezing and distant breath sounds
a. asthma (in exacerbation) b. COPD c. asthma (not in exacerbation) |
b. CPOD |
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when auscultating a patient with ________________ you would hear wheezing, and decreased breath sounds and diminished air movement
a. asthma (in exacerbation) b. COPD c. asthma (not in exacerbation) |
a. asthma (in exacerbation) |
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__________________ is a highly contagious infection of the lower respiratory tract with gram-negative basillus
a. acute bronchitis b. pertussis c. pneumonia |
b. pertussis |
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_______________ is an acute inflammation of the lung parenchyma that is most frequently caused by microorganisms
a. acute bronchitis b. pertussis c. pneumonia |
c. pneumonia |
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what nursing actions are important when giving antibiotics for pneumonia and TB |
- check for allergies - evenly space intervals to maintain consistent blood levels - give on an empty stomach, 1 hours before or 2 hours after meals (unless indicated to give with food to decrease GI upset) - expect to administer lower doses with renal disease
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super infections are another name for? give examples |
secondary infections ie. c-diff, UTI's, yeast infections etc. |
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signs of anaphylactic reactions |
occur within 5-30 mins
-hypotension - resp distress - bronchospasms - laryngeal edema |
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signs of an allergic reaction |
-rash - hives - pruritus - fever |
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what type of drugs decreased the morbidity and mortality rate of pneumonia? |
sulfa drugs and penicillin |
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who is at the highest risk of death in pneumonia |
people between the age of 1-4 and over 65 |
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what can cause pneumonia? |
-pollution - smoking - upper resp infections - tracheal intubation - aging |
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what are 3 ways pneumonia reaches the lungs? |
1. aspiration from nasopharynx or oropharynx 2. inhalation of microbes such as mycoplasma pneumoniae 3. hematogenous spread from primary infection elsewhere in the body |
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what is the 1st of 3 stages of pneumonia? |
congestion in the lungs |
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what is the 2nd of 3 stages of pneumonia? |
major vasodilation of capillaries |
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what is the 3rd/final stage of pneumonia? |
revolution phase |
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do you obtain a specimen before of after giving an antibiotic? |
before giving an antibiotic |
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giving ______________ is the most important step in helping pneumonia |
oxygen |
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partial or complete collapse of the lungs is considered?
a. atelectasis b. bacteremia c. empyema d. pericarditis e. meningitis f. endocarditis |
a. atelectasis |
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_________________ is a bacteria infection in the blood
a. atelectasis b. bacteremia c. empyema d. pericarditis e. meningitis f. endocarditis |
b. bacteremia |
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pneumococo is an example of
a. atelectasis b. bacteremia c. empyema d. pericarditis e. meningitis f. endocarditis |
b. bacteremia |
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when you have __________________ you want to teach the importance of deep breathing
a. atelectasis b. bacteremia c. empyema d. pericarditis e. meningitis f. endocarditis |
a. atelectasis |
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collection of pus in the pleura cavity is known as
a. atelectasis b. bacteremia c. empyema d. pericarditis e. meningitis f. endocarditis |
c. empyema |
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this requires drainage of exude in the lung
a. atelectasis b. bacteremia c. empyema d. pericarditis e. meningitis f. endocarditis |
c. empyema |
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___________________ is inflammation of the meninges caused by viral or bacterial infection and marked by intense headache and fever, sensitivity to light, and muscular rigidity
a. atelectasis b. bacteremia c. empyema d. pericarditis e. meningitis f. endocarditis |
e. meningitis |
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inflammation of the endocardium is know as
a. atelectasis b. bacteremia c. empyema d. pericarditis e. meningitis f. endocarditis |
f. endocarditis |
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what are signs that your patient is clear on pneumonia |
- dyspnea not present - spo2 greater than or equal to 95 - free of adventitious breath sounds - clear sputum from airways |
