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63 Cards in this Set
- Front
- Back
Which of the following signs and symptoms should the nurse monitor during a pulmonary angiography:
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dyspnea |
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Which of the following signs and symptoms should the nurse monitor after a pulmonary angiography
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absent distal pulses
hematoma |
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Before a pulmonary angiography the nurse should assess for history of:
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Allergies to contrast medium,shellfish or iodine
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During and after a pulmonary angiography the nurse monitor for allergic reaction which are:
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itching
hives difficulty breathing |
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When contrast medium is infused the client experiences sensation of the urge to:
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cough
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Viral pneumonia differs from bacterial pneumonia in that :
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results of blood cultures are sterile
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In viral pneumonia,sputum is :
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more copious
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In viral pneumonia, chills are ___,pulse and respiratory rate are ___
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*less common
*slow |
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Which of the following results in decreased gas exchange is older adults:
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the alveolar walls are thinner and contain less capillaries
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The elascity of the lungs DOES NOT______ with age.
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increase
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In older adults, the lungs lose their _____ and become ____
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*elasticity
*stiffer |
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Obesed client with emphysema are encouraged to ____ ____ to improve _____
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lose weight
breathing |
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the surgical removal of the adenoids.
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adenoidectomy
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the inflammation of the adenoid tissue
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adenoiditis
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inability to speak.
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aphonia
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a head cold
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Coryza
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It is most frequently caused by impact trauma, such as by a blow to the face.[1] It can also be a congenital disorder, caused by compression of the nose during childbirth
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deviated septum
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Rhinitis is inflammation of the nasal mucous membranes. It also is referred to as the common cold, or
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coryza.
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clear nasal discharge
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rhinorrhea
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important preventive factor is ___________, which greatly reduces the spread of infection
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frequent handwashing
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with rhinitis, Blow nose with mouth open slightly to equalize _____
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pressure
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Use a vaporizer to help liquefy _____
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nasal secretions
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The _______ is affected most often
in sinusitis |
maxillary sinus
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Sinusitis can lead to serious complications, such as infection of the
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middle ear or brain
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Interference with sinus drainage predisposes a client to _______ because trapped secretions readily become infected.
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sinusitis
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Allergies frequently cause _____ of the nasal mucous
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edema
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edema of the nasal mucous membranes, leads to ________
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obstruction of sinus drainage and sinusitis
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Nasal polyps or a deviated septum may also _________
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impair sinus drainage
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if a cold persists longer than 10 days or nasal discharge is green or dark yellow and foul smelling.
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this condition is sinusitis
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The maxillary sinuses normally drain through the openings that lie under the
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middle turbinates
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Edema, which commonly accompanies upper respiratory infections, can obstruct the openings and prevent normal
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sinus drainage
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headache, fever, pain over the affected sinus, nasal congestion and discharge, pain and pressure around the eyes, and malaise
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sinusitis
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____ of the sinuses may show a change in the shape of or fluid in the sinus cavity
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Transillumination and radiographs
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________of the maxillary sinus may be done to remove accumulated exudate and promote drainage
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Saline irrigation
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the Caldwell-Luc procedure and external sphenoethmoidectomy, are done to
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remove diseased tissue
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observes the client for repeated swallowing, a finding that suggests possible
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hemorrhage
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One risk of sinus surgery is damage to the optic nerve. Thus, the nurse assesses postoperative visual acuity by asking the client to identify the number of
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fingers displayed
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assesses for pain over the involved sinuses, a finding that may indicate postoperative
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infection or impaired drainage
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The nurse administers analgesics as indicated and applies ice compresses to involved sinuses to reduce
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pain and edema
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nasal packing forces the client to breathe through the
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mouth
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the nurse encourages oral hygiene and gives ______ as it relieves dryness of the mouth
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ice chips or small sips of fluids frequently
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The nurse changes the drip pad as needed and reports
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excessive drainage
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Postoperative client and family teaching includes telling the client not to blow the nose, lift objects more than 5 to 10 lbs, or do the Valsalva maneuver for 10 to 14 days with what procedure
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If the pt. has sinus surgery
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the client to remain in a warm environment and to avoid smoky or poorly ventilated areas after
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sinus surgery
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inflammation of the throat, is often associated with rhinitis and other URIs
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Pharyngitis
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The most serious bacteria are the group A streptococci, which cause a condition commonly referred to as
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strep throat
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Strep throat can lead to dangerous cardiac complications_____ and harmful renal complications _____
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endocarditis and rheumatic fever
glomerulonephritis |
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The incubation period for pharyngitis is
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2 to 4 days
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The first symptom of ______ is a sore throat, sometimes severe, with accompanying dysphagia (difficulty swallowing), fever, chills, headache, and malaise
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Pharyngitis
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With ________, some pts. exhibit a white or exudate patch over the tonsillar area and swollen glands
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Pharyngitis
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identification methods, such as__________ are available to diagnose group A streptococcal infections
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Biostar or the Strep A optical immunoassay (OIA),
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Chronic adenoidal infection can result in acute or chronic infection in the _______
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middle ear (otitis media).
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_______ may produce nasal obstruction, noisy breathing, snoring, and a nasal quality to the voice.
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Enlarged adenoids
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________ reveals enlarged and reddened tonsils. White patches may appear on the _____ if group A streptococci are the cause.
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Visual examination
tonsils |
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Chronic tonsillitis and adenoiditis may require
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tonsillectomy
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With a T&A, the need to pay special attention to____________ emphasizes the high risk for postoperative hemorrhage
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hematocrit, platelet count, and clotting time
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The nurse asks the client about bleeding tendencies and recent use of _______that prolong bleeding time.
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aspirin, nonsteroidal antiinflammatory drugs (NSAIDs), or other medications
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Risk for Aspiration related to _______ secondary to throat surgery
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impaired swallowing
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Risk for Aspiration related to ________secondary to anesthesia
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reduced gag reflex
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After surgery, position client, until alert, ______ with emesis basin to catch drainage or vomitus
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on either side
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________can obstruct airway and cause aspiration
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Retained secretions/
vomitus |
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A depressed gag reflex and inability to swallow increase the _______.
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risk for aspiration
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This position decreases surgical edema and increases lung expansion.
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Elevate head of bed 45° when client is fully awake
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