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44 Cards in this Set
- Front
- Back
What's the difference between hypoxia and hypoxemia?
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Hypoxia is low level of O2 in tissues: Hypoxemia is low level of O2 in blood
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What is the first sign of hypoxia?
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Confusion
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What are retractions?
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Muscles move upward upon inspiration
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Some patients with neuromuscular diseases develoop hypoxemia because of:
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Weak respiratory muscles
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In an unconscious patient what's the most common cause of airway obstruction?
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Tongue
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What is normal SaO2?
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95-99 percent
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In using a pulse oximeter how often do you rotate the sites?
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Clip on every 4 hours; disposable probes every 24 hours
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In administering the heimlich maneuver, where do you put your hands?
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1/2 way between the xiphoid process and the umbilicus with the thumb of fist inward.
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If you're doing the heimlich on an unconscious person, how many abdominal thrusts do you do?
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5, then check the Jaw to see if there's a foreign body
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If the choking victim is very obese or pregnant, what do you do?
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Chest thrusts rather than abdominal thrusts.
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Single rescuer rescue breathing is how often
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12 X a minute
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For postural drainage, how much should the patient drink?
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1500-2000 CCs
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To drain the apical segment of the upper lobe, what position do you have the patient in?
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High Fowlers
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How often should a patient deep breathe after surgery?
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5-10 deep breaths every 2 hours
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When are the best results from postural drainage?
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In the AM and 45 to 60 mins before a meal
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How much O2 can a nurse administer w/o dr involvement?
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2 liters
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What is the venturi mask?
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Delivers O2 - most accurate - must be removed for eating and meds
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What is the advantage of the non rebreathing mask?
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Highest O2 delivery
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The patient with COPD has what abmormality?
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Decreased elasticity of the lung tissue.
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In general, a safe level of O2 for someone with normal lungs is:
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3 - 5 liters per minute
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If the patient is showing restlessness and irritability, the nurse should:
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TCDB
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If a patient is undergoing O2 therapy, what must the nurse do?
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Mouth care
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If there is continuous bubbling in a water seal drainage system that is not hooked up to suction, the nurse knows that:
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There's an air leak in the system
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Many elderly pts have trouble breathing deep enough because of:
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Arthritis of the rib cage
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How often are the settings on respiratory support equipment checked?
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Once a shift (at least)
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When deep breathing, how long should they hold it?
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at least 3 seconds
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How does the incentive spirometer work
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The pt takes a deep breath and the ball moves upward. Should do 10 X hour
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Pts with difficulty breathing are in what position usually?
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High fowlers
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What is the orthopenic position?
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Hunched over a table with 2 or 3 pillows
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When O2 is in use, give oral hygiene how often
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Every 3 to 4 hours
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What is the obturator?
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Guide for the tracheostomy tube to be inserted, then it is removed
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When taking care of chest tubes, you should report drainage in excess of what?
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100 ml per hour
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Wall suction unit pressure is set to ??
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80 to 120 mm HG
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How is oxygen delivered?
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Flowmeter
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How often must a tracheostomy tube be deflated?
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every 8 hours
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Where is the chest drainage tube placed?
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Intrapleural space
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Pertinent nursing diagnoses are:
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Ineffective airway clearance
Impaired gas exchange Risk for infection Knowledge deficit Risk for injury |
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What is another name for COPD?
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CAL (Chronic airflow limitation)
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Evaluation is based on what?
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Pulse OX, ABG, assessment findings
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It is important to relieve anxiety in a patient with impaired lung function because:
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tense muscles need more oxygen
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For a disposable chest drainage unit, you know there has to be what?
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Continuous bubbling in the suction chamber
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Elderly more prone to problems because:
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reduced elasticity of lung tissues
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One nursing measure that can prevent respiratory insufficiency is to:
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administer lo flow O2 constantly
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What is a tension pneumothorax?
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Air that enters the pleural space and is trapped there
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