NR 224 QUIZ 5 LATEST EXAM COMPLETE 130 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+||CHAMBERLAINE UNIVERSITY
NR 224 QUIZ 5 LATEST 2023-2024 EXAM COMPLETE
130 QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+||CHAMBERLAINE
UNIVERSITY
what do you inspect for respiratory – ANSWER- nails, clubbing,
cyanosis, chest wall shape
what do you palpate for respiratory – ANSWER- tenderness, tactile
fremitus, thrills, edema, pulses
what do you detect when performing percussion for respiratory –
ANSWER- fluid build up
What do you auscultate for respiratory assessment? – ANSWERabnormal lung sounds, S1 & S2
Normal respiratory rate – ANSWER- 12-20 breaths per minute
factors affecting oxygenation – ANSWER- decreased oxygen carrying
capacity, hypovolemia, decreased inspired oxygen concentration,
increased metabolic rate
Conditions affecting chest wall movement – ANSWER- Pregnancy
Obesity
Musculoskeletal abnormalities
Trauma
Neuromuscular disease
CNS alterations
influences of chronic lung disease
bradypnea – ANSWER- slow breathing; less than 12 breaths per minute
Tachypnea – ANSWER- rapid breathing, more than 20bpm
eupnea – ANSWER- normal breathing (12-20 bpm)
apnea – ANSWER- no breathing
Hypoxia – ANSWER- deficiency in the amount of oxygen reaching the
tissues
Early signs of hypoxia – ANSWER- increased BP,increased HR,
restlessness, increased depth of resp, confusion at times, levels of
consciousness
hypoventilation – ANSWER- ventilation of the lungs that does not fulfill
the body’s gas exchange needs
Hyperventilation – ANSWER- a state of ventilation in which the lungs
remove carbon dioxide faster than it is produced by cellular metabolism
late signs of hypoxia – ANSWER- cyanosis, decreased BP, decreased
HR,
causes of hypoxia – ANSWER- (1) a decreased hemoglobin level and
lowered oxygen-carrying capacity of the blood; (2) a diminished
concentration of inspired oxygen, which occurs at high altitudes; (3) the
inability of the tissues to extract oxygen from the blood, as with cyanide
poisoning; (4) decreased diffusion of oxygen from the alveoli to the
blood, as in pneumonia; (5) poor tissue perfusion with oxygenated
blood, as with shock; and (6) impaired ventilation, as with multiple rib
fractures or chest trauma.
left- sided heart failure clinical findings – ANSWER- crackle, hypoxia,
shortness of breath, cough, paroxysmal nocturnal dyspnea
right sided heart failure – ANSWER- causes swelling in extremities
lifestyle factors that influence oxygenation – ANSWER- nutrition,
hydration,exercise,smoking,substance abuse, stress
type of patient that needs nasal cannula – ANSWER- low concentration,
can be short and long term
techniques for trach care – ANSWER- sterile technique for suctioning,
aseptic technique, sterile field
chest tube rationale – ANSWER- pneumothorax (total collapse of lungs),
hemothorax ( blood in chest wall and lung)
nurse role with procedure chest tube – ANSWER- Check if patient on
anticoagulant therapy
Vitals
Oxygen levels
Education
Feeding process for patient with mask – ANSWER- Monitor SPO2 level
Provide oxygen via Nasal cannula
Teaching for O2 therapy – ANSWER- Smoke free area
Monitor for SOB
Cyanosis signs
Cough and deep breathing
Signs and symptoms for respiratory distress
Assessment process for urinary function – ANSWER- § Any issues
passing urine
§ Inspection: bladder distention