ACTUAL EXAM WITH CORRECT

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NSG 3800 EXAM 2

ACTUAL EXAM WITH CORRECT

SOLUTIONS.

what o2 saturation do we prefer patients without respiratory issues to be above? - correct answer- 92%

When is their cough the worst with COPD? - correct answer- in the morning

s/s of COPD (emphysema and chronic bronchitis) - correct answer- dyspnea, chronic cough, barrel chest d/t loss of elasticity with emphysema, weight loss,

what results with an ABG show in a patient with COPD? - correct answer- hypercapnia and decreased O2 (hypoxemia)

how do they diagnose COPD? - correct answer- PFT-track how well their lungs are functioning over a period of time, ABG- assess gas exchange in alveoli, chest xray-to rule out other conditions, CT, transbronchial biopsy

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COPD prevention - correct answer- don't inhale chemicals, minimize air pollution on high alert days patients don't go outside

The single most cost-effective intervention to reduce the risk of developing COPD or slow progression is? - correct answer- no smoking/avoid tobacco

transbronchial biopsy nursing considerations - correct answer- numb throat & conscious sedation means NOTHING by mouth until they are awake, and alert and gag reflex has returned- can cause aspiration

sarcoidosis treatment - correct answer- steroids (for up to 1 year) to help with inflammation which can cause immunosuppression and increases blood sugar- MUST

MONITOR

normal blood sugar level - correct answer- 70-110

how do you discontinue steroid use in a patient? - correct answer- taper them off, do not just immediately stop

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pneumothorax tension - correct answer- d/t traumatic experience, opening in chest wall

s/s of pneumothorax - correct answer- depends on the size of

the pneumothorax: chest pain, absent/ diminished breath

sounds on effected side, tachypnea, agitation, air hungry, restlessness, cyanosis if 02 is extremely compromised, tracheal shift to contralateral side

nursing care of patient with a pneumothorax - correct answer- monitor o2 status, chest tube placement

nurses job DURING chest tube placement - correct answer- POSITIONING patient- and advocacy for our patients, patient will be hooked to low wall suction

suction control chamber, what will you see? - correct answer- GENTLE continuous bubbling

what will you see in the water seal chamber? - correct answer- intermittent bubbling as the air escapes the pleural space and goes into the tube

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