Galen NUR 242 Exam 3 Respiratory Set

Galen NUR 242 Exam 3 Respiratory Set
Clinical considerations of thoracentesis - ANS-Position patient leaned over bedside table and
prevent them from falling
MD should remove no more than 1000cc at a time
STAT post procedure CXR to rule out pneumothorax
Deep breathing following thoracentesis to help lung expansion
Consequences of obstructive sleep apnea - ANS-relationship tensions, hypertension, right sided
heart failure, pulmonary hypertension, arrhythmias, myocardial infarction, angina, hypoxia,
polycythemia Vera
COPD symptoms - ANS-productive cough, dyspnea on exertion, breathlessness, wheezing,
barrel chest, cyanosis, JVD, polycythemia, weight loss
High risk populations for pneumonia complications - ANS-children < 5 years old, pregnant
women, adults > 65, American Indians, Alaska Natives, DM, CVD, chronic lung disease,
weakened immune systems
How does a patient properly perform incentive spirometry? - ANS-1. Put mouth around
mouthpiece
2. Breathe in as deep as able
3. Hold breath for 1-2 seconds
4. Turn head and cough
How does obstructive sleep apnea get diagnosed? - ANS-formal sleep study
How is influenza diagnosed? - ANS-rapid test that determines type but not strain
How is pharyngeal space decreased during sleep? - ANS-muscle in airway relax causing
tongue and soft palate to be come displaced
How is TB diagnosed? - ANS-PPD skin testing; Chest x-ray most useful in emergency
department, active TB usually presents with parenchymal infiltrates; Sputum culture for AFB
How is tuberculosis transmitted? - ANS-Inhalation of infected respiratory droplets
How many people can be suffering from active TB at one time? - ANS-15 million
How often does a patient need a flu vaccine? - ANS-once a year