NURS 4110 PRIMARY CONCEPTS OF ADULT NURSING II FINAL LATEST UPDATED STUDY GUIDE ARIZONA COLLEGE OF NURSING

NURS 4110 PRIMARY CONCEPTS OF
ADULT NURSING II FINAL LATEST
UPDATED STUDY GUIDE ARIZONA
COLLEGE OF NURSING
lOMoAR cPSD|19857451
MED SURG II FINAL STUDY GUIDE
*What’sin bold she verbally mentioned*
20- Respiratory
Asthma (3 questions)
*Bronchodilator teaching- appropriate time?
• Can used prophylactic before activity such as walking and eating
• Prescribed for PRN or for regular basis
• Proper usage: exhale first, seal lips around pump, press down and inhale and hold for 10
seconds, repeat puffs as directed but allow 15-30 in between.
Asthma patho
• Chronic inflammatory disease, reversible condition, causes airway hyper responsiveness,
mucosal edema and mucous production.
• Inflammatory response occurs= mast cells, macrophages, t lymphocytes, neutrophils,
eosinophils, IgE(causes direct bronchoconstriction)
S/S
• Cough, chest tightness, wheezing (on expiration), dyspnea
*Monitor airway patency due to mucous from the inflammatory process.
Status Asthmaticus- is when an asthma attack doesn’t respond to therapy. Rapid onsetsevere and
persistent.
Atelectasis
*prevention (post op)
• Atelectasis can arise from abdominal/thoracic surgery
o Teach pt. cough deep breathing (splint pillow on incision)
o Incentive spirometer
o Frequent turning
o Ambulating
o PEEP for pt. that cannot perform the basic measures (listed above)- positive end
expiratory pressure.
Pneumonia
*Nursing Interventions
• Remove secretions (if pt. cant cough, possible suctioning)
• Encourage hydration/humidifier-lossenssecretions
• High humidity face mask
• Encourage coughing
• Lung expansion maneuvers- IS, deep breathing and coughing