MDC3 exam 2 Rasmussen

The nurse is assessing a patient with bacterial pneumonia, what are signs?

Fever, chest pain, coarse lung sounds, chest x-ray showing infiltrates

A child arrives at the ED with SOB and wheezing. What 2 things need to be done?

Give oxygen therapy and breathing treatment

Asthma patient with SOB, using one-word statements. What is the priority for this patient?

Initiate emergency interventions

heparin 75 kg 18/kg/hr supply 2500units/250 ML ml/hr

13.5 round 14

Assessment of a patient with pleural effusion

Dullness to percuss and decreased fremitus

patient with pneumonia and thick secretions

Encourage drinking fluids unless NPO

Lifestyle changes for a patient with obstructive sleep apnea

Lose weight if obese

Patient teaching for a fever, nasal congestion, and fatigue

rest, bed upright, and fluids

immediate Post op laryngectomy, how do you want to sit them?

Sit up (semi fowlers)

SOB patients comes to the ER. What kind of meds do we give

Short-acting beta agonist (Albuterol)

Patient with Lung cancer having a new onset of sharp pain with inspiration, and right lower lung sounds are diminished. What kind of study do they need?

Chest X-ray

Nosebleed (epistaxis)

Lean forward and pinch your nose

Severe allergic rhinitis. What are environmental changes?

Hepa filter, Switch carpet to tile, and hypoallergenic bedding

An older lady is coughing with aspiration pneumonia (while trying to feed)

Speech therapist and pulmonologist

End-stage emphysema, what is an expected finding?

CO2 of 50

TB patient coming from the jail, what kind of symptoms would they present with?

persistent blood-tinged cough, fever with weight loss, start them on meds

Postural drainage repositioning, being mindful of aspiration

When did they eat last and give mucolytic

A patient with asthma is using their inhaler more and is saying it is not working

Make sure they are using the inhaler correctly and ask to see the technique they are using

Patient with partial laryngectomy

no acidic drinks or food (orange juice)

A COPD patient is coughing and wheezing. What medications are appropriate?

Broncodilators

The COPD patient is getting worse on 2L NC. Heart rate is going up, and they are becoming restless. What should an RN assess?

o2 sat and how they are breathing (resp status)

Patient with lung cancer that just had a segment removal resection. They are post op what 2 things should we do?

Encourage to take deep breaths, cough, and give pain meds

Patient has TB, they have their 6-week appointment, and their sclera is yellow.

Notify the doctor

A couple comes into the office, and one of them has obstructive sleep apnea. What is the indication that they are sleeping better at night?

Happy and more attentive to family

What is the primary purpose of CPAP?

open airways

A cystic fibrosis patient is having an onset of fatty stools (steatorrhea) and decreased activity. What is concerning if the patient has?

If the patient has osteopenia (calcium)

Kid that is post tonsilectomy, what would you report?

exessive swallowing

What patient would you assess first?

Patient with a new onset of elevated temperature and RR of 38

COPD patient comes in for a follow-up visit for peak flow monitoring

Monitor resp status and peak flow readings

Bacterial pharyngitis teaching?

Warm saline gargles, penicillin (antibiotic), and cold beverages

Patient has acute tracheal bronchitis and has a lot of sputum and is making strider noises. What are you worried about?

Airway obstruction

TB teaching

Adhere to medication even if you feel better

What do we watch out for after a thoracentesis (chest tube)

Monitor for pnemothorax ( air in the lung)

When do we do chest physiotherapy?

Before meals and at bedtime

A patient was struck in the face and has a nosebleed. What is concerning?

CSF leakage and cribriform plate fracture

A cystic fibrosis patient has pulmonary exacerbations

Give inhaled antibiotics

The bronchoscopy patient is post op and wants to know when they can have water?

When they cough, they can have water

Patient has a nosebleed that has just stopped. What is the teaching we should provide?

dont blow nose

Incentive spirometry teaching?

Inhale through mouth mouthpiece slowly and deeply, and hold it

RN has tested positive for TB after coming in contact with a TB patient. What should they do?

Chest x-ray, sputum culture, symptom screening

(NGN) 87-year-old patient who has SOB, cough, fever, and chills. HR of 103, RR of 30, Fever of 102. What assessment findings would we be concerned about?

SOB, temp, RR, HR, position

(NGN pt 1) A patient is SOB, productive cough, and HX of COPD. What are 3 things to ask them?

Color of sputum, has anyone around you been sick, and is there anything that makes the cough better or worse

(NGN pt2) Admitted to ER with respiratory distress. They get up and walk to the bathroom. He comes back with dizziness and chills. What finding re concerning?

O2 sat of 84%, RR of 36, HR 118. He is experiencing respiratory distress. We are going to put him on oxygen, IV fluids, and antibiotics.

(NGN pt 3) The same resp distress patient is being discharged, what teaching should we provide?

Avoid large crowds. If SOB gets worse notify HCP, and use supplemental oxygen