Med Surg Respiratory Exam 3

Wheezing

Continuous high pitched lung sounds during expiration

Priority respiratory assessment findings?

Using accessory muscles, diminished

breath sounds, lung sounds active in one lobe

Nursing interventions for a pneumonia patient?

Cough and deep breathe, use incentive 10x every hour, ambulate early, increase oral intake

Bronchodilator

Treatment of asthma patient

Asthma exacerbation

Shortness of breath and wheezing what diagnosis?

Expected diagnosis with Pleuritic chest pain?

Pneumonia

An intervention for low O2 and dyspnea?

Repositioning the pt

Patients with pneumonia should do what to prevent aspiration?

Sit up in the chair for meals if possible

Pt is Cyanotic and using accessory muscles, what is the priority?

Apply 2L via Nasal Cannula

What is contraindicated in regard to the collection of a sputum culture ?

To collect it from a tracheostomy tube

Pleural friction rub Is what ?

A grating sound caused by inflammation of the pleural spaces

Crackles is characterized as what ?

Popping sounds typically associated with fluid in the alveoli and are heard during

inspiration.

Stridor is characterized as what ?

High pitched sound during inspiration, sign of upper airway obstruction and can be life

threatening

Patient in tripod position gasping for air which oxygen delivery device would you use?

Non-rebreather Mask

Patient is upright, having difficulty breathing, with a pulse ox of 87% what is the priority action?

Apply oxygen via nasal cannula

Which mask is used to administer a breathing treatment?

Simple face mask

What should occur before prescribing antibiotics?

Obtain a sputum, blood, or wound culture, and verify the order based on the six rights of medication

CPAP

Continuous positive airway pressure

What delivers pressure continuously with each breath to keep alveoli open?

CPAP

Which commonly used high flow delivery device and has colored adapters to administer 2-15L/min of O2 accurately?

Venturi Mask

Which O2 device is the reservoir bag ⅓ full patient is able to breath in some exhaled air and delivers 8-10L/min?

Partial rebreather mask

Heated High Flow does what ?

Uses heated and humidified medical gas and can administer oxygen up to 60L/min?

What has a setting for pressure delivered on inspiration and expiration?

BiPAP

Pneumonia symptoms…

Productive cough, purulent sputum, crackles heard during auscultation, thick secretions

What are some Asthma triggers?

Pollution, smoke, dust, allergens, animal dander

What test measures chloride levels?

Sweat test

Wheezing

Continuous high pitched lung sounds during expiration

Priority respiratory assessment findings?

Using accessory muscles, diminished

breath sounds, lung sounds active in one lobe

Nursing interventions for a pneumonia patient?

Cough and deep breathe, use incentive 10x every hour, ambulate early, increase oral intake

Bronchodilator

Treatment of asthma patient

Asthma exacerbation

Shortness of breath and wheezing what diagnosis?

Expected diagnosis with Pleuritic chest pain?

Pneumonia

An intervention for low O2 and dyspnea?

Repositioning the pt

Patients with pneumonia should do what to prevent aspiration?

Sit up in the chair for meals if possible

Pt is Cyanotic and using accessory muscles, what is the priority?

Apply 2L via Nasal Cannula

What is contraindicated in regard to the collection of a sputum culture ?

To collect it from a tracheostomy tube

Pleural friction rub Is what ?

A grating sound caused by inflammation of the pleural spaces

Crackles is characterized as what ?

Popping sounds typically associated with fluid in the alveoli and are heard during

inspiration.

Stridor is characterized as what ?

High pitched sound during inspiration, sign of upper airway obstruction and can be life

threatening

Patient in tripod position gasping for air which oxygen delivery device would you use?

Non-rebreather Mask

Patient is upright, having difficulty breathing, with a pulse ox of 87% what is the priority action?

Apply oxygen via nasal cannula

Which mask is used to administer a breathing treatment?

Simple face mask

What should occur before prescribing antibiotics?

Obtain a sputum, blood, or wound culture, and verify the order based on the six rights of medication

CPAP

Continuous positive airway pressure

What delivers pressure continuously with each breath to keep alveoli open?

CPAP

Which commonly used high flow delivery device and has colored adapters to administer 2-15L/min of O2 accurately?

Venturi Mask

Which O2 device is the reservoir bag ⅓ full patient is able to breath in some exhaled air and delivers 8-10L/min?

Partial rebreather mask

Heated High Flow does what ?

Uses heated and humidified medical gas and can administer oxygen up to 60L/min?

What has a setting for pressure delivered on inspiration and expiration?

BiPAP

Pneumonia symptoms…

Productive cough, purulent sputum, crackles heard during auscultation, thick secretions

What are some Asthma triggers?

Pollution, smoke, dust, allergens, animal dander