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Respiratory test review med Surg Flashcards | StudBud
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Respiratory test review med Surg
Respiratory test review med Surg
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1
Fine Crackles can be expected on which conditions select all that apply
Asthma
COPD
Cystic fibrosis
Pulmonary edema
Bronchitis
Pneumonia
2
Client education on COPD would include
Avoid crowds and wear a mask, when not avoidable
Avoid potted plants in the house
Staying up-to-date on vaccinations
Hand washing
3
A respiratory baseline for pneumonia is needed to compare progress and should be established 1st, before intervention
False
True
4
Normal pH levels are 7.35 to 7.45.
True
False
5
COPD discharge teachings would include
Meds used are corticosteroids, offer, smoking cessation material
More likely to get lung infections, so get vaccines and wash hands
Use of broncodilator and metered dose inhaler
Three large meals a day, one full of steak or other tough foods
Teach breathing positions, such as the tripod
Small, frequent meals with foods that are easier to digest and watch dairy
6
What tests are performed to detect tuberculosis?
Quantiferon gold test
PPD-mantoux
White blood cell count
Peak flow monitoring
7
How often should a client with cystic fibrosis do physiotherapy
Once a month
Once a week
Once per hour
Once per day
8
This grading or squeaking sound is usually caused by inflammation of the pleural space
Pleural friction rub
Rhonchi
Stridor
Wheezing
9
A patient with pneumonia should have this done first
Apply oxygen through nasal cannula
Establish a baseline
Cough and breathing therapy
Administer medication
10
When doing a bronchoscopy what is important to check prior?
Gag reflex
Vascular circulation
Swallow test
Eyesight
11
Emphysema is characterized by the loss of lung elasticity and hyperinflation of lung tissues
True
False
12
A client with COPD with an oxygen saturation of 91% should be given oxygen therapy
False
True
13
Clients who have cystic fibrosis should use what type of therapy
cognitive behavioral therapy
Back percussion therapy(light fist pounding to break up mucus)
Physiotherapy (vest)
Compression therapy(socks)
14
You should use albuterol before undergoing anesthesia, when having asthma
False
True
15
Tuberculosis test arm reading, less than 48 hours it’s too soon and more than 72 hours is too long
True
False
16
Cigarette smoking is the primary risk factor for COPD
False
True
17
Expected findings with tuberculosis are
Persistent cough lasting longer than three weeks
Weight gain, and increased appetite
Fatigue and lethargy
Weight loss and anorexia
Night sweats, and a low-grade fever in the afternoon
Purulent sputum, possibly blood Streaked
18
What are some smoking cessation treatments?
Wellbutrin or Chantix medication
Switching from cigarettes to vaping
Nicotine patches or gum
Bronchodilators
19
Albuterol is a corticosteroid inhaler used for asthma as a rescue inhaler
False
True
20
What personnel is allowed to perform physiotherapy on a client
CNA
Physician
The client themselves
Respiratory therapist
UAP
RN nurse
21
airway sound in upper airways may clear w/coughing/suctioning. caused by pneumonia/bronchitis, masses, foreign body
Rhonchi
Wheezing
Stridor
Course crackles
22
Anesthesia has an increased risk of aspiration
False
True
23
Which of the following could trigger asthma?
Exercise
Environment(pollutions)
Smoking
Potted plants
Pet dander
Resting
24
If nothing is seen in the chest x-ray, following a positive tuberculosis result what does this mean?
Patient has active TB
Patient has latent TB
Patient should be retested because results were faulty
Patient needs to be on immediate airborne precautions
25
Where are bronchial sounds heard
Rales
Neck/trachea
Upper airway over trachea, when obstruction is present
Between the first and second intercostal space
26
These are risk factors for obtaining tuberculosis
Poorly ventilated crowded environment:correctional/long term, care facility
Immunocompromised (HIV infection, chemotherapy, kidney disease, crohn’s)
Recent travel outside of the United States to areas where TB is endemic
Advanced age
Low, economic status,homelessness, frequent contact with untreated person
High social economic status and live in a well vented single family home
27
The influenza vaccine is offered in what ways of administration
Shot(active)
Shot(inactive)
Nasal spray(inactive)
Nasal spray(live)
28
Baseline O2 ranges for someone who has COPD at — could be considered normal.
80-85%
90-95%
85-90%
95-100%
29
A patient with pneumonia has what type of sounds expected
High pitch, turbulent sound during auscultation
Whistling sound during auscultation
High-pitched, musical, adventitious lung sound during auscultation
Crackling, bubbling or rumbling sounds during auscultation
30
PACO2 is looked at more than HC03 for asthma, because it’s respiratory
False
True
31
What is common with COPD
chronic hypoxia
Chronic oxygen poisoning
Chronic hypertension
Chronic Hyperplasia
32
Nonrebreather facemask should be used up to how many liters of oxygen
20 yeah -30 L per minute
1-6 liters per minute
Over 50 L per minute
10 to 15 L per minute
33
Down to 85% O2 saturation could be considered normal for COPD. O2 not given above 90% in fear of oxygen toxicity
True
False
34
If a positive TB test result comes back what should be the nurses next step ?
Have patient call everyone they’ve been in contact
Obtain MRI scan of chest
Obtain a chest x-ray
Obtain a CT scan of chest
35
Normal CO2 levels should be between 35 and 45
False
True
36
Bronchovescular sounds are heard between the first and second intercostal space
False
True
37
The PPD-Mantoux is a protein arm test done to detect tuberculosis and is the most common test used
True
False
38
DOT stands for direct observational therapy
False
True
39
The tripod position can be done, standing up or leaning over a bedside table. It opens up the diaphragm and Avioli
False
True
40
Bronchodilator should be used before a rescue inhaler
False
True
41
Chronic bronchitis is an information of the bronchi and bronchioles days due to chronic exposure to irritants
False
True
42
Failure of lung to expand by blocked airway, tumor, general anesthesia, pneumonia, or other lung infection/lung disease
Aphasia
Atalectasis
Ataxia
Adolescents
43
A patient experiencing asthma should have what expected sounds
A wheeze, high-pitched musical advantageous sound
Rales, crackles, or bubbles sounding
A high-pitched bronchial sound from airway obstruction
Tactile fremitus
44
Risk factors for COPD include
Advanced age, older adult clients have a decreased pulmonary reserve
Young age due to increased pulmonary reserve
Patient is a healthy, active runner that’s never smoked
Alpha anti-trypsin, AAT deficiency
Cigarette smoking
Exposure to environmental factors(air, pollution)
45
Asthmatic wheezing is mostly heard on
Inspiration
Both inspiration and expiration
Expiration
46
COPD encompasses two diseases, what are these two diseases?
Emphysema
Pneumonia
Chronic bronchitis
Acute bronchitis
47
Airway obstruction of the upper airway or spasms From Allergic reactions, epiglottis or laryngitis can cause Stridor
True
False
48
These are a few other high risk factors for obtaining TB
Healthcare worker that works from a home office with teleconferencing
Substance use
Healthcare occupation involving performance of high risk activities
Immigration. Especially from Mexico, Philippines, Vietnam, China, Japan.)
49
To avoid mucus membrane, dryness how many liters and up of oxygen should be humidified
12 L
6 L
4 L
5 L
50
Fremitis feels like popping bubble wrap down the back, and is common in clients with pneumonia
True
False
51
Late hypoxia includes
Tachycardia, tachypnea
Cyanosis
Confusion and lethargy
Bradycardia Bradypnea
52
Wheezing on inspiration and expiration is status asthmaticus
True
False
53
What type of room should a patient with tuberculosis be placed in
Private room with negative airflow
Shared room with negative air flow
Shared room with another client
Private room divided by curtain
54
Respiratory acidosis starts at what pH level
7.35
7.45
7.95
7.25
55
Select all that apply for an pneumonia education
Use incentive spirometer, bronchodilator antibiotics, or steroids
Small, frequent meals
Hydration, deep, breathing exercises and coughing
Have you traveled outside of the US in the last 30 days?
Stop smoking /offer smoking cessation material
Ambulation and using back percussions
56
This is described as a high-pitched turbulent sound
Stridor
Bronchial
Crackles
Rales
57
If a patient has tuberculosis, do you need to wear a mask? If so, what kind of mask?
Surgical mask
No mask required
N 95 mask
Face shield mask
58
Quantifuron gold is a blood test used to detect tuberculosis. However, it is less commonly used than the PPD-MANTOUX
True
False
59
Patient has crackles herd in the smaller airways. This can be described as.
Stridor
Rales
Bronchovascular
Bronchial
60
A patient with Tuberculosis should have what precautions taken?
Droplet precautions
Standard precautions
Airborne precautions
Contact precautions
61
Client with TB that needs to be moved from their room to another department in the hospital needs to wear a N95 mask
True
False
62
Arterial blood gas lab value used to measure metabolic asthma is called
PACO2
HC03
63
The following is true about a spacer used for asthma medication
Breathe slow and steady
Hold breath for 10 seconds after inhalation medication can stay in tube
Patient should seal lips around mouth piece
Breathe fast until the spacer squeaks so you know it’s working
64
Older adults w/atypical findings of TB include: altered mentation or unusual behavior, w/fever, anorexia, weight loss
True
False
65
Emphysema causes destruction of the Avioli leading to a decrease surface area for which of the following?
Carbon dioxide
Gas exchange
Oxygen entry
Respiratory acidosis
66
Common signs and symptoms of pneumonia include
Wheezing
Sound of crackles and wet
Pleuritic chest pain
Productive and persistent cough
Stridor
Pleuritic chest rub
67
Tuberculosis arm test, reading smaller than 12mm is a positive reading
False
True
68
When a client has COPD prevention of other disease processes is important
True
False
69
Arterial blood gas lab values to check Respiratory is called what
HC03
PACO2
70
A low social economic class or an HIV infection can trigger latent tuberculosis to become active
True
False
71
Patient should rinse/swish their mouth out after using an inhaler to avoid a fungal yeast infection
True
False
72
Tactile fremitus is heard on percussion to the back and you can feel it when a patient has pneumonia
True
False
73
Latent TB can lay dormant for years and become active when the client is older, and/or becomes immunocompromised
False
True
74
With the PPD-MANTOUX TB arm test. What is the time frame in which a client must return to have it read.
72 to 96 hours
24 to 72 hours
48 to 72 hours
24 to 48 hours
75
COPD is an oxygen deprivation disease process
True
False
76
Nasal cannula should be used up to how many liters of oxygen
6
10
20
15
77
Pneumonia, lung malignancy, and pleurisy caused by inflammation of the pleural space would cause what sound
Stridor
Pleural friction rub
Wheezing
Rhonchi
78
Common interventions used for client experiencing pneumonia
Laying in supine position
Ambulation
Hydration
Back percussion
Physiotherapy (vest)
Deep breathing exercises
79
Early signs of hypoxia include
Cyanosis
Restlessness and anxiety
Bradycardia and Bradypnea
Confusion
Tachycardia and tachypnea
Overcompensation of accessory muscle
80
This is described as a popping/coarse sound caused by fluids, or secretions in the lower airways
Fine Crackles
Course crackles
Wheezing
Rhonchi
81
It is OK for immunocompromised clients to receive the nasal flu vaccine
False
True
82
Describe as a snoring sound that is caused by obstructions, sputum, or secretions typically in upper airway
Wheezing
Fine crackles
Rhonchi
Course crackles
83
What is the very first intervention that should be done for a patient experiencing respiratory distress?
Elevate head of bed too high Fowlers position 90°
Elevate head of bed to Fowlers position 30°
Lay the patient all the way down
Have patient lay on stomach
84
Patient has an upper airway obstruction. What kind of sound do you expect to hear?
Bronchovescular
Bronchial
Rales
Stridor
85
What is a good position to have a patient stand in/sit in, who has pneumonia and are having trouble breathing?
Knee to chest
Lithotomy
Dorsal recumbents
Tripod position
86
Asthma medications include
Corticosteroids (inhalers)
Bronchodilators
Physiotherapy(vest)
Long-term Antibiotics
87
What is considered a positive TB test?
12 mm or larger
12 mm or smaller
88
Somebody experiencing an asthma attack will show increased respiratory effort
True
False
89
Over exertion can speed up metabolism, so clients with COPD should do what
Eat softer foods like oatmeal
Eat six small meals per day
Eat high protein foods like steak
Eat three large meals per day
90
During an asthma attack PAC02 lab values would be
Increased
Decreased
91
Describe as rubbing of hair follicles together the causes inflation of previously deflated lung tissue
Course crackles
Wheezing
Fine Crackles
Rales
92
Sound Described as a squeaky musical instrument caused by bronchoconstriction and inflammation
Pleural friction rub
Stridor
Wheezing
Rhonchi
93
This disease is intermittent and can be reversed or treated with inhaled corticosteroids
COPD
lung cancer
Pneumonia
Asthma
94
Health promotion and disease prevention for COPD
Use PPE/mask ensure proper ventilation, working in at risk environments
Reduce cigarette smoking from two packs to one per day
Influenza and pneumonia. Immunizations are important.
Promote smoking cessation, avoid exposure to secondhand smoke
95
Sound transmitting through lung tissue heard by palpating chest wall feeling described as bubble wrap
Pleural friction rub
Tactile fremitus
96
COPD typically affects this age of clients
Infants to adolescent
Adolescents to middle age
Affects clients of all ages equally
Middle age to older adults
97
What is common with asthma?
Stridor
Crackles
Wheezing
Rales
98
Medication’s for COPD include
Corticosteroids
Oxygen therapy (only if o2 saturation is below 95%)
Oxygen therapy (only if o2 saturation is below 90%)
Bronchodilator
99
Wheezing is commonly heard in which conditions
COPD
Laryngitis
Pneumonia
Asthma