NUR 242 Exam 3 MW

What is status asthmaticus

Due to inflammation r/t Crohn's, the nurse would expect which vital sign

_____ ______ O2 systems are used for critically ill patients & deliver precise levels of O2

What is considered a + TB reading if they don't reduced immunity

A patient experiencing a Crohn's flare up will most likely experience pain in the

COMBINATION drug therapy is the most effective method of treating active TB & preventing transmission

B/C pt's with G-PUD experience pain after eating, they may experience ______ _______

This GI condition occurs as "skip lesions", popping up haphazardly throughout the GI tract with normal areas in between

Complications of Crohn's disease

Pt's dx with gastroenteritis are at risk for developing

What medication would a patient take for moderate - severe Crohns

A patient with Obstructive sleep apnea may use what NPPV device

What is an EGD(3)

The 1st chamber of the chest tube is known as

Complications of a fistula

benefits of high flow nasal cannula

We use humidification to prevent tissue injury, loss of tissue integrity because O2 dries mucous membranes

Barrel chest can be seen in

PNA can cause empyema, a collection of pus in the pleural cavity

indications for trachs

examples of NPPV devices

Antivirals should be taken within 24-48hrs after s/s of the flu begin

What does sucralfate do

Continuous bubbling in the water seal chamber can occur when

Malabsorption can lead to

What medication would a patient take for mild-moderate Crohns

Which is more potent, H2 inhibitor or PPI

If H. pylori is present, triple therapy may be prescribed. What is triple therapy

3 causes of peptic ulcer disease

S/S of obstructive sleep apnea that the PATIENT may report

Pt's dx with IBS-D, may experience loose, watery stool with _______

A patient begins wheezing while cleaning out her dusty room. She is most likely experiencing

2 complications that can happen from suctioning

Perforation is

During a sever Crohn's flare up, the nurse will expect the patient to have _________ bowel sounds

It is okay to remove old trach ties BEFORE securing a new set

If the GI bleed is lower, the stool appearance is bright red

A patient with ulcerative colitis may present with

What to do during accidental decannulation if the stoma <72hrs old

IBD is the inflammation of the bowel

Encourage the patient with COPD to eat at ______ small meals per day

The nurse is viewing an XRAY for a patient with a bowel perforation. The nurse expects to see _________

Why should a patient have a driver if they have an outpatient EGD done

S/S of obstructive sleep apnea that the FAMILY may report

When should the RRT/surgeon be notified regarding a chest tube

What can cause tidaling to stop

When suctioning a trach, the suction source should be btween

The large intestine is responsible for ____________ absorption

The best lab to monitor someone's nutritional status is

Above what flow rate do we use humidification

.

A patient with peptic ulcer disease may present with(2)

2 ways to avoid accidental decannulation during changing of a trach dressing

A patient with a GI bleed will always exhibit symptoms

__________ is a type of breathing pattern disruption during sleep that lasts at least 10 sec & occurs a min of 5x/hr.

The nurse is examining a patient dx with COPD for:

What imaging can be done to dx Crohn's

COPD is an umbrella term, which disorders make up COPD

Peritonitis is

Not all TB infections progress into active TB

examples of high flow O2 systems

If the GI bleed is higher up, the stool appearance is bright red

Which system delivers the most precise O2 concentration without intubation

A stool culture is used to test for gastroenteritis

A chest tube allows re expansion of the lung & prevents air and fluid from returning to the chest

Treatment options for peritonitis might include(4)

What is considered a + TB reading if they have reduced immunity

A pt dx with Crohn's has strictures that are present, what type of bowel sounds will the nurse expect to hear

Antiinflammatory drugs are used prevention or control of asthma, NOT reversing s/s during an acute attack

When a person smokes, it triggers what?

Bronchospasm is a narrowing of the bronchial tubes by constr. of the smooth muscle around & w/in the bronchial walls

A pt dx with IBS should follow a ______ ______ diet

Repeat suction up to ________ times in one suctioning session

Ensure that there is no _________ and that no other sources of sparks/flames are used in the immediate area of O2 usage

What teaching should the nurse give to a client dx with influenza

The patient w/ asthma usually has a pattern of itrmt.:

Antivirals are used for flu because antibiotics are ineffective.

Possible treatment options for a GI bleed

__________ __________ deliver a lower fraction of inspired O2

Increased inflammation = hypoactive bowel sounds

Airborne precautions

Patients dx with gastric peptic ulcer disease may experience pain _______ after eating

What are 2 reasons oxygen therapy is prescribed

When does perforation/peritonitis MOST OFTEN OCCUR(3):

Cigarette smoking is the greatest risk factor for COPD

A patient dx with peptic ulcer disease is experiencing spasms in the rectal - sigmoid area, where might his pain be

Strict adherence to the prescribed regimen is crucial for suppressing transmission

Pt's taking NSAIDs should not worry about ulcer formation and should continue the medication as prescribed

With non-rebreather masks, the bag should fully deflate on exhalation

What kind of diet should a patient with Crohn's disease follow

The patient with chronic bronchitis often has what changes

Crohn's most commonly affects the

NPPV use positive pressure to keep ALVEOLI open & improve gas exchange w/o dangers of intubation

S/S of gastroenteritis

What should the nurse tell the patient dx with IBS about talking while eating

A pt dx with IBS may have

The risk of perforation & bleeding increases when tissue is inflamed except for:

A HS student is on the track team and was dx w/ asthma as a young child. He knows he should do what before exercise

Encourage the patient with COPD to drink at LEAST ____L/day

Possible trmts for empyema

All 4 of the TB drugs you need to know are HEPATOTOXIC, so LFTs need to be monitored regularly

Pts with asthma should avoid environmental triggers like changes of warm to __________

_____________ is the interruption of airflow through the nose, mouth, pharynx or larynx

What medication should a Crohn's patient only take for SHORT TERM use during an exacerbation

Do not suction a trach longer than

Due to inflammation r/t Crohn's, these issues can occur

If tidaling in the water seal chamber stops, the nurse should

Peritonitis causes _________ & __________

All PNAs have excess fluid in the lungs from an inflammatory process

Pursed lip breathing may be helpful for managing dyspneic episodes

_________ is the tracheal stoma in the neck that results from the tracheotomy

During an acute asthma attack, the patient may use accessory muscles to help them breathe

What education should the nurse give to a patient dx with peptic ulcer disease(3)

The _____ _______ is where the small intestine meets the large intestine

The small intestine is responsible for ____________ absorption

A patient should lay on the procedural side for 1-2 hrs after chest tube insertion

The nurse is observing a BM for a patient with Crohn's disease. The nurse is not surprised to find

Suction is applied when suction cath is INSERTED

The patient with _________ often has a RAPID onset of a severe headache, muscle aches, fever, chills, fatigue & weakness

What are the three rules of GI inflammation?

if the pt STOPS wheezing accompanied with a low O2 sat

Stomach acid that eats away from the stomach or duodenal tissue causing an ulceration is known as

Patient's dx with duodenal peptic ulcer disease may experience pain ________ after eating

PNA from an infectious process has the formation of thick exudates

Educate the patient dx with TB, starting Rifampin

The patient has started taking a new TB med, what should the patient avoid

What confirms the dx of TB and is used to evaluate the effectiveness of treatment

long term effects of obstructive sleep apnea

__________ is a chronic disease in which reversible acute airway obx occurs intrmt., reducing airflow

Steps for pursed lip breathing in order**need to know**

Immunocompromised patients should get the LIVE, ACTIVATED flu vaccine

Vital signs for a patient with peritonitis(3)

The ABG for someone with COPD will show

Gastroenteritis is most commonly caused by a __________, but can be bacterial or parasitic

In chronic bronchitis, the bronchial walls thicken and impair airflow

indications for CPAP

______________ is inflammation of the bronchioles & bronchi caused by exposure to irritants, especially cigarette smoke

______________ is a collection of lower airway disorders that interfere with airflow and gas exchange

Guaifenesin is an ____________ used to help with secretion management

Post thoracentesis care

EGD preop considerations

Perforation & bleeding can occur if GI tissue is inflamed

Educate the patient dx with TB, starting Pyrazinamide(PZA)

A patient with diverticulitis may present with

If a chest tube becomes disconnected from the drainage system, the nurse should

Vital signs for a patient with a GI bleed(2)

S/S of upper airway obstruction

O2 saturation will decrease during suction

Alpha-1 Antitrypsin deficiency is another cause of COPD

s/s of pneumothorax

Patient's with IBS may experience pain in the

What is a thoracentesis

EGD post op considerations

IBS is the inflammation of the bowel

TB dx is considered for anyone with a pers. cough, unint. wgt loss, NIGHT SWEATS, HEMOPTYSIS, SOB, fever, chills, anorex

What is tidaling

How should the nurse position the patient dx with peritonitis to promote drainage into the lower abd cavity

The 2 chamber of the chest tube is known as

Examples of GI stimulants

A pt dx with peptic ulcer disease may take H2 blockers(_________), (PPI)___________, ___________

Empyema is suspected when chest wall motion is ______ & breath sounds are ________

What does an H2 inhibitor and proton pump inhibitor have in common

What is Alpha-1 Antitrypsin(AAT) deficiency

Assessment findings for a patient with peritonitis might include(5)

indications for thoracentesis

Precautions for TB

Nasal cannulas should be used with chronic lung diseases & long term O2 therapy needs

What are the 3 main GI complications

Inflammation of the mucus membranes lining the airways is a key event in triggering an asthma attack

Diet for a COPD pt should consist of

The NPPV mask must fit tightly around the nose/mouth/both in order to form a proper seal to be effective

Chronic inflammation increases the # & size of mucus secreting glands which then produce large amnts of thick mucus

Educate the patient dx with TB, starting Ethambutol(EMB)

Patients with asthma should avoid:

Peritonitis & perforation are sometimes used interchangeably

A crohn's patient should avoid GI stimulants

MDI is prfrd w/ a spacer to help get the med to the lungs & prevent the med from sitting in the back of the throat

Immune related inflammatory disorder of the GI tract that can occur from "gum"(mouth) to "bum"(anus) is known as

A COPD patient often has chronic fatigue, so they should plan activities with rest periods and pace themselves

Small amounts of bleeding from the trach incision is expected for the first few days

_______ analysis is the best measure to determine the need for O2 therapy to evaluate its effectiveness

complications of COPD

Empyema is THIN, opaque, exudative, and foul smelling

Hyperinflation of the lungs and need for an increased respiratory rate describe what disorder

When inflammation is present, what lab values are increased

A patient with a GI bleed would be expected to have an INCREASED H&H

Most common causes of GI bleeds

The following image is an example of a

Examples of low-flow systems

Encourage pts to drink at least _______L/day to prevent dehydration & to _______ secretions

What is the name of the CIRCLED anatomical structure

What % of cont. O2 for 24-48hrs is r/t oxygen toxicity

Inflammation of the stomach and intestine is known as

What is the 3rd chamber of a chest tube known as

TB is a highly communicable disease

Intermit. bubbling in the water seal chamber can occur when

Educate the patient dx with TB, starting Isoniazid

Other than ABG, how else is O2 need determined?

__________ toxicity is r/t the concentration of O2, the duration of therapy, & degree of lung disease present

______________ is a destructive problem of lung elastic tissue that reduces its ability to recoil after stretching