stud
bud
Sign up
Log in
Home
Library
Explore
SAT
More
ch 27 Acute lower respiratory tract disorders Flashcards | StudBud
Explore
/
ch 27 Acute lower respiratory tract disorders
coughing up blood is hemoptysis
Cyanosis of the mouth
ch 27 Acute lower respiratory tract disorders
77 terms
·
StudBud Administration
·
10 plays
Imported from external platform
Flashcards
77 cards
F
Practice quiz
P
Host live
L
Questions
77
Answers
1
Cyanosis of the mouth
Pneumothorax
Empyema
chest trauma
Acute bronchitis
2
coughing up blood is hemoptysis
False
True
3
What are the most common tests for diagnosing influenza?
Rapid moleular assays
Rapid cell culture test
Rapid respiratory diagnostic tests
Rapid influenza diagnostic tests
4
Clear breath sounds without wheezes or crackles
anxiety
airway obstruction
fear
pain
5
normal white blood cell count
potential for infection
potentional for fluid volume deficit
fear
anxiety
6
Pt statement of reduced anxiety
airway obstruction
potential for infection
anxiety
inadequate circulation
7
When fine crackles are revealed during auscultation of the lungs, which disorder may be suspected?
Chest trauma
Pleurisy
Pneumonia
ARDS
8
When treating a pt with broken ribs, what is primary problem?
Inadequate circulation
Inadequate oxygenation
Potential for infection
Impaired mobility
9
Ventilators are most commonly required for pt with:
Hypoxemia
Hyperventilation
tachycardia
Oxygen toxicity
10
Falls are a penetrating injury
False
True
11
Match pt problems with goals and objectives for the next 10 quetions
False
True
12
What are beta 2 agonists used for in the treatment of acute bronchitis
Infection control
Reduce cough
Relieve chest tightness
Eliminate fatigue
13
Why is heparin used in the treatment of pulmonary emboli?
Dissolves the blood clots
Block extension of existing emboli
Prevents more emboli from forming
slows heart rate
14
Inflammation of the pleura
empyema
flail chest
hemoptysis
pleurisy
15
When treating a pt w/a chest trauma who has been impaled, how should the impaled object be managed?
Remove slowly after applying topical drugs 4numbness & infection prevention
prepare pt for surgical removal of object
Adjust pt position to prevent discomfort & calm anxiety
Leave in place & stabilize with dressings
16
why is a vented dressing necessary when treating a pt w/chest trauma?
prevent viral pneumonia
prevents a tension pneumothorax
allows air to enter the chest
pain reduction
17
Education on how to continue home care after being treated for pneumonia:
Take deep breaths every 1 to 2 hours
Ensure you are getting plenty of fluids
Avoid others who have colds or infections
Take all medicines as prescribed
18
Tachypnea
embolus
atelectasis
hemoptysis
acute respiratory distress syndrome
19
Aerosol therapy may be used to improve which pt problem?
Inadequate oxygenation
Potential for infection
Inadequate nutrition
Inadequate circulation
20
Pulse & blood pressure consistent with pt norms
anxiety
inadequate circulation
inadequate oxygenation
pain
21
hemoptysis
embolus
pneumonia
acute bronchitis
pleurisy
22
Normal breath sounds
pain
inadequate nutrition
inadequate oxygenation
potential for infection
23
pt @ risk for inadequate oxygenation should be placed in a semi-fowler position for which reason?
Improve ability to cough & expectorate
Dec pressure of abdominal organ on the diaphragm
Enable pt to improve fluid intake more easily
Allows pt more freedom of movement
24
When a pt presents w/pneumonia symptoms, which methods are used in confirming the diagnosis?
Pneumococcal urinary antigen
Stool culture
Gram stain
Molecular assays
25
stabbing is penetrating injury
True
False
26
Stable body weight
inadequate nutrition
potential for fluid volume deficit
pain
inadequate oxygenation
27
The nurse is caring for a pt w/fractured ribs. The pt has difficulty breathing due to:
Ineffective cough
Increased sputum production
atelectasis
Pain
28
A pt was in a car accident & is admitted w/4 fractured ribs. What is the priority nursing intervention for the pt?
Breathing exercises to prevent pulmonary complications
Provide a calm environment
Institute a plan to balance rest & activity
Manage pain; administer analgesics are prescribed
29
blast injuries are nonpenetrating injuries
True
False
30
Pain on one side of the chest
flail chest
rib fractures
pleurisy
chest trauma
31
Accumulation of blood in the pleural space
Hypercapnia
Atelectasis
Hemothorax
Pneumothorax
32
Pt w/pulmonary embolism prescribed coumadin following a week of heparin therapy in hospital; key discharge teaching
Avoid constricting clothing
Use a soft toothbrush
Do not take over-the-counter drugs containing aspirin
Place a pillow under both knees when sitting
33
Normal arterial blood gases, heart rate, and respiratory rate
airway obstruction
inadequate oxygenation
anxiety
potential for infection
34
Excess carbon dioxide in the blood
Hemothorax
Embolus
Hypercapnia
Empyema
35
Why is it necessary to monitor the blood gases of a pt with a pneumothorax?
To measure blood PH
To inspect for mediastinal shift
To test for hypoxemia & hypercapnia
To ensure wbc count remains stable
36
Collapsed lung or part of a lung
Hypercapnia
Embolus
Aletectasis
Empyema
37
Which are the best outcomes for a pt w/fractured ribs?
Vital signs within normal range
Increased cardiac output
Breath sounds clear to auscultation
Absence of dyspnea
38
The seasonal flu vaccine protects from all except which type of flu?
H3N2
C viruses
H1N1
B viruses
39
An obese female pt who undergoes bilateral knee replacement surgery is at for which disorder?
Pleurisy
Bronchospasm
Pulmonary emboli
Tachcardia
40
For the pt w/a chest trauma, what are the best ways to decrease anxiety?
Provide simple explanations
Promptly respond to patients needs
Acknowledge the patients concerns
Request a prescription for antianxiety drugs from HCP
41
anxiety
embolus
pneumothorax
atelectasis
hemothorax
42
What age is it recommended that individual begin getting a yearly influenza vaccination?
12 years
1 year
65 years
6 months
43
The nurse should plan to address inadequate oxygenation after the pt is calm
True
False
44
If the pt has weak cough & is unable to expectorate sufficiently, what may be required?
An MRI
Suctioning
Spirometry
A lung scan
45
Presence of air in pleural cavity that causes the lung on the affected side to collapse
Hemothorax
Atelectasis
Pneumothorax
Hypercapnia
46
If necessary, how is accumulated fluid removed from a pt with pleurisy?
Postural drainage
Administer antitussives
Splint rib cage
Thoracentesis
47
What methods are used to confirm a diagnosis of pulmonary emboli?
Arterial blood gas analysis
Chest X-ray
Electrocardiogram
Lung scan
48
Pneumothorax is paradoxical movement of the chest
False
True
49
Moist mucous membranes
inadequate oxygenation
potential for fluid volume deficit
inadequate nutrition
pain
50
What methods are used for treatment of the pt with acute respiratory distress syndrome?
Sedation may be required
Intubation
Drug therapy may be required
Mechanical ventilation
51
orthopnea
flail chest
pulmonary embolus
hemoptysis
pleurisy
52
Which is a symptom of hypoxemia?
Increased WBC count
Low hemoglobin
Excess CO2 in the blood
Lethargy
53
How is accumulated air or fluid aspirated from the pt being treated for a pneumothorax?
chest tube(CT) is inserted surgically while pt is anesthetized
insert chest tube immediately, forgoing the needle procedure
18g needle into pleural space to aspirate air or fluid before inserting CT
chest pump is used to remove air or fluids until the pt is stabilized
54
asymmetric chest wall movement
pneumothorax
chest trauma
hypercapnia
Atelectasis
55
Injury in which two adjacent ribs on the same side of the chest are each broken into 2 or more segments is flail chest
False
True
56
Inflammation in the lower respiratory system, usually viral
Pneumothorax
Hypercapnia
Hemothorax
Acute bronchitis
57
Relaxed appearance
pain
inadequate nutrition
anxiety
fear
58
The presence of purulent exudate in the pleural cavity
Embolus
Empyema
Pneumothorax
Pleurisy
59
paradoxical movement of the chest
pleurisy
flail chest
empyema
hypercapnia
60
pt w/influenza starts which drugs soon after the onset of symptoms & continued for 10 days
antivirals
antifungals
antimicrobials
corticosteroids
61
Automobile accident is a nonpenetrating injury
False
True
62
Calf or thigh pain
pulmonary embolus
acute respiratory distress syndrome
influenza
pleurisy
63
signs and symptoms of which respiratory disorder diffuse crackles
hemothorax
acute respiratory distress syndromw
acute bronchitis
flail chest
64
calm demeanor
fear
inadequate nutrition
airway obstruction
potential for infection
65
Coughing up blood is atelectasis
True
False
66
General body aches & pains
acute bronchitis
influenza
pneumothorax
flail chest
67
Help w/pt temperature give tepid sponge bath & be carful not to induce shivering
False
True
68
who is the greatest risk for having aspiration pneumonia?
immunosuppressed patients
chronically ill pt
smokers
pt with tube feedings
69
Visible bone fragments
rib fractures
pleurisy
atelectasis
flail chest
70
Gunshot is a nonpenetrating injury
True
False
71
Which drugs are effective in the treatment of influenza?
Acetaminophen
Ibuprofen
Echinacea
Oral oseltamivir
72
Foreign substance, usually blood clots, carried through the blood stream
Hypercapnia
Hemothorax
Embolus
Hypercapnia
73
high fever
hemothorax
influenza
pneumothorax
acute bronchitis
74
Sputum production
pneumonia
acute bronchitis
flail chest
pneumothorax
75
pt over 65; what other groups should receive the PCV13
adults between 19-64 who smoke or have asthma
children between 5-8
infants between 6months & 2 years
anyone over 40 who hasnt received seasonal influenza vaccine
76
signs of hypoxemia is bradycardia, restlessness & tachypnea
True
False
77
Wheezing or rhonchi
acute bronchitis
pneumothorax
hemothorax
atelectasis
