Unit 2ABCD

ER nurse preparing for pt w/ sustained facial & neck injuries from car wreck. Which of these is the priority?

Pt had recent lobectomy & tube placement. Which of these requires immediate follow up?

RN notices a visitor walking into the room of a pt on airborne precautions w/ no PPE. What does the RN do?

Kara says that fluticasone should be taken before albuterol. Owen disagrees and says albuterol before fluticasone.

Pt admitted w/ respiratory distress & suspected pneumonia. Which assessment findings are consistent w/ this diagnosis?

A nurse assesses a clients respiratory status. Which information is of highest priority for the nurse to obtain?

RN is reviewing info w/ pt scheduled for pulmonary function tests. Which of the following info should the nurse include?

RN caring for pt scheduled for thoracentesis. Pre-procedure, which action should the RN take?

Which pt on the med surg floor will the nurse assess first?

RN caring for pt who just had radical neck surgery & receiving mechanical ventilation. Which assessment takes priority?

RN notes pt's respiratory rate is 24bpm on oxygen 3L/min. Pt reports SOB. Which action by RN is performed first?

Flap created after laryngectomy in postop period appears dusky in color. What is the nurse’s first action?

Pt has cystic fibrosis & is infected w/ Burkholderia cepacia. Which room does the charge nurse put the pt in?

Pt w/ status asthmaticus. RN finds a sudden absence of wheezing in lung fields & performs which action first?

I must ask the pt prior to CT w/ contrast if they're allergic/sensitive to iodine and/or shellfish

Which situation is the pt more likely to experience side effects from steroid therapy?

Pt with facial trauma has recently developed restlessness. Which of these is the nurse’s first priority?

Luke says that his albuterol is a rescue drug for asthma. Is this true or false?

RN assesses pt who is recovering from a lung biopsy. Which assessment finding requires immediate action?

Pt w/ COPD calls pulmonary clinic & reports last 24hrs peak flow have been in the yellow. What does the RN say?

True or False: Air trapping describes COPD.

Pt admitted to ER with facial burns, pt requires high-flow oxygen therapy. Which oxygen delivery device will be used?

T or F: Emergency inhalers must be kept w/ the pt at all times

Pt returned from PACU following tracheostomy procedure. Which nursing action must be taken first?

What is the best way to obtain a sputum culture?

Dominic blows into his peak flow meter at least once every shift. He gets green zone. What does the green zone mean?

Pt just had a tracheostomy placed yesterday. Which assessment is essential?

T or F: Nurse Sam needs to hyperoxygenate the trach pt before and after suctioning.

Pt has dyspnea and must stop several times when climbing a flight of stairs. Which interventions should be implemented?

RN assesses a pt after a thoracentesis. Which assessment finding warrants immediate action?

Prior to CT w/ contrast, what does your diabetic pt need to do if they're taking Metformin?

A nurse is caring for an older adult client who has a pulmonary infection. Which action should the nurse take first?

COPD pt w/ hypoxemia & hypercarbia is about to receive oxygen therapy. RN recognizes that which is a positive outcome?

Which intervention will be most important for the nurse to accomplish preoperatively laryngectomy?

RN cares for pt w/ lobectomy & sees gentle bubbling in the water seal chamber of the chest tube drainage. RN does what?

Pt taking isoniazid, rifampin, & ethambutol for TB is receiving discharge edu. Which points does the RN need to make?

Which is a potential cause of pneumothorax?

What is used to confirm diagnosis for TB?

T or F: RN says, "pt can take their albuterol when they go to sleep."

Pt w/ trach has care plan to reduce risk of aspiration. Which nursing interventions would be included in the care plan?

Pt is orally intubated & mechanically ventilated. Which interventions performed by RN reduce pt's risk of pneumonia?

RN assessing pt postop bronchoscopy. Which finding should the RN report to the MD?

Pt is a DNR & has non-rebreather mask. Pt's breathing appears labored. What does the nurse do first?

RN assesses pt who had nasoseptoplasty 24 hours ago. Which finding requires immediate intervention by the nurse?

Patient Frank has asthma. Which term describes this health issue?

T or F: Aspiration can occur post-laryngectomy.

"Barrel Chest" is caused by chronic dyspnea

Pt has smoked 10 packs a year, for 3 years. Calculate the patient's pack-year history.

When caring for pt w/ chronic bronchitis, which of these interventions will help pt mobilize secretions?

Pt has laryngeal trauma. Which sign/symptom does the nurse determine is most critical to report to the provider?

Pt has resp failure, is intubated, & on vent w/ 100% O2. Later pt has crackles, decr breath sounds, & PaO2 of 95mmHg.

Med Surg unit only has 1 neg-airflow room. Which of the 4 pts should the charge nurse admit to this room?

D&S Review: Lactated Ringer's 1000mL to infuse at 100mL/hr. Calculate infusion time in hours

T or F: RN says, "pt needs to take long acting beta agonist even when their breathing seems okay."

Pt is scheduled to receive 2 puffs of the corticosteroid fluticasone, is there a special consideration & if so what?

T or F: Pt w/ laryngectomy says that they are not allowed to put anything over their stoma to cover it.

You, the nurse, give mag sulfate to pt w/ status asthmaticus. What will you need to monitor for?

Pt received packing for a posterior nosebleed. Which of these orders does the nurse question?

T or F: Sleep apnea occurs when CO2 builds up while pt is not breathing, which stimulates pt's body to wake up & breathe

58yr old F w/ new diagnosis of throat cancer. Discusses surgical options w/ MD. Pt is sad.

If a pt is taking albuterol, what side effects of the med & device will you see? 2 answers

Which intervention is used to improve Ineffective Airway Clearance in a pt with COPD?

"Barrel Chest" is caused by long-term trapping of air in the chest

Laryngeal cancer pt admitted to med-surg unit morning before a scheduled total laryngectomy.

Which complication could be caused by pneumothorax?

RN caring for pt scheduled for thoracentesis. Which supplies should be in the pt's room?

Patient Kendra has pleural effusion. What order can be expected from the MD?

Which condition is most likely to cause oxygen dissociation curve to shift to the left?

Charge nurse in ER is choosing assignment for new RN. Which of these pts would be most appropriate to assign to this RN?

RN enters room while pt is eating breakfast & recognizes the pt has an upper airway obstruction w/ signs of hypoxemia.

Patient Doug is diagnosed w/ lung cancer. He asks you, "What's the difference between chemotherapy and radiation?"

RN supervising pt during mealtime who has had recent laryngectomy. Which is essential to include in care plan?

Which assessment finding is correctly paired w/ the nurse's primary intervention?

Elderly pt is admitted w/ pneumonia. Which sign or symptom is typically found in elderly pts w/ pneumonia?

D&S Review:Cefriaxone 1000mg in 100mL of D5W to infuse over 60 minutes every 24 hours at 10gtt/mL. Calculate the gtt/min

Pt will undergo total laryngectomy. Which pt statement indicates the need for further teaching about procedure?

T or F: Beta agonist help decrease bronchospasm & wheezing, relaxes the bronchial smooth muscle & acts quickly

Mia is having tightness in her chest, a possible asthma attack. So, she uses her peak flow meter.

To prevent aspiration in pt w/ neck & throat cancer, RN's first step should be to:

T or F: Corticosteroids can be used as a rescue drug, it decreases airway swelling

Pt w/ chronic bronchitis is receiving edu. on new mucolytic. Which explanation is the purpose for this medication?

RN gets health history of pt recently diagnosed with lung cancer & identifies that the pt has 60-pack yr history.

Pt admitted to ER due to fall while rock climbing. He has several facial fractures.

RN caring for pt postop thoracentesis. Which manifestations are at risk for complications?