Med Surg 1 Test 1

type of influenza vaccine recommended for adults >50 years and health care workers

Term "pink puffer" is used to describe some PTs w/ emphysema who have normal skin color due to

Laxatives or stool softeners may be ordered for patient's after nasal surgery to prevent

The nurse encourages this to prevent pooling of secretions in lungs of PT with laryngectomy

Reason why the nurse should suction PT's airway secretions on PT w/ trache & inflated cuff.

Which person is at risk for developing pneumonia?

True about acute viral coryza?

Total laryngectomy involves removal of the entire larynx, vocal cords, and

risks associated with using intermitent positive pressure breathing (IPPB) treatments

What helps decrease dryness of mucous membranes in PT's with nasal cavity packing post surgery?

Which is a contraindication for a PT about to recieve thrombolytic therapy?

When asking about a PT's occupational history, which would NOT be included?

Which statement should be included when teaching a PT about TB?

PT w/ PE has new script for heparin, which statement would cause immediate concern?

The only symptom of laryngeal nodules is

Thin respiratory secretions so that they are more readily mobilized & can be coughed up

Which is a key point to remember when suctioning a patient?

3 major aiway characteristics of a patient with asthma

Which manifestations should the nurse expect to find in PT w/ PE?

A postop tonsillectomy PT is ready to be discharged. A nurse should report this symptom to doc.

Which factor interferes with accurate measurement of the pulse oximeter?

Which are common problems the nurse monitors in a patient who has had nasal surgery?

Wha is the most reliable diagnostic test for COPD?

The work of breathing is increased w/ COPD, which in turn increases the PT's

Nurse gives PT w/ COPD steroids and monitors for adverse effects such as:

Which is the most common site of metastasis in a patient with laryngeal cancer?

What bridges off from the trachea?

Drugs ordered to decrease airway resistance & the work of breathing for PTs w/ COPD are called:

chest physiotherapy should be performed:

Nurse is taking data from PT w/ hx of asthma, which is a risk factor for asthma?

Measures to prevent PE in postoperative PTs include

In PT's w/ emphysema, which causes patients to use accessory muscles for breathing?

PT w/ cystic fibrosis has daily chest physiothereapy, which is the purpose of the treatment?

The term "blue bloater" is used to describe patients with

Which is an adverse effect of TB med isoniazid?

A serious complication of bronchoconstriction is

After nasal surgery when the nasal drip (mustache) dressing becomes saturated, the nurse should

Signs and symptoms of pulmonary embolus (PE)

PT has COPD & is malnourished, what will promote nutritional intake

Best example of a nurse's documentation of a PT with pneumonia who has been hospitalized

The preset amount of oxygenated air delivered during each ventilator breath is called the

What should nurse say when teaching discharge instructions to PT w/ pneumothorax?

Which indicates understanding of care for PT w/ ARDS taking vecuronium?

positioning to facilitate gravitational movement of resp. secretions toward bronchi & trachea

complication associated w/ crackling under skin on right side of chest in PT w/ chest tube

PT is on 3 meds for TB, which statement indicates PT understanding?

a deviated septum may obstruct the nasal passage and block

Patients may experience distrubed body image following nasal surgery due to

True statements about pharyngitis

Which is at the "top"?

Which would be asked about when completing a functional assessment?

First action when caring for PT w/ ARDS w/ absent breath sounds in lower lobes & dyspnea?

Which is the type of surgery performed for chronic maxillary sinusitis?

Nasal cannula is preferred to face mask because the mask may increase the PT's feeling of

Which of the following is the first priority nursing diagnosis for the PT w/ cystic fibrosis?

Following laryngoscopy, the patient takes nothing by mouth until

Which technique should be used to identify manifestations of sinusitis?

Antiinflammatory drugs used to treat asthma

Which is an age related change in the respiratory system?

For PT's with throat disorders, the nurse inspects mucous membranes and tonsils of throat for:

Which test measures the volume of air the lungs can hold at the end of maximum inhalation?

Common reason for thoracic surgery

Who is at risk of developing acute respiratory distress syndrome (ARDS)?

If COPD PT becomes excessively dypneic or develops tachycardia during activity, the PT should

PT w/ COPD is concerned he won't be able to leave his house on continuous oxygen, nurse says

Signs and symptoms of airway obstruction in the PT with COPD

Which is an indication of the prodromal stage of inhalation anthrax?

To decrease reaction to offending allergens, allergist may recommend injections for what?

What should be included in the plan of care for a PT w/ a chest tube placed 1 hour ago?

LPN notices PT w/ COPD has increased dyspnea, HR of 92bpm, & edematous ankles, nurse should:

Inspection and palpation of the neck may reveal enlarged

Why is it important to limit tracheal suctioning time?

A PT who has triad disease has which?

When epistaxis occurs, the PT should sit down, lean forward, and apply direct pressure for

A primary nursing diagnosis for patients with laryngitis due to aphonia is

Treatment applied to neck to decrease swelling and pain after a tonsillectomy

What is the nursing implication when a PT w/ COPD has hypoxic drive?

Why is a vented dressing prefferred for PT w/ sucking chest wound?

Weakened esophageal sphincter with back flow of gastric contents in throat causes burning where

Tiny air sacs inside of the lungs

The total number of breaths delivered per minute with mechanical ventilation is called the

Patients with severe epistaxis may be at high risk for infection due to

Which contribute to increased feelings of restlessness & anxiety in asthma PTs

Before suctioning a patient, it is important to

Which position is used for a thoracentesis?

PT w/ pneumonia has temp of 100*F, pulse 110, resp 28, BP 130/72, the nurse should suspect:

Mr. P is having supraglotic laryngectomy, Mr. S is having total laryngectomy, post-op needs are

A post-op PT is feeling apprehensive & restless. Which is an indication of pulmonary embolism?

Reduce thickness of mucus & used to treat bronchitis & asthma

Which is a clinical manifestation of pulmonary tuberculosis?

Postop after total laryngectomy, the nurse's assessment focuses on comfort, circualtion, and

Epistaxis is more common in older people, especially in those taking:

cause contriction of nasal blood vessels & reduce swelling of mucous membranes

Immediate treatment of epistaxis involves having PT

Normally, the frontal and maxillary sinuses are filled with which of the following?

Herb used to boost the immune system and taken by some to decrease the severity of a cold

A persistent, productive cough with bloody sputum (hemoptysis) is a common symptom of

relax smooth muscle in the bronchial airways and blood vessels

Complications of bacterial pharyngitis that occurs 1-5 weeks after throat infection

Part of a rib cage moves inward w/ inspiration & outward w/ expiration, this pattern indicates

Why are PTs with COPD encouraged to drink extra fluids each day?

Inhibit allergic response; prevent asthmatic attacks

Nurse is teaching pursed lip breathing, she should include:

PT has chills & chest pain, worse w/ inspiration, and is confused. Which is nurse's priority?

Which indicates PT understands teaching of albuterol for COPD?

Which indicates respiratory failure in PT w/ asthma who developed pneumonia?

Which instruction should nurse provide to PT w/ TB taking ethambutol?

Which is the priority nursing Dx for PT who had total laryngectomy 24 hours ago?

Which finding should nurse expect to find in PT w/ suspected flail chest?

PT has pneumonia. Temp is 100*F, resp 30/min, BP 130/76, O2 91%. What is the nurse's priority?

Ventilators are most commonly required for patients with

True about sinusitis:

The preferred route of administration of bronchodilator drugs for PTs with COPD is by

Dissolve clots and used to treat pulmonary emboli

which is the term for a swollen mass of mucous membrane attached to the vocal cord

required when excessive secretions accumulate in oral or nasal airway & can't be expectorated

Function of the turbinates of the internal nose

Which manifestations should the nurse include in TB teachings?

What is the primary drug used in the prevention & treatment of TB?

Correct term for benign masses of fibrous tissue from overuse of voice or infection

What setting would be the maximum you would use for oxygen administration?

Which statement identifies client understanding of influenza teaching?

Prescribed to keep pressure in the lungs above atmospheric pressure at end of expiration

For older PT w/ COPD & pneumonia, monitor for which acid-based imbalances?

ABG findings that should be reported to doc if they occur in PTs w/ impaired gas exchange

The patient who has had nasal surgery may be at risk for decreased cardiac output because of

What is the leading cause of lung cancer?

kill or inhibit growth of bacteria, viruses, or fungi

Adverse effect of IV cisplatin (used to treat lung cancer)

Which group of people abstains from using tobacco

Which action should be taken when preparing to draw arterial blood for ABG testing?

After nasal surgery, the patient's vital signs are monitored to detect signs of

PT aspirated gastric contents, is on 100% O2. Which is a clinical manifestation of ARDS?

Which indicates PT understanding of new prednisone prescription for asthma?

PT w/ acute dyspnea & diaphoresis has HR 117, resp 38, temp 101.2, BP 100/54, which is priority

Nurse monitors PT with chronic bronchitis & emphysema for what signs of heart failure?

Which suggests PT having acute asthma attack has a respiratory status that is declining?

Treatment prescribed to reduce irritation of larynx in PTs with laryngitis

2 major problems that may develop in postop phase of tonsillectomy are respiratory distress &

What is one reason the opening of the airways constrict in patients with asthma?

PT w possible pneumothorax & chest bruising has chest pain w/ inspiration, nurse expects 2 hear

The late phase of an asthma attack is characterized by

Major components of medical treatment for asthama

With simple oxygen masks for PTs, flow rates form flowmeter should be adjusted to

Appropriate drugs used for relieving acute symptoms of asthma include

PT is post-op thoracic surgery, resp. normal, there is no bubbling in water seal chamber, why?

For which should the urse monitor to detect a pneumothorax in PT w/ gunshot wound?

The most serious complications of COPD are respiratory failure and

Dry up nasal seccretions

Abnormal breath sound due to fluid accumulation in the alveoli & doesn't clear w/ coughing

A PT asks what is the difference between influenza and the common cold. Appropriate response:

Following nasal surgery, what is the priority problem for this patient?

Serious neurologic complications are suspected in PTs with sinusitis who develop

What is between the pharynx and trachea?

The reason for monitoring peak expiratory flow rate (PEFR) for an asthma PT is

What should you do for a PT w/ upper respiratory infection and O2 sat of 96%?

Which is the best postition for patients after nasal surgery to help control swelling

Most common preventive drug therapy for tuberculosis is

Which intervention would nurse recommend for PT w/ severe acute respiratory distress system?

PT teaching for person w/ active TB should include:

A nurse is explaining pursed-lip breathing to a PT w/ COPD. This technique does what?

Which statement indicates PT understanding of incentive spirometer?

Suppress cough reflex

Individuals who both smoke and use alcohol are at particularly high risk for

Which would NOT be considered a symptom of TB?

The recommended diet for the PT who is dyspneic is a doft diet with

Which statement indicates understanding of purpose of taking albuterol for asthma?

Reduce frequency of acute asthma attacks (doesn't stop them once in progress)

Post nasal surgery, PT has increased pulse, resp rate of 20, nasal dressing clean, nurse should

Who is at risk for having aspiration pneumonia?

When reviewing a script for PT w/ pneumothorax, which should nurse perform first?

Which med for a PT w/ SaO2 of 91%, audible wheezing, & using accessory muscles to breathe?

PT who is to undergo pneumonectomy states "I am afraid to cough after surgery" nurse should say

Gently close one naris and instruct patient to breathe through the other to assess

PT who is thought to have active TB is isolated at first. Which ISN"T necessary related to care

Recommended dialy fluid intake to help thin secretions in PTs with impaired gas exchange:

A nurse should include what information when teaching a PT about tuberculin skin tests?

Condition that indicates a medical emergency

When providing tracheostomy care to a patient, which is the appropriate intervention?

Common anatomic & physiologic changes in older ppl regarding nose, sinuses, & throat:

Where is the respiratory center located?

During the physical exam of PTs with COPD, the thorax is inspected for the classic

patients with a deviated septum may complain of epistaxis, sinusitis, and

Which clients are at risk for pulmonary embolism?

Total laryngectomy causes permanent loss of the

Which teaching should be included for post-op rhinoplasty PT?

Which position promotes maximal lung expansion in the PT with laryngectomy?

What can block the airway?

for PT w/ influenza, this drug type must be started w/in 24-48 hrs of Sx and given for 10 days

The most serious complication of sinusitis is

PT w/ persistent productive cough for 3-4 months each winter for 5 years probably has

Suctioning is limited to 10 seconds because prolonged suctioning can lead to

The best positon for patients with bronchial asthma is

desensitizing injections (allergy shots) are composed of dilute solutions of

Points discussed first with a young adult PT regarding preventing acute asthma attacks

During the physical examination of PTs with COPD, the nurse observes the neck for