8 - Respiratory Stressors (part 2) Flashcards Preview

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Flashcards in 8 - Respiratory Stressors (part 2) Deck (22):
1

S/S include fever (not related to infection, but reaction to injury), diminished/absent breath sounds over collapsed area, the affected chest wall moves little, the opposite chest wall excursion appears excessive, and the tracheal shifts away from the side of collapse.

a.) Atelectasis

b.) Acute bronchitis

c.) Pneumonia

d.) Tuberculosis

Atelectasis

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2

Transmitted by aerosolization only.  Infectious, but brief exposure will not cause infection.

a.) Atelectasis

b.) Acute bronchitis

c.) Pneumonia

d.) Tuberculosis

Tuberculosis​

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3

S/S include fever/malaise, dry cough (most common), and rhonchi.

a.) Atelectasis

b.) Acute bronchitis

c.) Pneumonia

d.) Tuberculosis

Acute bronchitis

Rhonchi are rattling, continuous and low-pitched breath sounds that are often hear to be like snoring. Rhonchi are also called low-pitched wheezes.

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4

During tuberculosis, the inhaled organism gets past defense mechanisms and implants in lung tissue.  The immune system triggers the formation of "tubercles" around phagocytized bacilli and forms a protective wall.

Which type of tubercles indicate primary infection?

a.) Hard Tubercles

b.) Soft Tubercles

Hard Tubercles

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5

Diagnostics include ABG's, chest x-ray for consolidation, sputum gram stain, C&S, and checking WBCs.

a.) Atelectasis

b.) Acute bronchitis

c.) Pneumonia

d.) Tuberculosis

Pneumonia

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6

A side effect of this medication is a loss in visual acuity (can't differentiate between red and green).

a.) Streptomycin

b.) Ethambutol

Ethambutol​

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7

During tuberculosis, the inhaled organism gets past defense mechanisms and implants in lung tissue.  The immune system triggers the formation of "tubercles" around phagocytized bacilli and forms a protective wall.

Which type of tubercles cause caseation (necrosis into cheese-like mass)?

a.) Hard Tubercles

b.) Soft Tubercles

Soft Tubercles​

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8

During tuberculosis, the inhaled organism gets past defense mechanisms and implants in lung tissue.  The immune system triggers the formation of "tubercles" around phagocytized bacilli and forms a protective wall.

Which type of tubercles indicate that the client is infected, but does not have active disease?

a.) Hard Tubercles

b.) Soft Tubercles

Hard Tubercles

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9

During tuberculosis, the inhaled organism gets past defense mechanisms and implants in lung tissue.  The immune system triggers the formation of "tubercles" around phagocytized bacilli and forms a protective wall.

Which type of tubercles calcify and keep bacilli in check (bacilli do not multiply)?

a.) Hard Tubercles

b.) Soft Tubercles

Hard Tubercles

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10

During tuberculosis, the inhaled organism gets past defense mechanisms and implants in lung tissue.  The immune system triggers the formation of "tubercles" around phagocytized bacilli and forms a protective wall.

Which type of tubercles do the bacilli actually multiply in?

a.) Hard Tubercles

b.) Soft Tubercles

Soft Tubercles​

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11

The most definitive diagnostic test for this condition is an acid-fast bacilli smear and culture.  Chest x-rays and Tuberculin test (PPD) can also detect this condition.

a.) Atelectasis

b.) Acute bronchitis

c.) Pneumonia

d.) Tuberculosis

Tuberculosis​

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12

During tuberculosis, the inhaled organism gets past defense mechanisms and implants in lung tissue.  The immune system triggers the formation of "tubercles" around phagocytized bacilli and forms a protective wall.

Which type of tubercles heal to calcified areas or erode to bronchus?

a.) Hard Tubercles

b.) Soft Tubercles

Soft Tubercles​

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13

During tuberculosis, the inhaled organism gets past defense mechanisms and implants in lung tissue.  The immune system triggers the formation of "tubercles" around phagocytized bacilli and forms a protective wall.

Which type of tubercles will a person have a positive TB skin test, but is not infectious?

a.) Hard Tubercles

b.) Soft Tubercles

Hard Tubercles

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14

Diagnostics for determining this condition are 

a.) Atelectasis

b.) Acute bronchitis

c.) Pneumonia

d.) Tuberculosis

Atelectasis

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15

Interventions for this condition include chemotherapy and RIPE meds (Rifampin + Isoniazid + Pyrazinamide + Ethambutol or streptomycin).

a.) Atelectasis

b.) Acute bronchitis

c.) Pneumonia

d.) Tuberculosis

Tuberculosis​

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16

Interventions for this condition include maintaining hydration, prevent pooling of secretions (TCDB), rest, ASA/Tylenol to decrease fever/malaise, expectorants / cough suppressants, inhaled bronchodilators, a sputum culture and sample, chest x-ray to rule out pneumonia, and decongestants/antihistamines.

a.) Atelectasis

b.) Acute bronchitis

c.) Pneumonia

d.) Tuberculosis

Acute bronchitis

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17

Complete or partial collapse of a lung or lobe caused by airway obstruction, loss of surfactant, and/or pressure on lung tissue.

a.) Atelectasis

b.) Acute bronchitis

c.) Pneumonia

d.) Tuberculosis

Atelectasis

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18

Inflammation of the bronchial tubes.  Also known as a "chest cold."  Caused by a virus, bacteria, and/or irritating agents.

a.) Atelectasis

b.) Acute bronchitis

c.) Pneumonia

d.) Tuberculosis

Acute bronchitis

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19

Infection that inflames the air sacs in one or both lungs, causing fluid fills.  Caused by bacteria, viruses, fungi, food/fluid aspiration, emesis, and/or toxic/caustic chemical inhalation.

a.) Atelectasis

b.) Acute bronchitis

c.) Pneumonia

d.) Tuberculosis

Pneumonia

Pneumonia is the only disease in this section that can be caused by fungi

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20

S/S include pleuritic chest pain, cough/sputum production, rales/crackles, an increase in tactile fremitus, dull percussion, and unequal chest expansion.

a.) Atelectasis

b.) Acute bronchitis

c.) Pneumonia

d.) Tuberculosis

Pneumonia

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21

Potentially serious infection of the lungs caused by acid-fast bacillus.  Must be reported to Health Department Agencies.

a.) Atelectasis

b.) Acute bronchitis

c.) Pneumonia

d.) Tuberculosis

Tuberculosis​

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22

A side effect of this medication is hearing loss.

a.) Streptomycin

b.) Ethambutol

Streptomycin​

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