Med-Surg: Respiratory System/2

Question 1

carbon dioxide toxicity contributing factors

2

Answer 1

1. CO2 retention

2. excessive oxygen therapy

Question 2

CO2 toxicity manifestations

4

Answer 2

1. altered LOC
2. tachypnea
3. increased BP
4. tachycardia with dyrhythmias

Question 3

pneumonia contributing factors (less known)

7

Answer 3

1. no pneumococcal vaccination within the last 5 years
2. no influenza vaccine within last year
3. post op
4. sedation and opioid use
5. prolonged immobility
6. tobacco use
7. enteral tube feeding

Question 4

pneumonia fluid intake

Answer 4

3l/day

Question 5

TB manifestations

6

Answer 5

1. cough, hemoptysis
2. positive AFB sputum
3. low grade fever
4. night sweats
5. malaise, fatigue
6. anorexia, weight loss

Question 6

isoniazid and food

Answer 6

avoid food containing tyramine (aged cheese, curred meats)

Question 7

TB - educate about rifampin

Answer 7

can alter metabolism of other drugs

Question 8

TB meds - monitor what organs

2

Answer 8

liver

kidneys

Question 9

TB meds- administer when and how

Answer 9

empty stomach, at the same time everyday

Question 10

TB meds - educate to watch for indications of

3

Answer 10

1. hepatoxicity
2. nephrotoxicity
3. visual changes

Question 11

meds that tx TB

6

Answer 11

1. INH
2. rifampin
3. pyrazinamide
4. ethambutol
5. fluoroquinolones
6. aminoglycosides

Question 12

laryngeal cancer is most common in who

Answer 12

men ages 55-70

Question 13

laryngeal cancer contributing factors

3

Answer 13

1. smoking
2. radiation exposure
3. chronic laryngitis and/or straining of vocal cords

Question 14

laryngeal cancer manifestations

7

Answer 14

1. hoarseness longer than 2 weeks
2. dysphagia
3. dyspnea
4. cough
5. persistent sore throat
6. hard, immobile lymph nodes in neck
7. weight loss, anorexia

Question 15

hoarseness in voice lasting longer than 2 weeks, think…

Answer 15

laryngeal cancer

Question 16

laryngeal cancer dx procedures

5

Answer 16

1. MRI
2. direct laryngoscopy with biopsy
3. x ray
4. CT
5. bone scan and PET scan

Question 17

laryngeal cancer - route of meds that is preferred

Answer 17

elixir

Question 18

laryngeal cancer therap. measures

2

Answer 18

1. partial or total laryngectomy

2. radiation

Question 19

PE contributing factors

9

Answer 19

1. a fib
2. hypercoagulation
3. long bone fracture
4. long term immobility
5. oral contraceptive or estrogen therapy
6. obesity
7. PVD, DVT
8. sickle cell
9. central venous catheters

Question 20

PE manifestations

8

Answer 20

1. dyspnea, tachypnea
2. sharp, stabbing pain on inspiration
3. tachycardia
4. hypotension
5. impending doom
6. diaphoresis
7. pleural effusion
8. crackles, cough

Question 21

fat emboli signs

Answer 21

petechiae over chest and axilla

Question 22

PE dx tests

5

Answer 22

1. abgs
2. d dimer
3. chest xray
4. v/q scan
5. pulmonary angiography

Question 23

PE therapeutic measures

2

Answer 23

1. embolectomy

2. vena cava filter

Question 24

hemothorax manifestations

6

Answer 24

1. respiratory distress
2. tracheal deviation
3. reduced/absent breath sounds
4. asymmetrical chest wall movement
5. subcutaneous emphyseam
6. chest pain

Question 25

chest tube insertion | 5

Answer 25

1. place supine or semi-fowlers 2. verify informed consent signed 3. administer pain meds/sedation 4. after - apply dressing to insertion site 5. monitor

Question 26

chest tube - continuous rapid bubbling in water seal chamber

Answer 26

air leak

Question 27

chest tube - no tidaling in water seal chamber | 2

Answer 27

1. check for kinks | 2. check breath sounds for lung re-expansion

Question 28

chest tube - no bubbling in suction control chamber | 3

Answer 28

1. verify tubing is attached 2. verify water is filled to prescribed level 3. check wall suction regulator

Question 29

chest tube pulled from client | 3

Answer 29

1. cover insertion site with sterile dressing, taped on three sides 2. contact provider 3. prepare for reinsertion

Question 30

hypoxia and hypoxemia: early or late sign - tachypnea

Answer 30

early

Question 31

hypoxia and hypoxemia: early or late sign - tachycardia

Answer 31

early

Question 32

hypoxia and hypoxemia: early or late sign - restlessness

Answer 32

early

Question 33

hypoxia and hypoxemia: early or late sign - pale skin and mucous membranes

Answer 33

early

Question 34

hypoxia and hypoxemia: early or late sign - elevated BP

Answer 34

early

Question 35

hypoxia and hypoxemia: early or late sign - use of accessory muscles, nasal flaring, adventitious lung sounds

Answer 35

early

Question 36

hypoxia and hypoxemia: early or late sign - bradypnea

Answer 36

late

Question 37

hypoxia and hypoxemia: early or late sign - bradycardia

Answer 37

late

Question 38

hypoxia and hypoxemia: early or late sign - confusion and stupor

Answer 38

late

Question 39

hypoxia and hypoxemia: early or late sign - cyanotic skin and mucous membranes

Answer 39

late

Question 40

hypoxia and hypoxemia: early or late sign - hypotension

Answer 40

late

Question 41

hypoxia and hypoxemia: early or late sign - cardiac dysrhythmias

Answer 41

late