respi mix(pedia,adult,dxs)

Question 1

position after thoracentesis

Answer 1

sitting upright for 1 hour

Question 2

position after post op tonsillectomy

Answer 2

Prone, side-lying, semi fowlers

Question 3

why is warm saline gargle done in tonsilitis and adenoditis

Answer 3

dec. swelling via osmosis

Question 4

ABG of client in early s/sx of asthma

Answer 4

Respi. Alk(d/t hyperventilation)

Question 5

respiratory characteristics seen in epiglottitis

Answer 5

inspiratory stridor

Question 6

position in epiglottitis

Answer 6

tripod position

Question 7

respi characteristics seen in asthma

Answer 7

wheezing on expiration

Question 8

indication if there is absence of wheezing in asthma

Answer 8

complete closure of airway (status asthmaticus) emergency

Question 9

SE of bronchodilators

Answer 9

tachycardia

Question 10

inflammation or narrowing of the airway d/t viral infection (parainfluenza)

Answer 10

croup or larynfotracheobronchitis

Question 11

hallmark sign on croup

Answer 11

seal bark and brassy cough

Question 12

respi characteristics of croup

Answer 12

inspiratory stridor

Question 13

equipment at bed side in croup

Answer 13

tracheostomy set

Question 14

WOF in croup

Answer 14

drooling, nasal flaring & use of accessory muscles while breathing (emergency)

Question 15

infection of the major bronchi and trachea

Answer 15

bronchitis- usually viral. worst coughing at night

Question 16

inflammation of the bronchioles, mucus production that occludes the bronchioles

Answer 16

Bronchiolitis/ Respi syncyval virus (RSV)

Question 17

antiviral drug in RSV

Answer 17

Ribavirin(aerosoled- nurse wear googles)

Question 18

frequency of oral care in intubated patient

Answer 18

q4(twice per shift)

Question 19

pneumococcal vaccine given in advance age to prevent pneumonia frequency

Answer 19

q5 years

Question 20

genetics factor in COPD

Answer 20

alpha 1 anti-trypsin deficiency

Question 21

there is mucus trapping causing productive cough, crackles and hypovemia

Answer 21

chronic bronchitis

Question 22

are called blue bloaters

Answer 22

chronic bronchitis

Question 23

has manifestation of cor pulmonale

Answer 23

chronic bronchitis

Question 24

simple explanation of cor pulmonale

Answer 24

hypoxemia-> increase RR (vasocontriction)-> pulmo hpn(BP increase 1st in the lungs) -> RV will increase workload–> failure to causes RA destruction (cor pulmonale) –> RSHF

Question 25

due to increase production of elastase collagenase (destroys collagen)

Answer 25

emphysema

Question 26

barrel chest is seen in

Answer 26

emphysema

Question 27

loss of alveoli elasticity

Answer 27

emphysema

Question 28

pink puffers is seen in

Answer 28

emphysema

Question 29

why is there increase RBC in emphysema

Answer 29

a compensation d/t hypoxia (polycythemia-> pinkish appearance

Question 30

result of pumonary fxn test in COPD

Answer 30

low forced expiratory volume (FEV)

Question 31

exercise program of pt with COPD

Answer 31

graded exercise - gradual intensification

Question 32

blockage of the exocrine glands (mucus)

Answer 32

cystic fibrosis

Question 33

dxs test for cystic fibrosis

Answer 33

sweat chloride test