the best Flashcards
(426 cards)
1
Q
with surfactant and bulk lax’s and lactulose relieve constipation within 1-__ days
A
3
2
Q
stimulant lax’s relieve constipation in 6- __ hours
A
12
3
Q
at a __ dose, lax salts like Mg hydroxide relive constipation in 6-12 hours
A
low
4
Q
at a __ dose, lax salts like Mg hydroxide relive constipation in 2-6 hours
A
high
5
Q
osmotic lax’s like miralax, PEG, and glycolax relive constipation in 2-__ days
A
4
6
Q
when you are on fiber supplements and have low fluid intake, the risk is to __ the constipation
A
worsen
7
Q
the important nursing considerations related to care of the patient with persistent diarrhea are
think stop taking ___ softeners
A
stop taking stool softneners
8
Q
the important nursing considerations related to care of the patient with persistent diarrhea are
think heed what reflex and est a what schedule
A
heed poop reflex and est poop schedule
9
Q
the important nursing considerations related to care of the patient with persistent diarrhea are
think electrolyte ___, dehydration, and skin care due to what breakdown
A
electrolyte imbalance, dehyrdration, and skin care due to risk of breakdown
10
Q
milk of Mg hydroxide is a lax salt. true or false?
A
true
11
Q
milk of Mg hydroxide is a ____ lax
A
osmotic
12
Q
you can use milk of Mg hydroxide for constipation at a low or high dose?
A
low
13
Q
you can use milk of Mg hydroxide for colonoscopy prep at a low or high dose?
A
high
14
Q
you can use milk of Mg hydroxide for antacid and to ___ parasites
A
rid
15
Q
milk of ___ hydroxide have ADR of cramps and diarrhea
A
Mg
16
Q
milk of ___ hydroxide have ADR of dehydration and CNS toxicity with renal disease
A
Mg
17
Q
milk of ___ hydroxide have interventions of increasing fluid intake to avoid dehydration
A
Mg
18
Q
milk of __ hyrdoxide is given oral
A
Mg
19
Q
with milk of Mg ____ you need to get a lax use history
A
hydroxide
20
Q
milk of __ hydroxide have contraindications of bowel disorders and UC
A
MG
21
Q
milk of __ hydroxide have contraindications of diverticulitis and renal disease
A
Mg
22
Q
milk of __ hydroxide have contraindications of toxic Mg levels due to not excreting it
A
Mg
23
Q
sulfasazine are for IBS. t or f?
A
true
24
Q
sulfasazine is a 5-aminoalicylate. t or f?
A
true
25
use sulfasazine for IBS/UC and to manage Chron's ___
disease
26
sulfasalazine have ADR of headache and nausea. t or F?
true
27
sulfasalazine have ADR of rash and fever. t or f?
true
28
sulfasalazine have ADR of arthralgia and blood disorders(mon blood count). t or f?
true
29
sulfasalazine have ADR of anaphylaxis and angioedema. t or f?
true
30
sulfasalazine have ADR of peripheral neuropathy and anorexia. t or f?
true
31
sulfasalazine have ADR of SJS and dermatits. t or f?
ture
32
the cardiac effects of Beta 1 receptor stimulus are to _____ heart rate, conduction rate and contractility and CO and renin release and PVD and decrease the calcium going into the cells
reduce
33
the peripheral blood vessel effects of Alpha 1 receptor stimulus are ____ arterioles and veins, blood cant get to the periphery, increase peripheral resistance, increase venous heart return
constrict
34
the BB are dangerous to pts bc they cause ___ hypotension and OH
extreme
35
the consumption of grapefruit or grapefruit juice affect Nifedipine by ___ levels of drug and lead to toxicity and give you reflex TC
increasing
36
low BP, high BP, flushing are signs of toxicity. t or f?
true
37
If toxic-give NE, fluids, _____ Trendelburg, Ca to decrease contractility, atrophine or isoproterenol for BC with fruit and nifedipine
reverse
38
health promotion for a good bladder are to be hydrated and to not limit fluid if incontinent. t or f?
true
39
keep good voiding habits like flat feet and sit back on toilet . t or f?
true
40
keep a bowel schedule and prevent UTI to keep a good bladder. t or f?
true
41
dont smoke and reduce cough to prevent incontinence. t or f?
true
42
surgery for bladder are dialysis and to relieve urinary retention . t or f?
true
43
surgery for bladder are removing renal calculi and nephrectomy. t or f?
true
44
surgery for bladder are prostate surgery and bladder surgery and urinary diversion. t or f?
true
45
bladder interventions are to reduce weight and bladder irritatants(caffeine, aspirtatme, and citrus) . t or f?
true
46
bladder interventions are to schedule toileting, habit retraining, and prompted or timed voiding . t or f?
true
47
bladder interventions are kegals and electrical stimulation and vaginal weight training. t or f?
true
48
bladder interventions are IV devices, pads and external collection devices . t or f?
true
49
bowel interventions are colectomy, colostomy or ileostomy. t or f?
true
50
bowel interventions are rectal prolapse repair and hemorrhoidectomy. t or f?
true
51
collab interventions to optimize elimination are surgery and incontinence. t or f?
true
52
collab interventions to optimize elimination are pharmacological agents and to treat the underlying condition. t or f?
true
53
secondary interventions to optimize elimination are colonoscopy and blood occult and prostate cancer screening.t or f?
true
54
primary interventions to optimize elimination are environmental factors and good hydration. t or f?
true
55
primary interventions to optimize elimination are fiber, exercise and toileting schedule . t or f?
true
56
absent stool, discomfort and hard and dry stool are CM Of
constipation
57
ab distension and bloating are CM of
constipation
58
increased gas and rectal pressure are CM of
constipation
59
__ can be caused by stool retention
constipation
60
impaction is when there is ___ transit time and decreased sensation to defacation
increased
61
impaction has to do with rentention. t or f?
true
62
incontinence has ____ anal sphincter tone and nerve supply to rectal area
decreased
63
fecal incontinence have to do with diarrhea, cramping due to peristalsis. t or f?
true
64
fecal incontinence have to do with loss of sphincter control and bc of cognitive changes. t or f?
true
65
fecal incontinence are bc of injury, rectum changes or neurologic injury. t or f?
true
66
urine rentention is unintentional and imcomplete or unable to empty. t or f?
true
67
urine retention is in women if stool is pressing against bladder. t or f?
true
68
urine retention is when you take antidepressants or antihistamines. t or f?
true
69
urine retention is ass with pain, bladder infection, and bladder distension. t or f?
true
70
bladder distension can lead to urinary reflux and can dilate the ureters and renal pelvis and can lead to pyelonephritis and renal atrophy. t or f?
true
71
a backflow of urine from the bladder into the ureters is
urinary reflux
72
urine incontinence is loss of urine control. t or f?
true
73
urine incontinence is a disruption of emptying or storing the bladder with involuntary urine release and ass with spinchter dysfunction. t or f?
true
74
urine incontinence is ass with increased skin breakdown. t or f?
true
75
stress incontinence is leakage of urine during cough, sneeze, exercise. t or f?
true
76
urge incontinence is leaking larger amts of urine like in sleep(unexpected). t or f?
true
77
functional incontinence is untimely urination bc of disability, obstacles, or cognitive problems that prevent us from reaching toilet. t or f?
true
78
overflow incontinence is unexecpected leakage of small urine amts of urine bc of full bladder. t or f?
true
79
mixed incontinence is stress and urge incontinence . t or f?
true
80
transient incontinence is leakage that is temporary bc of infection, new med, colds with coughing. t or f?
true
81
overactive bladder is frequency and urgency with or without incontinence. t or f?
true
82
UTI's have nausea and vomit. t or f?
true
83
UTI's have chills and suprapubic and low back pain. t or f?
true
84
UTI's have bladder spasms and dysuria. t or f?
true
85
UTI's have burning pee and frequency. t or f?
true
86
UTI's have urgency, hesitation and noctura. t or f?
true
87
UTI's are common in preg women, females and old ppl. t or f?
true
88
UTI's can cause sepsis and death esp in elderly. t or f?
true
89
risks for urine incontinence are advanced age and female. t or f?
true
90
risks for urine incontinence are menopause or multiparity. t or f?
true
91
risks for urine incontinence are obese and smoking. t or f?
true
92
risks for urine incontinence are impaired mobility and trauma/surgery. t or f?
true
93
risks for urine incontinence are impaired cognition and stroke/spinal injury/brain tumor(neuro issues). t or f?
true
94
risks for urine retention are age and male. t or f?
true
95
risks for urine retention are prostate enlargement/inflammation/infection. t or f?
true
96
risks for urine retention are pelvic mass and trauma/surgery. t or f?
true
97
risks for urine retention are meds like anticholinergics, sympathomimetics. t or f?
true
98
risks for fecal retention are age and female. t or f?
true
99
risks for fecal retention are preg and lower income. t or f?
true
100
risks for fecal retention are poor edu and sedentary. t or f?
true
101
risks for fecal retention are dehydration and IBS/depression. t or f?
true
102
risks for fecal retention are meds like: opioids, diuretics, antidepressants, and aluminum antacids. t or f?
true
103
risks for fecal incontinence are age, diarrhea and impaired mobility. t or f?
true
104
risks for fecal incontinence are injury, chronic conditions, and rectal neuropathway. t or f?
true
105
risks for constipation are low fiber and low exercise. t or f?
true
106
risks for constipation are ignoring poop need bc the muscles and mucosa become insensitive. t or f?
true
107
risks for constipation are anxiety, depression, and stress. t or f?
true
108
risks for constipation are opioids/narcotics and laxatives. t or f?
true
109
risks for constipation are slow peristalsis and anorectal dysfunction. t or f?
true
110
bladder risks are old age bc urethra muscles are weak and it leads to incontinence. t or f?
true
111
The excretion of waste from the body is
Elimination
112
Passage of stool thru GI tract and thru smooth muscle contraction is bowel elimination. T or f?
True
113
Urinary elimination is urine thru the urinary sphincter and urethra. T or f?
True
114
removal , separation, or clearance of matter is elimnation. T or f?
true
115
the process of excreting the waste products of digestion is elimination. T or f?
true
116
anuria is the absence of urine. T or f?
true
117
dysuria is painful pee. T or f?
true
118
polyuria is multiple pee episodes like with DM. T or f?
true
119
urine frequency is multiple pee episodes with little pee. T or f?
true
120
urinary hesitency is the urge to pee but its hard to start peeing. T or f?
true
121
with the peeing the process is ...
Urine formed in the renal tubules moves into the collecting duct and then into the renal pelvis, the ureter, and the bladder, where it is stored until urination occurs. An internal sphincter, composed of smooth muscle, contracts involuntarily to prevent urine from leaking out of the bladder. The external sphincter, located just below the internal sphincter and surrounding the upper part of the urethra, is composed of skeletal muscle and is voluntarily controlled. this causes the internal sphincter muscles to relax and bladder wall contraction
122
the kidneys, ureters, bladder, and urethra are in the urinary system. t or f?
true
123
peeing helps maintain homeostasis and regulation. t or f?
true
124
the 3 components to making pee is glomerular filtration, tubular reabsorption, and tubular secretion. t or f?
true
125
digestion and stool formation have to do with bowel formation. t or f?
true
126
the two functions of the bowel is to breakdown nutrients and eliminate waste. t or f?
true
127
the GI system extends from the esophagus to anus. t or f?
true
128
the esophagus, stomach, SI, liver, gallbladder, and pancreas all do digestion and absorption. t or f?
true
129
in the colon is where the waste is formed. t or f?
true
130
smooth muscles in the intestinal tract stimulate peristalsis, which move things in your system. t or f?
true
131
the LI absorbs water and electrolytes as fecal matter. t or f?
true
132
mucus in the intestine helps lubricate the walls and aids in the expulsion of the stool. t or f?
true
133
slower peristalsis is reduced, matter goes thru intestines slow and has greater absorption of water and thus harder stool. t or f?
true
134
pooping is a reflex action of voluntary or involuntary control. t or f?
true
135
CO is the outcome of coordinated effects of factors that move blood thruout the heart into peripheral vessels. t or f?
true
136
CO=SV x HR . t or f?
true
137
CO has BP as a function. t or f?
true
138
pain with PAD happens at night bc CO drops in sleep and limbs are at heart level. t or f?
true
139
prolonged ischemia leads to skin and muscle atrophy. t or f?
true
140
prolonged ischemia leads to delayed healing and tissue necrosis. t or f?
true
141
prolonged ischemia leads to wound healing. t or f?
true
142
prolonged ischemia lead to nonhealing arterial ulcers and gangrene. it can result in amputation bc of bad blood flow. if blood flow is not fixed, infection occurs ass with pain and spreading. t or f?
true
143
the goal with PAD is to reduce CVD risk and get BP control. t or f?
true
144
reduce Na and use a DASH diet for PAD. t or f?
true
145
with PAD, stop smoking and get Hb below 7% like with DM. t or f?
true
146
with PAD, treat hyperlipidemia with diet and statins. t or f?
true
147
with intermittent claudation, you walk to the point of pain then you rest. try to walk for 30-45 min 3 times a week. t or f?
true
148
with PAD, women have a faster decline and mobility loss than men. t or f?
true
149
with PAD, daily exercise can increase survival rates. t or f?
true
150
with PAD, you want to do ambulatory care like doing daily feet inspection, round shoes with soft soles with lightly laced, and to teach how to check skin temps/cap refill/palpate pulses. t or f?
true
151
with PAD, complications are prolonged ischemia. t or f?
true
152
intermittent claudication is ass with PAD. t or f?
true
153
with HTN, you take the meds for life and take the BP and HR bf each dose. t or f?
true
154
with HTN, you want to mon daily weight and start at a low dose and increase it gradually. t or f?
true
155
with HTN, you decrease the dose of AH drugs after one year and dont go cold turkey. t or f?
true
156
with HTN, continue lifestyle modifications like having a BMI of 18.5-25 and keeping sodium below 2300mg/day. t or f?
true
157
with HTN, use a DASH diet and eat fruits/veggies/low fat dairy/whole grains/nuts/fish/poultry. t or f?
true
158
with HTN, limit 1 drink for W and 2 for M AND do 30-45 min of exercise a day AND stop smoking. t or f?
true
159
stop smoking and diet are a primary prevention for perfusion. t or f?
true
160
exercise and weight control are a primary prevention for perfusion. t or f?
true
161
BP screening are secondary preventions for perfusions. t or f?
true
162
treat the underlying condition and do diet modification are collab interventions for perfusion. t or f?
true
163
do pharmacotherapy and increase exercise to collab treat perfusion. t or f?
true
164
intermittent claudication and paresthesia are CM of PAD. t or f?
true
165
T or f? Paresthesia is a CM of PAD?
True
166
Reduced blood flow to the limb is a CM of PAD. T or f？
True
167
Pain at rest and critical limb ischemia are CM of PAD. T or f？
True
168
T or f？ PAD has thickening of the artery walls and narrowing of the upper and lower extremities.
True
169
T or f？ PAD is symptomatic from ages 60-80.
True
170
T or f？PAD has a strong prevalence in the blacks and shows earlier in DM
True
171
T or f？ PAD is related to CVD and the risk factors.
True
172
T or f？PAD has a higher risk of mortality, CVD mortality, and coronary events & stroke.
True
173
T or f？you see artherosclerosis with PAD
True
174
T or f？ atherosclerosis affects coronary, carotid an lower extremity arteries.
True
175
T or f？atherosclerosis thickens due to cholesterol and lipid deposits.
True
176
T or f？ atherosclerosis has to do with inflammation and endothelial injury.
True
177
T or f？muscle pain caused by exercise and due to lactic acid buildup is intermittent Claudication
True
178
T or f？intermittent claudication resolves in 10 min or less and is reproducible
True
179
T or f？ numbing and tingling of toes/feet from nerve tissue ischemia is paresthesia
True
180
T or f？neuropathy causes severe shooting or burning pain with paresthesia
True
181
T or f？paresthesia produces loss of pressure and deep pain sensations from reduced blood flow to limbs
True
182
T or f？ the paresthesia injuries often go unnoticed.
True
183
T or f？with reduced blood flow to limbs...you see thin, shiny and taut skin
True
184
T or f？ with reduced blood flow to limbs you see loss of hair on the lower legs
True
185
T or f？ with reduced blood flow to limbs, you see absent pedal, popliteal, or femoral pulses
True
186
T or f？with reduced blood flow to limbs, you see foot pallor with leg elevation.
True
187
T or f？with reduced blood flow to limb, you see reactive hyperemia of the floor with dependent position
True
188
T or f？you see pain at rest with PAD due to feet and toes being elevated
True
189
T or f？you see pain at rest with PAD due to low blood flow to distal tissues and happens more at night and gravity helps the pain relief.
True
190
T or f？CLI has no healing ulcers or gangrene
True
191
T or f？CLI has increased risk/prevalence with DM, HF, history of smoke
True
192
CLI has to do with chronic ischemic rest pain that lasts more than 2 hours. T or f？
True
193
T or f？ burning, cramping, pain in legs while you exercise is intermittent claudication.
True
194
T or f？ with PAD, you see numb or burning pain in feet when in bed
True
195
T or f？the pain with PAD can be relived by putting legs in dependent position.
True
196
T or f？you find bruits over femoral and aortic arteries with PAD
True
197
T or f？ you find a cap refill in toes of GT 3 sec(decreased) with PAD
True
198
T or f？you find no/decreased pulses with PAD
True
199
T or f？you find loss of hair on calf, ankle, and foot
True
200
T or f？you find dry, scaly, mottoes skin with PAD
True
201
T or f？you find think nails and cold/cyanosis extremities with PAD
True
202
T or f？you see Pallor of extremity with elevation with PAD
True
203
T or f？you see dependent rubor/redness of extremities with PAD.
Tru
204
T or f？ you see muscle atrophy and ulcers/toe gangrene with PAD.
True
205
T or f？the consequences of HTN are left ventricular hypertrophy
Tru
206
T or f? HTN will target the heart and brain(cerebrovasular disease)
True
207
T or f? With HTN and the heart you see CAD, atherosclerosis, left ventricular hypertrophy and heart failure
True
208
T or f? With the brain and HTN you see: cerebrovascular disease and retinopathy
True
209
T or f?with the brain and HTN, you see: TIA, strokes, and atherosclerosis
True
210
With the brain and HTN you see hypertensive encephalopathy and autoregulation changes
True
211
T or f? Modifiable RF of CVD are BP
True
212
T or f? When BP rises so does the risk of : MI, HF, stroke, renal disease and retinopathy
True
213
T or f? BP is the force exerted by blood against the wall of blood vessels
True
214
T or f? BP involves systemic and peripheral vascular effects
True
215
T or f? It is Impt to maintain tissue perfusion in activity and rest for BP regulation
True
216
T or f? BP is a function of CO an SVR
True
217
T or f? CO=SVxHR
True
218
T or f? CM of HTN is fatigue and dizziness
True
219
T or f? HTN CM are palpitations, angina and dysnpea
True
220
T or f? CM of HTN are face flushing and fainting
Tru
221
T or f? CM of HTN are retinal changes, visual disturbances, and nocturnal
True
222
T or f? HTN is a silent killer. It’s asymptotic til target organ disease occurs.
True
223
T or f? When the BP is elevated take in both arms and with pt sitting and standing
True
224
T or f? PreHTN is 120-139/80-89
True
225
T or f? Stage 1 HTN is 140-159/90-99
True
226
T or f? Stage 2 HTN is GT 160/GT 100
True
227
Hypertensive crisis is a consequence of HTN T or f?
True
228
T or f? The nurse should recognize headache, BP above 180/120 and blurred vision as hypertensive crisis.
True
229
T or f? The nurse should know that dizziness, disorientation, and epistaxis are CM of hypertensive crisis’
True
230
T or f? You want to administer IV AH therapies like nitroprusside, nicardipine, and labetalol) with HTN
True
231
T or f? You want to lower the BP by 20-25% the first hour in a hypertensive crisis but to not stop below 140/90
True
232
T or f? When doing IV AH therapy, M BP Q 5-15 min witha hypertensive crisis
True
233
T or f? Assess pupils, LOC and muscle strength to M for cerebrovasular change with a hypertensive crisis
True
234
T or f? M the ECG to assess the cardiac status in a hypertensive crisis
True
235
T or f? The expected BP is LT120/L80
True
236
T or f? HTN RF are age, ETOH, and DM
True
237
T or f? HTN RF are elevated serum lipids, race, and excess Na
True
238
T or f? HTN RF are genes, obesity, and gender
True
239
T or f? HTN RF are sedentary, SES, stress and tobacco use
True
240
T or f? AA have a higher rate of HTN
True
241
T or f? Postmenopausal and pregnancy increase the risk of HTN
True
242
T or f? Kidney disease, cushing disease and primary aldosteronism increase the risk of 2nd HTN
True
243
T or f? Pheochromocytoma, brain tumors and encephalitis increase the risk of 2nd HTN
True
244
T or f? Estrogen, steroids and sympathomimetics increase the risk of 2nd HTN
True
245
T or f? The PAD RF are hypertension and hyperlipidemia
True
246
T or f? The PAD RF are DM, smoke and obesity
True
247
T or f? The PAD RF are sedentary and genes
True
248
T or f? The PAD RF are female, older than 65 and high cholesterol
True
249
T or f? The PAD RF are elevated C reactive proteins, hyperhomocysteinemia and atherosclerosis
True
250
T or f? The RF for impaired perfusion are low SES and advanced age
True
251
T or f? The RF for impaired perfusion lifestyle and immobility
True
252
T or f? The mod RF for impaired perfusion are smoke and elevated serum lipids
True
253
T or f? The mod RF for impaired perfusion are sedentary lifestyle and obesity
True
254
T or f? The mod RF for impaired perfusion are DM and hypertension
True
255
T or f? The nonmod RF for impaired perfusion are age, men, and genes
True
256
T or f? Central perfusion is the force of blood movement generated by CO
True
257
T or f? Central perfusion needs good cardiac function, BP, and blood volume
True
258
T or f? Central perfusion is where blood is propelled to all organs and tissues from arteries thru capillaries and returns the blood to the heart thru veins
True
259
T or f? CO=SVxHR
True
260
T or f? Local/tissue perfusion is the volume of blood that flows to target tissue
True
261
T or f? Tissue/local perfusion requires patent vessels, good hydrostatic pressure and cap permeability
True
262
T or f? General perfusion is the flow of blood tray arteries and cap delivering nutrients and O2 to cells
True
263
T or f? COPD is chronic airflow limitation that is irreversible
True
264
COPD has to do with chronic bronchitis and emphysema. T or f?
True
265
T or f? You see chronic dysnpea with COPD
True
266
T or f? You see a RR that can 40-50/min during acute exacerabations in dysnpea
True
267
T or f? chronic bronchitis develops when hypersecretion of mucus obstructs the trachea and bronchi
True
268
T or f? Chronic bronchitis can be caused by irritants like smoke, pollution, and resp. Infection
True
269
T or f? Symptoms of chronic bronchitis are cough and dysnpea
True
270
T or f? Emphysema develops when the alveolar walls are destroyed an leads to permanent enlargement
True
271
T or f? Emphysema is caused by cig smoke
True
272
T or f? Emphysema has loss of lung elasticity and hyperinflation of lung tissue
True
273
T or f? Emphysema causes destruction of alveoli
True
274
T or f? Emphysema leads to decreased SA for gas exchange, CO2 retention and resp acidosis
True
275
T or f? COPD has dysnpea on excretion and cough in morning
True
276
T or f? COPD has hypoxemia and crackles/wheezes.
True
277
T or f?COPD has rapid and shallow registrations & use of accesssory muscles
True
278
T or f? COPD has a barrel chest/increased chest diameter(mostly with emphysema)
True
279
T or f? COPD has hyper resonance on percussion due to trapped air(with emphysema)
True
280
T or f? COPD has irregular breathing patterns and thin extremities/enlarge neck muscles
True
281
T or f? COPD has edema secondary to RSHF and clubbing in the late stages.
True
282
T or f? COPD has pallor and cyanosis of nail beds and MM in the late stages
True
283
T or f? COPD has decreased O2 saturation and in AA...the O2 saturation can be lower
True
284
T or f? use a incentive spirometer to expand lungs and diagnose COPD
True
285
T or f? With COPD, you see chronic ariway inflammation, lung parenchymal and plum BV
True
286
T or f? COPD has loss of elastic recoil and mucus hypersecretion
True
287
T or f? COPD has mucosal edema, bronchospasm that obstructs airways
True
288
T or f? COPD has hypoxemia and hypercapnia
True
289
T or f? Early signs of COPD are chronic cough
True
290
T or f? Complications of COPD are corpulmonale, sputum, cough and dsypnea
True
291
T or f? The main goal of care for COP pt is relieve symptoms an improve exercise tolerance
True
292
T or f? The main goals of COPD care is prevent and treat exacerbation/complications/disease progression
True
293
T or f? The main goal of COPD care is promote pt part in care, improve life quality and reduce mortality
True
294
T or f? Treat COPD with LVRS and a bullectomy
True
295
T or f? The way to treat COPD is transplants, pursed lip breathing and airway clearance techniques
True
296
T or f? Ways to treat COPD are huff coughing , percussion, vibration and postural drainage
True
297
T or f? You will see weight loss and malnutrition with COPD
True
298
T or f? The nurse will do acute care for exacerbations, cor pulmonale, and acute resp failure for COPD
True
299
T or f? There will be plum rehab for COPD pts. The overall goal will be to increase exercise capacity and improve the quality of life.
True
300
T or f? Walk for COPD to exercise and get adequate sleep and nutrition.
True
301
T or f? Do O2 therapy when humidified bc of irritation with COPD
True
302
T or f? with asthma the major concern with asthma is status asthmaticus.
true
303
T or f? asthma is the chronic inflammatory disorder of the airways that results in recurrent episodes of airflow obstruction.
true
304
T or f? asthma is reversible
true
305
T or f? with asthma the airflow is limited due to inflammation and results in bronchoconstriction, hyperreactivity, and edema of airways.
true
306
T or f? asthma attacks are caused by hyperreactive airways leading to contraction of the muscles in the airways.
true
307
T or f? you see wheezing and coughing with astham
true
308
T or f? you see dyspnea and chest tightness with asthma
true
309
T or f? symptoms that occur less then 2 times a week is mild intermittent
true
310
T or f? symptoms that are more then twice a week but not daily is mild persistent
true
311
T or f? daily symptoms in conjunction with exacerbations twice a week are moderate persistent
true
312
T or f? frequent symptoms are severe persistent
true
313
T or f? anxiety and stress are seen with asthma
true
314
T or f?mucus production and use of accessory muscles are seen with asthma
true
315
T or f? prolonged exhalation and low O2 is seen in asthma
true
316
T or f? barrel chest and increased chest diameter are seen in asthma
true
317
T or f? hypoxemia, hypocarbia(early), and hypercarbia(late in attack) are in asthma
true
318
T or f? hypoxemia is O2 less than 80
true
319
T or f? hypocarbia is CO2 LT 35 and early in attack
true
320
T or f? hypercarbia is CO2 GT 45 and late in attack
true
321
T or f? resp. infections are precipitating factors of acute asthma attack
true
322
T or f? genes and immune system influence the development of asthma
true
323
T or f? GERD is seen with asthma
true
324
T or f? increase meds if asthma gets worse and decrease the meds if gets better
true
325
T or f? when pt is in asthma attack, decrease the anxiety and panic
true
326
T or f? use MDI and DPI and nebulizers with asthma
true
327
T or f? pH is LT 7.35 is respiratory acidosis
true
328
T or f? resp. acidosis occurs in hypoventilation when CO2 is retained like in COPD
true
329
T or f? primary prevention in optimizing gas exchange is infection control and no smoking
true
330
T or f? primary prevention in optimizing gas exchange is vaccines and preventing postop complications
true
331
T or f? HH, cleaning surfaces, elbow cough, avoid large groups of people is infection control
true
332
T or f? preventing infections is done thru vaccines
true
333
T or f? reduce use and increasing access to services is to stop smoking
true
334
T or f? use the incentive spirometer and breathe deep Q 2 hours to prevent postop complications
true
335
T or f? prevent DVT by SC administration of anticoagulant to reduce clotting OR use stocking OR encourage ambulation
true
336
T or f? do a TB skin test to screen/secondary help optimizing gas exchange
true
337
T or f? no smoke and pharmacotherapy are collab interventions to optimize gas exchange
true
338
T or f? dilating airways and reducing edema is pharmacotherapy
true
339
T or f? increasing cough effectiveness and killing/limiting microbe growth is pharmacotherapy
true
340
T or f? oxygen therapy(humidified O2) and chest physiotherapy are collab interventions to optimize gas exchange
true
341
airway management and breathing support are collab interventions to optimize gas exchange. T or f?
true
342
T or f? postural drainage (let gravity do the work and used for cystic fibrosis) is a collab intervention to optimize gas exchnage
true
343
T or f? invasive procedures and nutrition therapy are collab interventions to optimize gas exchange
true
344
T or f? positioning in supine or sitting is a collab intervention to optimize gas exchange
true
345
T or f? sit a pt up if they have chronic pulm disease or acute/chronic impaired gas exchange
true
346
T or f? lie pt flat if hypoxic or acute lung disease. this give the areas of the lungs that are most dependent become the best ventilated and perfused.
true
347
with chest phsyiotherapy, you loosen and move secretions to be expelled. you use percussion(cup and clap) and vibration to loosen secretions. T or f?
true
348
if pt has dyspnea, use small meals. T or f?
T
349
if pt has a productive cough, oral care bf meals and reduce lingering taste of sputum . T or f?
t
350
give a pt with impaired gas exchange, high protein/calorie meals to give energy to breathe and support the immune system. T or f?
t
351
T or f? thoracentesis, bronchoscopy, and chest tubes are invasive procedures
t
352
T or f? head down, on left and right side, and supine and prone are dependent positions.
t
353
T or f? intubate or maintain open airway to do airway management.
t
354
T or f? normal gas exchange is quiet and effortless breathing
t
355
T or f? normal gas exchange is O2 between 95-100%
t
356
T or f? normal gas exchange is skin, nail beds, and lips are the appropriate color for the race
t
357
T or f? normal gas exchange is thorax is symmetric with equal thoracic expansion bilaterally
t
358
T or f? normal gas exchange is spinous processes are aligned and spaculae are bilateral symmetric
t
359
T or f? normal gas exchange is AP diameter of chest is 1:2 ratio of AP to lateral
t
360
T or f? normal gas exchange is trachea is midline
t
361
T or f? normal gas exchange is clear breath sounds bilaterally
t
362
T or f? the history of gas exchange has fam history and past med history
t
363
T or f? the history of gas exchange has current meds and lifestyle behaviors
t
364
T or f? the history of gas exchange has occupation and social environment
t
365
T or f? the history of gas exchange has problem based history(SOB, angina, cough)
t
366
T or f? with impaired gas exchange you will see increased HR/RR/temp, and decreased O2
t
367
T or f? with impaired gas exchange you will see leaning forward when sitting and anxiousness
t
368
T or f? with impaired gas exchange you will see using accessory muscles to breathe and clubbing
t
369
T or f? with impaired gas exchange you will see barrel chest and pursed lips
t
370
T or f? with impaired gas exchange you will see AP thorax ratio of 1:1 and scoliosis
t
371
T or f? with impaired gas exchange you will see trachea not midline
t
372
T or f? with impaired gas exchange you will see in kids: nare flaring and grunting
t
373
T or f? with impaired gas exchange you will see in kids: chest wall retractions and cyanosis
t
374
T or f? with impaired gas exchange you will see in kids: they stop eating to breathe
t
375
T or f? with impaired gas exchange you will hear in auscultation: narrrowed bronchi that may produce expiratory and inspiratory wheezing and stridor
T
376
T or f? with impaired gas exchange you will hear in auscultation: mucus or secretions may create rhonchi and fluid may generate crackles
t
377
a chest x ray will detect impaired ventilation and ID pleural effusion. T or f?
t
378
a chest x ray will ID pneumothorax, hemothorax, or emphysema. T or f?
t
379
a CT will detect pulm densities and tumors and pulm emboli.T or f?
t
380
T or f? a V/Q scan can diagnose a pulm emboli
t
381
T or f? a PET scan can distinguish from benign and malignant
t
382
T or f? a pulm function study can assess the presence and severity of diseases in airways.
t
383
T or f? a pulm function study can distinguish between obstructive and restrictive pulm diseases
t
384
T or f? an endoscopy is a bronchoscopy exam where a scope is put thru the bronchi to diagnose, collect and do tissue biopsy
t
385
T or f? RF for impaired gas exchange for infants are: they are nose breathers til 3 mths. if nose is clogged, no breathing happens
t
386
t or f? sneezing will clear the nares
t
387
t or f? resp patterns of newborns are irregular with 10-15 second pauses in between breaths
t
388
T or f? RF for impaired gas exchange for infants are fetal Hb(present for the first 5 mths and results in shortened survival of RBC's ...causes anemia by age 2 or 3 mths
t
389
T or f? RF for impaired gas exchange for infants are: less alveolar surface area for gas exchange, as well as narrow branching of peripheral airways that are easily obstructed by mucus, edema, or foreign objects
t
390
T or f? RF for impaired gas exchange for kids are: less alveolar surface area for gas exchange, as well as narrow branching of peripheral airways that are easily obstructed by mucus, edema, or foreign objects
t
391
T or f? RF for impaired gas exchange for old ppl are: diminished strength of respiratory muscles reduces the maximal inspiratory and expiratory force. This may result in a weaker cough
t
392
T or f? RF for impaired gas exchange for old ppl are: alveoli become less elastic and more fibrous causing dyspnea more frequently bc of less diffusion.
t
393
T or f? RF for impaired gas exchange for old ppl are: reduced number of RBC that increases anemia risk
t
394
T or f? RF for impaired gas exchange for old ppl are: chest wall becomes thicker with loss of elastic recoil
t
395
T or f? RF for impaired gas exchange for old ppl are: resp. muscles are weaker reducing the cough
t
396
T or f? RF for impaired gas exchange for old ppl are: alveoli dilate, decreased SA for gas diffusion, and decreased pulm capillary network
t
397
T or f? RF for impaired gas exchange for old ppl are: the immune response is decreased
t
398
T or f? RF for impaired gas exchange(nonmod): age, pollution, and allergies
t
399
T or f? RF for impaired gas exchange are: smoke, COPD and cystic fibrosis
t
400
T or f? RF for impaired gas exchange are: HF and immunosuppresion
t
401
T or f? RF for impaired gas exchange are: altered cog and brain injury
t
402
T or f? RF for impaired gas exchange are: tracheal intubation and prolonged immobility
t
403
t or f? gas exchange is O2 to cells and CO2 from the cells
t
404
t or f? the neuro, resp, and cardiac sys need to function to do gas exchange
t
405
t or f? the lungs deliver O2 to tissues then cell metabolism then CO2 to lungs then exhalation
t
406
t or f? ischemia is low oxygenated blood to tissues that results in hypoxemia and cell injury/death
t
407
t or f? hypoxia is low O2 to cells
t
408
t or f? anoxia is total lack of O2 in tissues
t
409
t or f? hypoxemia is reduced oxygenation arterial blood
t
410
t or f? nervous sys regulates breathing
t
411
t or f? as diaphragm contracts, O2 from atmosphere is pulled in. the nose will warm and humidify then the air goes to alveoli thru trachea and bronchi
t
412
t or f? CO2 is a byproduct of cell metabolism
t
413
t or f? CO2 is transported to the atmosphere in the opposite order of O2 and lowers the arterial CO2 level
t
414
t or f? CO2 will diffuse into plasma
t
415
t or f? when PaCO2 is decreased, signal to medulla to inhale is turned off til CO2 level rises
t
416
t or f? gas does diffusion
t
417
t or f? CO2 and O2 are independent
t
418
t or f? ineffective ventilation, reduced gas transportation ability, and inadequate perfusion can impair gas exchange
t
419
t or f? if infant is born bf 30 weeks, there is no surfactant present.
t
420
t or f? acute illness like pneumonia and asthma can lead to impaired gas exchange
t
421
t or f? COPD can lead to impaired gas exchange
t
422
t or f? neurologic, cardiovascular and hematologic (anemia) issues can lead to impaired gas exchange
t
423
t or f? congenital defects, genetic conditions, injury, inflammation, infections, and malignant neoplasms can cause impaired gas exchange
t
424
t or f? ventilation is inhaling oxygen into the lungs and exhaling CO2 from the lungs
t
425
t or f? transport is Hb availability and carrying O2 to cells from alveoli for metabolism and to carry CO2 from cells to alveoli
t
426
t or f? perfusion is the ability of blood to transport O2 containing Hb to cells and return Co2 containing Hb to the alveoli
t
