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Respiratory Unit 3
Chronic Respiratory Disorders
48
Nursing
12th Grade
06/18/2014

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Cards

Term
A potentially reversible obstructive airway disorder characterized by airway inflammation, hyperresponsiveness, and obstruction is:
Definition
Asthma
Term
Drugs used to treat asthma can be classified as those that provide long-term control (controllers) and those that relieve acute symptoms (relievers). Examples of relievers are:
Definition
Inhaled Glucocorticoids
Term
The nurse is caring for a patient with asthma. When reviewing his care plan, the nurse recognizes the diagnosis of "Ineffective Breathing Pattern, related to air trapping." The best position to maintain an effective breathing pattern in the patient diagnosed with asthma is:
Definition
Fowler's
Term
The nurse is providing discharge information to a patient newly diagnosed with asthma. When teaching the patient to use a peak expiratory flow rate (PERF) meter, the nurse emphasizes that the physician should be notified if the PERF drops ___ or more below the patient's usual level.
Definition
20%
Term
A nursing student is assigned a patient who is diagnosed with centrilobular empysema. The student learns through personal research that this type of emphysema is primarily associated with:
Definition
Cigarette Smoking
Term
The most serious complications of chronic obstructive pulmonary disease (COPD) are:
Definition
Respiratory failure and heart failure
Term
An expected laboratory value in the patient diagnosed with chronic brinchitis is:
Definition
Elevated red blood cell count
Term
A patient has been newly diagnosed with emphysema. The nurse would expect this patient's main symptom to be:
Definition
Dyspnea upon exertion
Term
A patient who takes an oral theophylline is admitted to the hospital. The nurse is aware that the physician will order the testing of the theophylline blood level because of the risk for toxicity. The therapeutic blood level for theophylline is ___ micrograms per milliliter (mcg/ml).
Definition
5 to 15
Term

True or False?

Those diagnosed with cystic fibrosis do not usually survive the early childhood years.

Definition
False
Term
The licensed practical nurse (LPN) is caring for a patient with active tuberculosis. The highest priority action by the nurse to prevent spreading the infection would be to:
Definition
Wear isolation masks when caring for the patient.
Term
The patient has been diagnosed with tuberculosis and is being treated with rifampin. The highest priority instruction that the LPN should provide to the patient would be to:
Definition
"Expect your urine to be a reddish-orange color."
Term
The LPN is working with the local Public Health Department to educate and screen patients for evidence of tuberculosis. The population of patients who should be the highest priority for this effort would be:
Definition
Immigrants from developing countries.
Term
The patient is scheduled to be treated with buproprion (Wellbutrin) as part of a treatment for smoking cessation. The patient tells the nurse that she has a history of an eating disorder. The first action by the nurse should be to notify the:
Definition
Physician
Term

True or False?

An area of care of the patient with a chronic respiratory disease that can be safely delegated to the cirtified nursing assistant (CNA) is to count the respiratory rate every 4 hours.

Definition
True.
Term
What PPE would protect the mucous membranes of the nurse from exposure when performing suctioning?
Definition
Mask and face shield.
Term
How much suction is used when suctioning the adult patient?
Definition
100-150 mmgHg
Term
What do you assess before suctioning the patient?
Definition
Resp rate, lung sounds, and O2 stat
Term
What is the purpose of the plastic lined cup in the suction kit?
Definition
To hold sterile normal saline
Term
Which sterile gloved hand is kept sterile?
Definition
Dominant Hand
Term
What is the purpose of using the ambu-bag   (bag-valve device) in this procedure?
Definition
To oxygenate the patient
Term
When is the non-dominant thumb used to apply suction?
Definition
When withdrawing the suction catheter.
Term
What equipment is needed to perform trach care?
Definition
Non-sterile gloves, sterile gloves, saline water, hydrogen peroxide, and the trach care kit.
Term
How is the inner cannula removed for cleaning?
Definition
Your non-dominant hand holds the trach in place while you pinch the two stubs of the inner cannula and rotate clockwise. Once it becomes loose, pull the cannula out slowly so you do not hurt or cause discomfort to the patient.
Term
Is the inner cannula removed with sterile or nonsterile gloves?
Definition
Nonsterile Gloves
Term
What is the solution used for cleaning the inner cannula?
Definition
The solution is a mix of sterile saline water and hydrogen peroxide.
Term
What is the solution used for rinsing the inner cannula?
Definition
Sterile saline water
Term
What are the pipe cleaners used for in trach care?
Definition
To dry the inner cannula and prevent water from going into the lungs
Term
What solution is used for cleaning the trach stoma?
Definition
Sterile saline water
Term
What are the cotton tipped applicators used for in trach care?
Definition
Cleaning the trach stoma
Term
Why is it important to put on the new trach ties before removing the old trach ties?
Definition
Because the method of tying involves using both of your hands, the trach would always be tied keeping suction over the stoma.
Term
How do you determine the proper tension (tightness) of trach ties?
Definition
When you can comfortably fit your finger in between the trach tie and the patient's neck.
Term
How is the drain sponge placed?
Definition
Around the stoma, under the trach, with the cut facing upward.
Term
STUDY WORKBOOK PACKET
Definition
STUDY WORKBOOK PACKET
Term
The late phase of an acute asthma attach is characterized by:
Definition
Hyperresponsive airway
Term
Drugs that are effective in relieving acute symptoms of asthma include:
Definition

Beta2-receptor agonists

Corticosteroids

Mast Cell Stabilizers

Leukotriene Modifiers

Term
Asthma patients use peak expiratory flow rate meters to:
Definition
Monitor level of control
Term
A patient's health history includes "reports persistent productive cough for 3 to 4 months each winter for the past 5 years." You recognize these symptoms as typical of:
Definition
Chronic Bronchitis
Term
What is the nursing implication when a COPD patient has hypoxic drive?
Definition
The patient's oxygen therapy should not exceed 3 L/min
Term
During a routine visit with a COPD patient, a home health nurse finds the patient to have increased dyspnea since the last visit, heart rate of 92 bpm, and edematous ankles. The nurse should:
Definition
Contact the physician to report signs of congestive heart failure
Term
The priority nursing diagnosis for the patient with cystic fibrosis is:
Definition
Ineffective Airway Clearance
Term
Patient teaching for the person with active tuberculosis should include:
Definition
Cover your mouth when coughing to prevent spreading the infection
Term
The primary drug used for the prevention and treatment of tuberculosis is:
Definition
Isoniazid
Term
The leading cause of lung cancer is:
Definition
Smoking
Term
The function of turbinates in the internal nose:
Definition
Warm inspired air
Term
The maximum time that suction should be applied during nasotracheal suctioning is:
Definition
10 Seconds
Term
The priority nursing diagnosis after total laryngectomy is:
Definition
Ineffective Airway Clearance
Term
The primary advantage of supraglottic laryngectomy over total laryngectomy is that:
Definition
The voice is preserved
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