Term
| A potentially reversible obstructive airway disorder characterized by airway inflammation, hyperresponsiveness, and obstruction is: |
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Definition
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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: |
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Definition
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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: |
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Definition
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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. |
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Definition
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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: |
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Definition
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Term
| The most serious complications of chronic obstructive pulmonary disease (COPD) are: |
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Definition
| Respiratory failure and heart failure |
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Term
| An expected laboratory value in the patient diagnosed with chronic brinchitis is: |
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Definition
| Elevated red blood cell count |
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Term
| A patient has been newly diagnosed with emphysema. The nurse would expect this patient's main symptom to be: |
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Definition
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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). |
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Definition
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Term
True or False?
Those diagnosed with cystic fibrosis do not usually survive the early childhood years. |
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Definition
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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: |
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Definition
| Wear isolation masks when caring for the patient. |
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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: |
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Definition
| "Expect your urine to be a reddish-orange color." |
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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: |
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Definition
| Immigrants from developing countries. |
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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: |
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Definition
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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. |
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Definition
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Term
| What PPE would protect the mucous membranes of the nurse from exposure when performing suctioning? |
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Definition
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Term
| How much suction is used when suctioning the adult patient? |
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Definition
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Term
| What do you assess before suctioning the patient? |
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Definition
| Resp rate, lung sounds, and O2 stat |
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Term
| What is the purpose of the plastic lined cup in the suction kit? |
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Definition
| To hold sterile normal saline |
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Term
| Which sterile gloved hand is kept sterile? |
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Definition
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Term
| What is the purpose of using the ambu-bag (bag-valve device) in this procedure? |
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Definition
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Term
| When is the non-dominant thumb used to apply suction? |
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Definition
| When withdrawing the suction catheter. |
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Term
| What equipment is needed to perform trach care? |
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Definition
| Non-sterile gloves, sterile gloves, saline water, hydrogen peroxide, and the trach care kit. |
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Term
| How is the inner cannula removed for cleaning? |
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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. |
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Term
| Is the inner cannula removed with sterile or nonsterile gloves? |
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Definition
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Term
| What is the solution used for cleaning the inner cannula? |
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Definition
| The solution is a mix of sterile saline water and hydrogen peroxide. |
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Term
| What is the solution used for rinsing the inner cannula? |
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Definition
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Term
| What are the pipe cleaners used for in trach care? |
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Definition
| To dry the inner cannula and prevent water from going into the lungs |
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Term
| What solution is used for cleaning the trach stoma? |
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Definition
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Term
| What are the cotton tipped applicators used for in trach care? |
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Definition
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Term
| Why is it important to put on the new trach ties before removing the old trach ties? |
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Definition
| Because the method of tying involves using both of your hands, the trach would always be tied keeping suction over the stoma. |
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Term
| How do you determine the proper tension (tightness) of trach ties? |
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Definition
| When you can comfortably fit your finger in between the trach tie and the patient's neck. |
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Term
| How is the drain sponge placed? |
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Definition
| Around the stoma, under the trach, with the cut facing upward. |
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Term
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Definition
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Term
| The late phase of an acute asthma attach is characterized by: |
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Definition
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Term
| Drugs that are effective in relieving acute symptoms of asthma include: |
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Definition
Beta2-receptor agonists
Corticosteroids
Mast Cell Stabilizers
Leukotriene Modifiers |
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Term
| Asthma patients use peak expiratory flow rate meters to: |
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Definition
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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: |
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Definition
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Term
| What is the nursing implication when a COPD patient has hypoxic drive? |
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Definition
| The patient's oxygen therapy should not exceed 3 L/min |
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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: |
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Definition
| Contact the physician to report signs of congestive heart failure |
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Term
| The priority nursing diagnosis for the patient with cystic fibrosis is: |
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Definition
| Ineffective Airway Clearance |
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Term
| Patient teaching for the person with active tuberculosis should include: |
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Definition
| Cover your mouth when coughing to prevent spreading the infection |
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Term
| The primary drug used for the prevention and treatment of tuberculosis is: |
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Definition
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Term
| The leading cause of lung cancer is: |
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Definition
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Term
| The function of turbinates in the internal nose: |
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Definition
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Term
| The maximum time that suction should be applied during nasotracheal suctioning is: |
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Definition
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Term
| The priority nursing diagnosis after total laryngectomy is: |
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Definition
| Ineffective Airway Clearance |
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Term
| The primary advantage of supraglottic laryngectomy over total laryngectomy is that: |
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Definition
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