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Respiratory Final
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85
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Not Applicable
05/05/2014

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Term
Patients may experience body image disturbance following nasal surgery related to
Definition
bruising
Term
In order to reduce irritation of the larynx in patients with laryngitis, the treatment of choice usually is
Definition
voice rest
Term
Malignancies in the larynx tend to spread fairly early. The most common site of mestasis is the
Definition
lungs
Term
The primary/ priority nursing assmeement of a patient following a laryngectomy is
Definition
evaluating the patients airway
Term
Following a laryngectomy the patient will breath through a
Definition
tracheal stoma
Term
Following a laryngectomy, which assessment is highest priority?
Definition
signs of respiratory obstruction
Term
Nose breathing is important because the mucous membrane lining of the nose is responsible for
Definition
warming and moistening inspired air
Term
Martin was hit in the face with a base ball. The nurse is applying ice to his nose and gave him pain medicine. He is pale and swallows frequently. This is related to
Definition
possible hemorrhage
Term
It is common for a patient with sleep apnea to awaken in the morning
Definition
still tired with a headache
Term
A person with laryngitis may have hoarsness or a complete loss of voice known as
Definition
aphonia
Term
Influenza impacts which population more severly than others?
Definition
under 2 and over 65
Term
How is influenza primarily transmitted from one person to another person?
Definition
Inhaling an infected persons airborn respiratory secretions after they cough or sneeze
Term
Before administering an influenza vaccine, the nurse should inquire about the patients allergy to
Definition
eggs
Term
Symptoms of a common cold can include
Definition
Sneezing, nasal congestion and dryness
Rhinorrhea
Term
In addition to rest, fluids and proer diet, drugs used to treat allergic rhinitis are primarily
Definition
antihistamines
decongestants
Term
The two potentioal complications of bacterial pharyngitis that need to be assessed for include
Definition
-rheumatic fever
-acuteglomerulephritis
Term
The presenting symptoms of cancer of the larynx usualy include
Definition
hoarsness
dysphagia
Term
Procedure for deviated septum
Definition
nasal septoplasty
Term
Procedure for cancer of the larynx
Definition
laryngectomy
Term
Procedure for chronic sinusisis
Definition
Caldwell-luc procedure
Term
Viral Pharyngitis of Bacterial?

Positive throat culture
Definition
Acute(usually bacterial)
Term
Viral or bacterial pharyngitis?

Abrupt onset of symptoms
Definition
acute (usually bacterial)
Term
Viral or bacterial pharyngitis?

Mild elevation of temperatuer
Definition
chronic (usually viral)
Term
Viral or bacterial pharyngitis?

Gradual onset of symptoms
Definition
chronic (usually viral)
Term
How is influenza primarily passed from person to person>
Definition
Inhaling an infected persons airborne respiratory secretions after they cough or snwwze
Term
Signs of cerebral hypoxia often include
Definition
mental status changes
Term
Which diagnostic test would be used to confirm a diagnosis of tuberculosis?
Definition
sputum for afb
Term
How is TB transmitted>
Definition
by inhaling droplets cointaing the disease organism
Term
The breathing difficulty in atelectasis is the result of por exchange of oxygen and carbon dioxide because
Definition
the alveoli are collapsed
Term
The pathophysiology of asthma is due to
Definition
constriction and inflammation of the small airways
Term
The main asthma symptom usually is
Definition
wheezing
Term
At a team conference a nurse asks why acute asthma may be treated with a beta-adrenergic agent. THe beta adrenergic agent reduces bronchospasm by
Definition
relaxation of smooth muscles lining the bronchi and larger bronchioles
Term
The most frequently used short-acting beta-agonist medication for quick relief during an asthma attack is
Definition
albuterol
Term
If uncorrected, severe persistant bronchospasm (status asthmaticus) could lead to
Definition
-Respiratory acidosis
-Respiratory failure
-Respiratory arrest
Term
The nurse hears wheezing from the chest of a patient with COPD. These breath sounds are caused by
Definition
movement of air through narrowed airways
Term
The symptoms of emphysema include
Definition
dyspnea, cough, limited excersize tolerance
Term
The patients symptoms of emphysema are caused by
Definition
destruction of the alveolar walls
Term
A patient is treated with IV methylprednisolone (solu-medrol) for emphysema. What is the purpose of corticosteroid treatment in lung disease?
Definition
to reduce airway inflammation
Term
What puts patients with COPD at high risk for infection?
Definition
stasis of respiratory secretions
Term
What characteristic puts the patient with COPD at high risk for the nursing diagnosis: altered nutrition: less than body requirements
Definition
increased work of breathing
Term
In COPD, ankle edema and respiratory problems should make the nurse suspect hypertrophy of the
Definition
right ventricle
Term
A patient is unable to exhale efficiently and becomes short of breath. The best intervention is to
Definition
teach him pursed lip breathing
Term
Hans had hip replacement surgery 2 days ago. He is acutely anxious, has a feeling of impending doom, is dyspneic, and has pleuritic chest pain. He's hypotensive, sweaty, and tachycardic. His breath sounds reveal crackles in upper R lobe. Symptomatic of
Definition
pulmonary embolism
Term
What intervention is the highest priority fir the patient with a pulmonary embolism?
Definition
apply oxygen
Term
When a patient has a pneumothorax, what assessment finding is reported immediately?
Definition
deviated trachea
Term
What can be seen on a chest h-xray of a patient with an occupational lung disease
Definition
fibrotic changes in the lungs
Term
Restlessness confusin agitation and drowsiness is often an early sign of
Definition
acute respiratory failure
Term
In the patient with chronic airway obstruction, the precipitating factor in acute respiratory failure is often
Definition
acute respiratory infection
Term
Aminophyline and beta adrenergic bronchodialtors are often used in acute respiratory failure to
Definition
dilate the bronchioles and promote ventilation
Term
Leading cause of lung cancer
Definition
smoking
Term
Oxygen therapy should be used with caution in patients with chronic respiratory conditions because it
Definition
may remove the major stimulus to breath
Term
The nurse helps the client to optimize oxygenation by placing the client in what position?
Definition
high fowlers
Term
What clinical signs would the nurse expect to see in the patient with TB
Definition
-Hemoptysis
-Night sweats
-Chronic cough
Term
Tips for preventing atelectasis include
Definition
-Teach and reinforce the use of incentive spirometer
-encourage deep breathing and oughing
Term
What will assist the patient with order to maintain adequate nutrition?
Definition
-Providing small frequent meals
-Providing high calorie high protein supplements
Term
COPD is a category of diseases including
Definition
-Chronic bronchitis
-Emphysema
-Asthma
Term
Pulmonary embolism may start as
Definition
-DVT
-A-Fib
-valve replacement
-Prolonged imobility
Term
Hypersecretion of mucous
Definition
chronic bronchitis
Term
Blue bloater
Definition
chronic bronchitis
Term
stenosis caused by fibrotic tissue that replaces granulation tissue
Definition
chronic bronchitis
Term
pink puffer
Definition
emphysema
Term
No cyanosis
Definition
emphysema
Term
distended alveoli
Definition
emphysema
Term
prolonged inflammation of bronchi over many years
Definition
chronic bronchitis
Term
most common type of COPD
Definition
emphysema
Term
cyanosis and ruddy color
Definition
chronic bronchitis
Term
Elevated hgb
Definition
chronic bronchitis
Term
Specific gravity of urine
Definition
1.003-1.029
Term
T/F: a delyed hypersensitivity response can happen over several hours or days
Definition
true
Term
T/F: Although symptoms can be bothersome there are no potential complications of sinusitis
Definition
false
Term
T/F: Only the frontal and maxillary sinuses are accessible during a physical assessment
Definition
true
Term
The common cold is also known as
Definition
acute viral rhinitis
Term
The common cold is most often caused by
Definition
a virus
Term
Pathophysiology of common cold
Definition
A virus causes inflammation and edema of the nasal mucous membranes
Term
A common side effect of the drugs used to treat allergic reactions would be
Definition
drowsiness
Term
A substance capable of iniating an allergic/ hypersensitivity response is called an
Definition
allergen
Term
Desensitizing injectons or "allergy shots" are composed of a dilute solution of
Definition
allergens
Term
In order to help diagnose sinusitis, the dr will wish to view the accessible areas of the sinus drain pathways. He will accomplish this with the use of a
Definition
nasal endoscopy
Term
David will be discharged home following sinus surgery. One of the key instructions that the discharge must include is for him to
Definition
avoid blowing his nose for 7-10 days
Term
When the nasal cavity is packed following surgery, the patient breathes through his mouth. A measure that decreases dryness of the mucous membranes is
Definition
humidifiers
Term
Russ is having nasal packing placed for epistaxis of the posterior section of his nose. To assess that hypoxia is not occurring secondary to the packing, what should be performed on an ongoing basis?
Definition
pulse ox reading
Term
Pharyngitis is a term used to indicate
Definition
inflammation of the surface of the pharynx
Term
The antibiotics that are drug of choice for pharyngitis that is bacterial in origin is
Definition
penicillin
Term
It is necessary to obtain a throat culture from a patient with pharyngitis in order to
Definition
rule out beta-hemolytic streptococcus
Term
Nasal polyps are grape-like growths of edematous mucous membrane which line the nose or paranasal sinuses and are usually
Definition
benign
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