Podcast
Questions and Answers
A patient with COPD is prescribed oxygen therapy. Which oxygen saturation range should the nurse aim to maintain for this patient?
A patient with COPD is prescribed oxygen therapy. Which oxygen saturation range should the nurse aim to maintain for this patient?
- 92-96%
- 88-92% (correct)
- 95-100%
- 80-85%
A patient with chronic bronchitis is admitted to the hospital. Which assessment finding is most closely associated with this condition?
A patient with chronic bronchitis is admitted to the hospital. Which assessment finding is most closely associated with this condition?
- Alveolar damage
- Air trapping
- Chronic productive cough (correct)
- Barrel chest
A cystic fibrosis (CF) patient experiences pancreatic insufficiency. Which dietary modification is most appropriate for managing this complication?
A cystic fibrosis (CF) patient experiences pancreatic insufficiency. Which dietary modification is most appropriate for managing this complication?
- Low-calorie, low-protein diet
- Fluid restriction
- Low-fat diet with simple carbohydrates
- High-calorie, high-protein diet (correct)
A patient with a tracheostomy is at risk for tube obstruction due to thick secretions. Which intervention is most important for preventing this complication?
A patient with a tracheostomy is at risk for tube obstruction due to thick secretions. Which intervention is most important for preventing this complication?
A pregnant patient with preeclampsia is receiving magnesium sulfate. Which assessment finding indicates magnesium toxicity?
A pregnant patient with preeclampsia is receiving magnesium sulfate. Which assessment finding indicates magnesium toxicity?
A pregnant patient with chronic hypertension requires pharmacological management. Which category of antihypertensive medications should be avoided during pregnancy?
A pregnant patient with chronic hypertension requires pharmacological management. Which category of antihypertensive medications should be avoided during pregnancy?
Which of the following is a symptom of HELLP syndrome, a complication of preeclampsia?
Which of the following is a symptom of HELLP syndrome, a complication of preeclampsia?
A patient with COPD is prescribed a beta2-agonist bronchodilator. How does this medication help manage their COPD symptoms?
A patient with COPD is prescribed a beta2-agonist bronchodilator. How does this medication help manage their COPD symptoms?
A patient presents with fatigue, pallor, and shortness of breath. Their CBC reveals low hemoglobin and hematocrit levels. Which of the following conditions is most likely?
A patient presents with fatigue, pallor, and shortness of breath. Their CBC reveals low hemoglobin and hematocrit levels. Which of the following conditions is most likely?
A patient's lab results show microcytic anemia. Which of the following conditions is most likely the cause?
A patient's lab results show microcytic anemia. Which of the following conditions is most likely the cause?
A patient with sickle cell disease presents with severe bone pain, fever, and acute chest syndrome. Which of the following interventions is the priority?
A patient with sickle cell disease presents with severe bone pain, fever, and acute chest syndrome. Which of the following interventions is the priority?
A patient with a history of chronic alcoholism is diagnosed with macrocytic anemia. Which of the following deficiencies is most likely contributing to this condition?
A patient with a history of chronic alcoholism is diagnosed with macrocytic anemia. Which of the following deficiencies is most likely contributing to this condition?
Which instruction is most important to emphasize when teaching a patient about taking oral iron supplements for iron deficiency anemia?
Which instruction is most important to emphasize when teaching a patient about taking oral iron supplements for iron deficiency anemia?
A vegan patient presents with fatigue, neuropathy, and glossitis. Which of the following is the most likely cause of these symptoms?
A vegan patient presents with fatigue, neuropathy, and glossitis. Which of the following is the most likely cause of these symptoms?
A pregnant patient is diagnosed with folic acid deficiency. What potential complication should the patient be informed about?
A pregnant patient is diagnosed with folic acid deficiency. What potential complication should the patient be informed about?
A patient is diagnosed with aplastic anemia. Which lab findings would the nurse expect to see?
A patient is diagnosed with aplastic anemia. Which lab findings would the nurse expect to see?
An infant presents with a loud, harsh holosystolic murmur at the left lower sternal border, accompanied by poor feeding and failure to thrive. An echocardiogram is most likely to reveal which condition?
An infant presents with a loud, harsh holosystolic murmur at the left lower sternal border, accompanied by poor feeding and failure to thrive. An echocardiogram is most likely to reveal which condition?
A child is diagnosed with Coarctation of the Aorta (CoA). Which set of blood pressure readings would the nurse expect to find during the initial assessment?
A child is diagnosed with Coarctation of the Aorta (CoA). Which set of blood pressure readings would the nurse expect to find during the initial assessment?
A newborn is diagnosed with Patent Ductus Arteriosus (PDA). What type of murmur is most closely associated with this condition?
A newborn is diagnosed with Patent Ductus Arteriosus (PDA). What type of murmur is most closely associated with this condition?
An infant with Tetralogy of Fallot (TOF) experiences a hypercyanotic episode (Tet spell). Which immediate intervention is most appropriate?
An infant with Tetralogy of Fallot (TOF) experiences a hypercyanotic episode (Tet spell). Which immediate intervention is most appropriate?
A child is diagnosed with an Atrial Septal Defect (ASD). The nurse understands that the pathophysiology of ASD involves:
A child is diagnosed with an Atrial Septal Defect (ASD). The nurse understands that the pathophysiology of ASD involves:
A premature infant is diagnosed with Patent Ductus Arteriosus (PDA). Which medication is typically administered to promote closure of the PDA in premature infants?
A premature infant is diagnosed with Patent Ductus Arteriosus (PDA). Which medication is typically administered to promote closure of the PDA in premature infants?
An X-ray of a child with suspected Coarctation of the Aorta (CoA) reveals 'rib notching.' What causes this radiographic finding?
An X-ray of a child with suspected Coarctation of the Aorta (CoA) reveals 'rib notching.' What causes this radiographic finding?
A 6-month-old infant is diagnosed with Tetralogy of Fallot. What medication might be administered to maintain patency of the ductus arteriosus until surgical correction can be performed?
A 6-month-old infant is diagnosed with Tetralogy of Fallot. What medication might be administered to maintain patency of the ductus arteriosus until surgical correction can be performed?
A newborn presents with severe cyanosis unresponsive to oxygen administration. An X-ray reveals an 'egg-on-a-string' heart. Which congenital heart defect is most likely?
A newborn presents with severe cyanosis unresponsive to oxygen administration. An X-ray reveals an 'egg-on-a-string' heart. Which congenital heart defect is most likely?
An infant with Tricuspid Atresia is being prepared for a three-stage surgical repair. What is the PRIMARY goal of Prostaglandin E1 (PGE1) administration in this patient?
An infant with Tricuspid Atresia is being prepared for a three-stage surgical repair. What is the PRIMARY goal of Prostaglandin E1 (PGE1) administration in this patient?
An infant with Hypoplastic Left Heart Syndrome (HLHS) is exhibiting weak pulses and cold extremities. Which medication is MOST important to administer?
An infant with Hypoplastic Left Heart Syndrome (HLHS) is exhibiting weak pulses and cold extremities. Which medication is MOST important to administer?
A nurse is caring for an infant with a congenital heart defect and notes increased work of breathing and fluid retention. Which medication would the nurse anticipate administering?
A nurse is caring for an infant with a congenital heart defect and notes increased work of breathing and fluid retention. Which medication would the nurse anticipate administering?
Which nursing intervention is MOST appropriate to include in the care plan for an infant with a cyanotic congenital heart defect to minimize oxygen demand?
Which nursing intervention is MOST appropriate to include in the care plan for an infant with a cyanotic congenital heart defect to minimize oxygen demand?
An infant with Transposition of the Great Arteries (TGA) is undergoing a Balloon Septostomy. What is the PRIMARY goal of this procedure?
An infant with Transposition of the Great Arteries (TGA) is undergoing a Balloon Septostomy. What is the PRIMARY goal of this procedure?
A preterm infant is diagnosed with a patent ductus arteriosus (PDA). Which medication is MOST likely to be administered to promote closure of the PDA?
A preterm infant is diagnosed with a patent ductus arteriosus (PDA). Which medication is MOST likely to be administered to promote closure of the PDA?
Following a successful Blalock-Taussig (BT) shunt placement for Tetralogy of Fallot (TOF), what assessment finding would indicate the shunt is functioning effectively?
Following a successful Blalock-Taussig (BT) shunt placement for Tetralogy of Fallot (TOF), what assessment finding would indicate the shunt is functioning effectively?
A pregnant woman is Rh-negative and her fetus is Rh-positive. To prevent Rh incompatibility complications in future pregnancies, which intervention is most appropriate?
A pregnant woman is Rh-negative and her fetus is Rh-positive. To prevent Rh incompatibility complications in future pregnancies, which intervention is most appropriate?
A newborn presents with jaundice, and lab results indicate ABO incompatibility. Which treatment is most appropriate to reduce the bilirubin levels?
A newborn presents with jaundice, and lab results indicate ABO incompatibility. Which treatment is most appropriate to reduce the bilirubin levels?
A patient with polycythemia vera is at risk for increased blood viscosity and clotting. Besides phlebotomy, which intervention is most important to include in the plan of care?
A patient with polycythemia vera is at risk for increased blood viscosity and clotting. Besides phlebotomy, which intervention is most important to include in the plan of care?
A patient with a history of COPD presents with secondary polycythemia. What is the underlying cause of this condition in this patient?
A patient with a history of COPD presents with secondary polycythemia. What is the underlying cause of this condition in this patient?
Which intervention is most important for a patient experiencing a hypertensive crisis with a blood pressure of 190/130 mmHg?
Which intervention is most important for a patient experiencing a hypertensive crisis with a blood pressure of 190/130 mmHg?
A child is diagnosed with a congenital heart defect resulting in left-to-right shunting. What is the primary physiological consequence of this type of defect?
A child is diagnosed with a congenital heart defect resulting in left-to-right shunting. What is the primary physiological consequence of this type of defect?
A patient with aplastic anemia is being considered for treatment. Which of the following represents a definitive treatment option for this condition?
A patient with aplastic anemia is being considered for treatment. Which of the following represents a definitive treatment option for this condition?
What is the primary goal of administering hydroxyurea to a patient with sickle cell disease?
What is the primary goal of administering hydroxyurea to a patient with sickle cell disease?
A child presents with a barking cough, stridor, and mild retractions. Which intervention is the MOST appropriate initial nursing action?
A child presents with a barking cough, stridor, and mild retractions. Which intervention is the MOST appropriate initial nursing action?
A patient is suspected of having epiglottitis. Which assessment finding would warrant immediate notification of the healthcare provider?
A patient is suspected of having epiglottitis. Which assessment finding would warrant immediate notification of the healthcare provider?
A patient with bronchitis is being discharged. Which instruction should the nurse prioritize in discharge teaching?
A patient with bronchitis is being discharged. Which instruction should the nurse prioritize in discharge teaching?
An infant is diagnosed with bronchiolitis caused by RSV. Which nursing intervention is MOST important for managing this condition?
An infant is diagnosed with bronchiolitis caused by RSV. Which nursing intervention is MOST important for managing this condition?
A patient is diagnosed with community-acquired pneumonia (CAP). Which intervention should the nurse prioritize?
A patient is diagnosed with community-acquired pneumonia (CAP). Which intervention should the nurse prioritize?
A patient with a confirmed case of active tuberculosis (TB) is being admitted to the hospital. Which of the following nursing interventions is MOST important?
A patient with a confirmed case of active tuberculosis (TB) is being admitted to the hospital. Which of the following nursing interventions is MOST important?
A patient is experiencing acute respiratory distress due to a suspected upper airway obstruction from laryngeal edema post-extubation. After initial assessment, what is the priority nursing intervention?
A patient is experiencing acute respiratory distress due to a suspected upper airway obstruction from laryngeal edema post-extubation. After initial assessment, what is the priority nursing intervention?
A patient with asthma is prescribed both albuterol and fluticasone inhalers. What instructions should the nurse provide regarding their use?
A patient with asthma is prescribed both albuterol and fluticasone inhalers. What instructions should the nurse provide regarding their use?
Flashcards
Croup
Croup
A respiratory condition characterized by stridor, barking cough, and retractions in children.
Epiglottitis
Epiglottitis
A severe throat infection causing high fever, tripod position, drooling, and dysphagia.
Bronchitis
Bronchitis
Inflammation of bronchi, usually viral, leading to cough and malaise.
Bronchiolitis (RSV)
Bronchiolitis (RSV)
Signup and view all the flashcards
Pneumonia
Pneumonia
Signup and view all the flashcards
Obstructive Sleep Apnea (OSA)
Obstructive Sleep Apnea (OSA)
Signup and view all the flashcards
Asthma Triggers
Asthma Triggers
Signup and view all the flashcards
Tuberculosis (TB) Management
Tuberculosis (TB) Management
Signup and view all the flashcards
COPD
COPD
Signup and view all the flashcards
Emphysema
Emphysema
Signup and view all the flashcards
Chronic Bronchitis
Chronic Bronchitis
Signup and view all the flashcards
Oxygen Therapy
Oxygen Therapy
Signup and view all the flashcards
Cystic Fibrosis
Cystic Fibrosis
Signup and view all the flashcards
Preeclampsia
Preeclampsia
Signup and view all the flashcards
HELLP Syndrome
HELLP Syndrome
Signup and view all the flashcards
Tracheostomy Care
Tracheostomy Care
Signup and view all the flashcards
Rh Incompatibility
Rh Incompatibility
Signup and view all the flashcards
RhoGAM
RhoGAM
Signup and view all the flashcards
Erythroblastosis fetalis
Erythroblastosis fetalis
Signup and view all the flashcards
Neonatal Hyperbilirubinemia
Neonatal Hyperbilirubinemia
Signup and view all the flashcards
Phototherapy
Phototherapy
Signup and view all the flashcards
Polycythemia Vera
Polycythemia Vera
Signup and view all the flashcards
Hypertension Crisis
Hypertension Crisis
Signup and view all the flashcards
Congenital Heart Defects (CHDs)
Congenital Heart Defects (CHDs)
Signup and view all the flashcards
Anemia
Anemia
Signup and view all the flashcards
Symptoms of Anemia
Symptoms of Anemia
Signup and view all the flashcards
Blood Loss Anemia
Blood Loss Anemia
Signup and view all the flashcards
Hemolytic Anemia
Hemolytic Anemia
Signup and view all the flashcards
Iron Deficiency Anemia
Iron Deficiency Anemia
Signup and view all the flashcards
Vitamin B12 Deficiency
Vitamin B12 Deficiency
Signup and view all the flashcards
Folic Acid Deficiency
Folic Acid Deficiency
Signup and view all the flashcards
Aplastic Anemia
Aplastic Anemia
Signup and view all the flashcards
Atrial Septal Defect (ASD)
Atrial Septal Defect (ASD)
Signup and view all the flashcards
Symptoms of ASD
Symptoms of ASD
Signup and view all the flashcards
Ventricular Septal Defect (VSD)
Ventricular Septal Defect (VSD)
Signup and view all the flashcards
Symptoms of VSD
Symptoms of VSD
Signup and view all the flashcards
Patent Ductus Arteriosus (PDA)
Patent Ductus Arteriosus (PDA)
Signup and view all the flashcards
Symptoms of PDA
Symptoms of PDA
Signup and view all the flashcards
Coarctation of the Aorta (CoA)
Coarctation of the Aorta (CoA)
Signup and view all the flashcards
Symptoms of CoA
Symptoms of CoA
Signup and view all the flashcards
Transposition of the Great Arteries (TGA)
Transposition of the Great Arteries (TGA)
Signup and view all the flashcards
Treatment for TGA
Treatment for TGA
Signup and view all the flashcards
Tricuspid Atresia
Tricuspid Atresia
Signup and view all the flashcards
Symptoms of Tricuspid Atresia
Symptoms of Tricuspid Atresia
Signup and view all the flashcards
Hypoplastic Left Heart Syndrome (HLHS)
Hypoplastic Left Heart Syndrome (HLHS)
Signup and view all the flashcards
PGE1 in Cyanotic Defects
PGE1 in Cyanotic Defects
Signup and view all the flashcards
General Nursing Care for Cardiac Defects
General Nursing Care for Cardiac Defects
Signup and view all the flashcards
Study Notes
Infectious Respiratory Problems
-
Croup:
- Signs and symptoms include stridor, barking cough, retractions, and respiratory distress.
- Management involves cool humidified air, corticosteroids, racemic epinephrine, fluids, and maintaining calm, while monitoring vital signs.
-
Epiglottitis:
- Signs and symptoms include high fever, tripod position, drooling, dysphagia, and respiratory distress.
- Management requires avoiding throat examination, emergency intubation, humidified oxygen, and intravenous antibiotics.
-
Bronchitis:
- Cause: Viral infection
- Symptoms include gradual onset, rhonchi, productive cough, malaise, and low-grade fever.
- Management involves rest, fluids, humidification, avoiding cough suppressants, and antibiotics if bacterial.
-
Bronchiolitis (RSV):
- Cause: Respiratory Syncytial Virus (RSV)
- Symptoms include tachypnea, wheezing, crackles, and retractions.
- Management involves humidified oxygen, suctioning, hydration, and elevating the head of the bed.
-
Pneumonia:
- Types include community-acquired (CAP), hospital-acquired (HAP), and ventilator-associated (VAP).
- Symptoms include dyspnea, cough, fever, crackles, and decreased breath sounds.
- Management involves oxygen, hydration, incentive spirometry, bronchodilators, and antibiotics.
-
Influenza & COVID-19:
- Symptoms include fever, cough, fatigue, myalgia, shortness of breath (SOB), and anosmia (COVID-19).
Non-Infectious Respiratory Problems
-
Upper Airway Obstruction:
- Causes include tongue/laryngeal edema, trauma, abscess, and foreign body aspiration.
- Assessment involves stridor, cyanosis, anxiety, and hypoxia.
- Management includes airway clearance, bronchoscopy, and emergency tracheostomy.
-
Obstructive Sleep Apnea (OSA):
- Risk factors include obesity, large uvula, and short neck.
- Symptoms include snoring, daytime sleepiness, and morning headaches.
- Management includes continuous positive airway pressure (CPAP) and surgery (Uvulopalatopharyngoplasty).
-
Asthma:
- Triggers include allergens, exercise, NSAIDs, and GERD.
- Symptoms include wheezing, dyspnea, cough, and chest tightness.
- Management includes rescue medication (short-acting beta2-agonists like albuterol), control medications (inhaled corticosteroids, leukotriene modifiers), and emergency management (oxygen, IV steroids, bronchodilators).
-
COPD (Chronic Obstructive Pulmonary Disease):
- Types include emphysema and chronic bronchitis.
- Symptoms include dyspnea, productive cough, cyanosis, and clubbing.
- Management involves medications, breathing techniques, and oxygen therapy.
-
Cystic Fibrosis (CF):
- Cause: Autosomal recessive disorder affecting chloride transport.
- Symptoms include thick mucus, frequent lung infections, pancreatic insufficiency, and malnutrition.
- Management includes airway clearance, high-calorie, high-protein diet, pancreatic enzyme replacement, and infection prevention.
Oxygen Therapy & Tracheostomy Care
-
Oxygen Therapy:
- Delivery methods include low-flow (nasal cannula, simple mask) and high-flow (Venturi mask, high-flow nasal cannula).
- Noninvasive ventilation includes CPAP and BIPAP.
- Precautions include oxygen toxicity, combustion risk.
-
Tracheostomy Care:
- Indications include airway obstruction, and prolonged ventilation.
- Complications include tube obstruction, accidental decannulation, and infection.
- Management includes preventing thick secretions (humidification and suctioning), and maintaining sterile site care and suctioning.
Vascular and Cardiac Conditions
-
Hypertension in Pregnancy:
- Risk factors include first pregnancy, family history, age >35, chronic hypertension, obesity, and diabetes.
- Gestational Hypertension: BP >140/90 after 20 weeks, resolves postpartum, no proteinuria.
- Management includes methyldopa, beta-blockers, calcium channel blockers (avoid ACE inhibitors).
-
Preeclampsia & Eclampsia:
- Pathophysiology is generalized vasospasm.
- Symptoms include hypertension, proteinuria, edema, vision changes, liver dysfunction, and headache.
- Management involves magnesium sulfate, antihypertensives, fetal monitoring, and possible HELLP Syndrome management.
-
Chronic Hypertension in Pregnancy:
- Management involves methyldopa, beta-blockers, calcium channel blockers (avoid ACE inhibitors).
-
Heart Failure:
- Types include left-sided (pulmonary congestion, dyspnea, orthopnea, fatigue) and right-sided (peripheral edema, jugular venous distension, ascites, hepatomegaly).
- Systolic heart failure (HFrEF) is characterized by decreased contractility and EF <40%.
- Diastolic heart failure (HFpEF) is characterized by poor ventricular filling and EF >40%.
- Compensation mechanisms include SNS activation, RAAS activation, and BNP release.
- Management involves medications and lifestyle modifications.
-
Valvular Heart Disorders:
- Types include mitral stenosis, mitral regurgitation, aortic stenosis, and aortic regurgitation.
- Treatment includes non-surgical (beta-blockers, diuretics, ACE inhibitors, anticoagulation) and surgical (valve replacement or balloon valvuloplasty).
-
Hypertension & Peripheral Vascular Disease:
- Types include essential, secondary, and hypertensive crisis.
- Peripheral Artery Disease (PAD) involves narrowing of arteries, leading to pain, coolness, weak pulses, and ulcers.
- Peripheral Venous Disease (PVD) involves venous disease that can lead to edema, stasis dermatitis, varicose veins, and ulcers.
- Management and treatment are specific to the type, usually involving medications, lifestyle changes, and/or surgical interventions.
-
Congenital Heart Anomalies & Pregnancy:
- Acyanotic Defects: Left-to-right shunting, increased pulmonary blood flow or obstruction; examples: ASD, VSD
- Cyanotic Defects: Right-to-left shunting, decreased pulmonary blood flow or mixed circulation; examples: TOF, TGA, PDA, Coarctation of the Aorta, Hypoplastic Left Heart
-
Heart Failure in Pregnancy:
- Class I & II: Activity modification, infection prevention
- Class III & IV: Bed rest, oxygen, fetal monitoring
- Medications: Heparin, digoxin, diuretics
-
Anemia Overview:
- Definition: Decrease in red blood cells (RBC), hemoglobin (Hgb), or hematocrit (Hct), leading to lower oxygen-carrying capacity.
- Common Symptoms include fatigue, dyspnea, palpitations, pallor, dizziness, and jaundice (in hemolytic anemia).
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
Overview of common infectious respiratory problems in children, including croup, epiglottitis, bronchitis, and bronchiolitis (RSV). Focuses on signs, symptoms, and management strategies for each condition. Includes treatments like humidified oxygen and antibiotics.