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Questions and Answers
Which type of pneumonia is caused by viruses and accounts for about one-third of all pneumonia cases?
Which type of pneumonia is caused by viruses and accounts for about one-third of all pneumonia cases?
What is a complication commonly associated with cor pulmonale?
What is a complication commonly associated with cor pulmonale?
What defines empyema?
What defines empyema?
Which is NOT a clinical manifestation of atelectasis?
Which is NOT a clinical manifestation of atelectasis?
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What is the most serious complication of thoracentesis?
What is the most serious complication of thoracentesis?
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What does hydrothorax specifically involve?
What does hydrothorax specifically involve?
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Which indicator is associated with central nervous system oxygen toxicity?
Which indicator is associated with central nervous system oxygen toxicity?
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What is the primary purpose of pulse oximetry?
What is the primary purpose of pulse oximetry?
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What is the primary step in managing acute epistaxis?
What is the primary step in managing acute epistaxis?
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Which of the following best defines bronchial asthma?
Which of the following best defines bronchial asthma?
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Which condition is NOT typically a cause of cystic lung disease?
Which condition is NOT typically a cause of cystic lung disease?
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How do bronchodilators aid in asthma management?
How do bronchodilators aid in asthma management?
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What is a common clinical manifestation of bronchitis?
What is a common clinical manifestation of bronchitis?
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What does a bronchogram specifically visualize?
What does a bronchogram specifically visualize?
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Which of the following is NOT a cause of respiratory failure?
Which of the following is NOT a cause of respiratory failure?
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What is the primary cause of Farmer's Lung?
What is the primary cause of Farmer's Lung?
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What is the definitive treatment for early-stage malignant melanoma?
What is the definitive treatment for early-stage malignant melanoma?
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Which of the following is classified as non-infectious dermatoses?
Which of the following is classified as non-infectious dermatoses?
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Which bacterium causes Hansen's disease?
Which bacterium causes Hansen's disease?
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Which of the following is NOT a cause of edema?
Which of the following is NOT a cause of edema?
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What type of lesions can acne vulgaris present as?
What type of lesions can acne vulgaris present as?
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What type of edema primarily affects the brain?
What type of edema primarily affects the brain?
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Which agency is involved in the control of HIV/AIDS?
Which agency is involved in the control of HIV/AIDS?
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Which of the following is a nursing responsibility for managing generalized edema?
Which of the following is a nursing responsibility for managing generalized edema?
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What is one of the common symptoms of tetanus?
What is one of the common symptoms of tetanus?
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What is the main characteristic of shock?
What is the main characteristic of shock?
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Hypovolemic shock is primarily caused by which of the following?
Hypovolemic shock is primarily caused by which of the following?
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Parotitis involves swelling in which glands?
Parotitis involves swelling in which glands?
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Which of the following can lead to vomiting?
Which of the following can lead to vomiting?
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What is a common diagnostic test for hepatitis?
What is a common diagnostic test for hepatitis?
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Which type of shock is caused by an allergic reaction?
Which type of shock is caused by an allergic reaction?
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Which is a common clinical manifestation of septic shock?
Which is a common clinical manifestation of septic shock?
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Which type of suctioning specifically involves removing secretions from the throat?
Which type of suctioning specifically involves removing secretions from the throat?
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What is a primary characteristic of traumatic pneumothorax?
What is a primary characteristic of traumatic pneumothorax?
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What is the main action of Etofylline in treating asthma?
What is the main action of Etofylline in treating asthma?
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Where is the conventional site for pleural aspiration located?
Where is the conventional site for pleural aspiration located?
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What is a classic symptom of miliary tuberculosis as observed on chest radiography?
What is a classic symptom of miliary tuberculosis as observed on chest radiography?
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Which of the following is NOT an indication for central venous pressure monitoring?
Which of the following is NOT an indication for central venous pressure monitoring?
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Which symptom is commonly associated with rhinorrhea?
Which symptom is commonly associated with rhinorrhea?
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What type of pneumothorax occurs when a small air bubble on the lung ruptures?
What type of pneumothorax occurs when a small air bubble on the lung ruptures?
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What is a common complication of cystoscopy?
What is a common complication of cystoscopy?
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Which surgical technique is most commonly used to treat Benign Prostatic Hyperplasia (BPH)?
Which surgical technique is most commonly used to treat Benign Prostatic Hyperplasia (BPH)?
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What is a complication associated with Transurethral Resection of the Prostate (TURP)?
What is a complication associated with Transurethral Resection of the Prostate (TURP)?
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Which of the following options is not a treatment for male infertility?
Which of the following options is not a treatment for male infertility?
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What is the primary characteristic of epispadiasis?
What is the primary characteristic of epispadiasis?
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Which diagnostic tests are commonly used for Cystitis?
Which diagnostic tests are commonly used for Cystitis?
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What procedure involves stimulating and retrieving multiple mature eggs for fertilization in vitro?
What procedure involves stimulating and retrieving multiple mature eggs for fertilization in vitro?
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Which of the following is a potential complication of cystoscopy?
Which of the following is a potential complication of cystoscopy?
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Study Notes
Edema
- Edema is swelling caused by fluid trapped in tissues, often in the skin.
- Congestive heart failure, cirrhosis, kidney disease, damaged veins, lymphatic system issues, and severe protein deficiency can cause edema.
- Types include pedal edema (lower legs, ankles, feet), peripheral edema (arms, legs, feet), pulmonary edema (lungs), and cerebral edema (brain).
Nursing Responsibilities for Generalized Edema
- Movement: Moving affected body parts, especially legs, helps pump fluid back to the heart.
- Elevation: Raising the affected area helps drain fluid.
- Massage: Gently massaging the area can help move fluid.
- Compression: Applying compression can help reduce swelling.
- Protection: Protect swollen areas from further injury.
- Reduce Salt Intake: Limiting salt intake can help reduce fluid retention.
Shock
- Shock is a life-threatening condition where the body doesn't get enough blood flow, oxygen, and nutrients to its cells and organs.
- Types include cardiogenic shock (heart problems), hypovolemic shock (too little blood volume), and anaphylactic shock (allergic reaction).
- Leading cause of hypovolemic shock is blood loss, whether from injury, pregnancy, burns, or severe vomiting and diarrhea.
Causes of Vomiting
- Foodborne illness (food poisoning)
- Indigestion
- Bacterial or viral infections (gastroenteritis)
- Motion sickness
- Chemotherapy
- Migraine headaches
- Medications (antibiotics, morphine, anesthesia)
- Excessive alcohol consumption
Clinical Manifestations of Septic Shock
- Fever (usually higher than 101°F [38°C])
- Hypothermia (low body temperature)
- Fast heart rate
- Rapid breathing (more than 20 breaths per minute)
Severe Sepsis
- Sepsis with organ damage (typically affecting kidneys, heart, lungs, or brain).
- Symptoms include noticeably lower urine production, acute confusion, dizziness, severe breathing problems, and bluish discoloration of the digits or lips (cyanosis).
Incontinence
- Lack of voluntary control over urination or defecation.
Hyperkalemia
- High potassium levels in the blood.
- Normal potassium levels range from 3.6 to 5.2 millimoles per liter (mmol/L).
- Potassium is critical for nerve and muscle function, including in the heart.
Hypercalcemia
- High calcium levels in the blood.
- Too much calcium can weaken bones, create kidney stones, and affect heart and brain function.
- Often a result of overactive parathyroid glands.
Syncope
- A symptom that may be due to benign or life-threatening factors.
- Possible causes include overheating, dehydration, heavy sweating, exhaustion, or the pooling of blood in the legs due to sudden changes in body position.
Cardiogenic Shock
- Shock caused when the heart can't pump blood effectively due to issues outside the heart, such as fluid buildup, internal bleeding, blood loss, or pulmonary embolism; or injury or trauma to the chest.
Flail Chest
- Two or more contiguous rib fractures with two or more breaks per rib.
- Destabilization of a portion of the chest wall, typically caused by severe blunt force trauma.
Pneumonia Types
- Bacterial pneumonia: Caused by various bacteria.
- Viral pneumonia: Caused by viruses, including the flu (influenza) and is responsible for about one-third of all pneumonia cases.
- Mycoplasma pneumonia
- Other pneumonias
Cor Pulmonale Complications
- Syncope, hypoxia, pedal edema, passive hepatic congestion, and death.
Empyema
- A collection of pus in the pleural space (between lung and chest wall).
Atelectasis Clinical Manifestations
- Difficulty breathing
- Rapid, shallow breathing
- Wheezing
Complications of Chest Injuries
- Respiratory failure
- Pneumonia
- Pleural sepsis
Oxygen Toxicity Indicators
- Visual changes (especially tunnel vision)
- Ringing in the ears (tinnitus)
- Nausea
- Twitching (especially of the face)
- Behavioral changes (irritability, anxiety, confusion)
- Dizziness
Thoracentesis Complications
- Pneumothorax: Air in the pleural space
- Re-expansion pulmonary edema (REPE)
- Damage to the spleen or liver
- Infection
- Air embolism
- Shortness of breath
- Pain
- Bleeding
Hypoxia
- Deficiency in the amount of oxygen reaching the tissues.
Suctioning Types
- Nasal suction
- Oral suction
- Nasopharyngeal and oropharyngeal suction
- Deep suctioning
Pneumothorax Types
- Traumatic pneumothorax: Injury to the chest, lung collapse.
- Tension pneumothorax: Potentially fatal
- Primary spontaneous pneumothorax: Small air bubble in the lung ruptures.
- Secondary spontaneous pneumothorax
Pleural Aspiration Sites
- Posteriorly, approximately 10 cm lateral to the spine and 1-2 intercostal spaces below the upper level of the fluid
Central Venous Pressure Indications
- Volume resuscitation
- Emergency venous access
- Nutritional support
- Administration of caustic medications (e.g., vasopressors)
- CVP monitoring
- Transvenous pacing wire introduction
- Hemodialysis
Military Tuberculosis
- Dissemination of Mycobacterium tuberculosis via hematogenous spread.
- Classic miliary TB: Millet-like seeding of TB bacilli in the lung.
Rhinorrhea
- Free discharge of thin nasal mucus fluid.
- Common symptom in allergies or viral infections such as the common cold.
Epistaxis Emergency Management
- Firm pressure on the alae
- Topical vasoconstrictors
- Anterior packing (e.g., gauze or nasal tampon).
Bronchial Asthma
- Airway inflammation and narrowing (swelling) causing mucus production, making it difficult to breathe characterized by episodes of cough, shortness of breath and wheezing.
Cystic Lung Disease Causes
- Lymphangioleiomyomatosis
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Description
Test your knowledge on respiratory diseases, their complications, and management strategies. This quiz covers various conditions including pneumonia, asthma, and bronchitis, as well as diagnostic and treatment protocols. Explore important concepts related to respiratory health and emergency interventions.