Respiratory System Overview

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Questions and Answers

What is the primary function of the respiratory system?

  • To produce hormones
  • To transport nutrients
  • To regulate body temperature
  • To facilitate gas exchange (correct)

Which process refers to the movement of gases in and out of the lungs?

  • Perfusion
  • Absorption
  • Ventilation (correct)
  • Diffusion

What term describes the difficult breathing due to mixed emotions?

  • Apnea
  • Hyperventilation
  • Tachypnea
  • Dyspnea (correct)

Which part of the lungs is responsible for the exchange of oxygen and carbon dioxide?

<p>Alveoli (D)</p> Signup and view all the answers

What type of immunity is present in the alveoli for pulmonary protection?

<p>Cell-mediated immunity (A)</p> Signup and view all the answers

During expiration, what type of process is occurring?

<p>Involuntary (C)</p> Signup and view all the answers

Which structure serves as a passageway for air before it reaches the lungs?

<p>Larynx (B)</p> Signup and view all the answers

What is the function of the cilia in the respiratory system?

<p>To filter and clear debris (C)</p> Signup and view all the answers

What is the main purpose of performing a sputum culture and sensitivity test?

<p>To detect the actual pathogen present before antimicrobial treatment (C)</p> Signup and view all the answers

Which biopsy method involves aspirating a needle beside the lungs?

<p>Percutaneous Needle Biopsy (C)</p> Signup and view all the answers

What is the average tidal volume during normal quiet breathing?

<p>500 mL (B)</p> Signup and view all the answers

What does the Functional Residual Capacity (FRC) measure?

<p>Air remaining in the lungs after normal exhalation (B)</p> Signup and view all the answers

Which measurement is significantly reduced in patients with COPD?

<p>Vital Capacity (D)</p> Signup and view all the answers

What is the correct procedure to assess collateral circulation before an arterial blood gas (ABG) test?

<p>Perform the Allen's test (D)</p> Signup and view all the answers

What is the normal time for the hand to return to a pinkish color after releasing the ulnar artery in the Allen's test?

<p>6 seconds (B)</p> Signup and view all the answers

What is the most common lymph node for biopsy in cases of metastasis?

<p>Cervicomediastinal Node (C)</p> Signup and view all the answers

What is the main function of vibrissae in the nasal cavity?

<p>To filter pollutants from the air (C)</p> Signup and view all the answers

Which part of the pharynx is located behind the mouth?

<p>Oropharynx (C)</p> Signup and view all the answers

What role does the epiglottis play during swallowing?

<p>Covers the larynx to prevent food entry (C)</p> Signup and view all the answers

Which of the following is true about the main bronchi?

<p>The right main bronchus is more vertical than the left (D)</p> Signup and view all the answers

What is the primary function of pleural fluid in the pleural cavity?

<p>Provides lubrication between the pleura (B)</p> Signup and view all the answers

Which lung has a greater volume due to having more lobes?

<p>Right lung (D)</p> Signup and view all the answers

What type of cells in the lungs produces surfactant?

<p>Type 2 pneumocytes (A)</p> Signup and view all the answers

What is the primary purpose of the diaphragm during respiration?

<p>To facilitate inhalation by contracting (B)</p> Signup and view all the answers

What is the approximate residual volume of air in the lungs?

<p>1,200 mL (C)</p> Signup and view all the answers

Which part of the thorax provides protection to critical organs?

<p>Ribs (C)</p> Signup and view all the answers

What is the primary purpose of the second bottle in a two-bottle drainage system without suction?

<p>To maintain a water seal (B)</p> Signup and view all the answers

Which nursing intervention is crucial for promoting lung drainage after chest tube placement?

<p>Encouraging deep breathing and coughing exercises (C)</p> Signup and view all the answers

Which statement best describes the expected observation from a suction control bottle in a drainage system?

<p>Continuous bubbling due to suction (D)</p> Signup and view all the answers

What defines a complex nasal fracture?

<p>Involves damage to adjacent facial structures (B)</p> Signup and view all the answers

What is a common management strategy for epistaxis?

<p>Applying ice compress to the affected area (B)</p> Signup and view all the answers

Which of the following complications can arise from a nasal fracture?

<p>Septal hematoma (C)</p> Signup and view all the answers

When should a healthcare provider mark the drainage amount in the drainage bottle?

<p>Every shift or every 8 hours (C)</p> Signup and view all the answers

What should be done to prepare the patient for the removal of a chest tube?

<p>Prepare anesthesia and instruct deep exhalation (C)</p> Signup and view all the answers

Which breath sound is considered an abnormal finding during auscultation?

<p>Crackles (B)</p> Signup and view all the answers

What is a significant risk factor for developing sinusitis?

<p>Recent upper respiratory tract infection (B)</p> Signup and view all the answers

What indicates a possible respiratory distress during patient assessment?

<p>Nasal flaring and tachypnea (C)</p> Signup and view all the answers

Which anatomical change is associated with a deviated septum?

<p>Bending of the nasal septum (C)</p> Signup and view all the answers

What is the primary goal of a nursing intervention for patients with sinusitis?

<p>Providing rest and promoting hydration (C)</p> Signup and view all the answers

What is the primary purpose of using a pre-heparinized syringe in specimen collection?

<p>To prevent clotting of the specimen (C)</p> Signup and view all the answers

Which of the following conditions involves an excess of air in the pleural space?

<p>Pneumothorax (B)</p> Signup and view all the answers

What should be done if a patient's O2 saturation falls below 95%?

<p>Administer oxygen therapy and notify the physician (D)</p> Signup and view all the answers

Which nursing responsibility is critical before performing thoracentesis?

<p>Obtain informed consent (C)</p> Signup and view all the answers

During the thoracentesis procedure, what should the patient be instructed to do?

<p>Remain still and avoid coughing (B)</p> Signup and view all the answers

What is a common nursing intervention after the thoracentesis procedure?

<p>Instruct the patient to lie on the unaffected side (B)</p> Signup and view all the answers

What is the main goal of chest physiotherapy?

<p>To dislodge secretions using gravity (B)</p> Signup and view all the answers

Which oxygen delivery device typically provides a higher percentage of oxygen?

<p>Non-rebreather mask (D)</p> Signup and view all the answers

If a patient exhibits postural hypotension after thoracentesis, what should be monitored?

<p>Vital signs and symptoms (B)</p> Signup and view all the answers

What technique is utilized in tracheobronchial suctioning?

<p>Rotate the catheter during withdrawal and apply intermittent suction (B)</p> Signup and view all the answers

Which of the following fluids can accumulate in the pleural space, causing hydrothorax?

<p>Water (C)</p> Signup and view all the answers

What is the recommended duration for postural drainage positions during chest physiotherapy?

<p>10-15 minutes per position (B)</p> Signup and view all the answers

Which nursing intervention is important when using a pulse oximeter?

<p>Remove any nail polish (C)</p> Signup and view all the answers

What is the primary nursing intervention for a patient experiencing atelectasis?

<p>Position the patient on the unaffected side (C)</p> Signup and view all the answers

Which sign is indicative of pulmonary edema?

<p>Pink frothy sputum (A)</p> Signup and view all the answers

What nursing diagnosis should be prioritized for a patient showing signs of hypoxia?

<p>Impaired gas exchange related to atelectasis (A)</p> Signup and view all the answers

Which of the following interventions should be avoided for a patient recovering from throat surgery?

<p>Encouraging coughing exercises (D)</p> Signup and view all the answers

What does the presence of dullness on percussion indicate in a patient with atelectasis?

<p>A collapsed lung segment (D)</p> Signup and view all the answers

Which symptom is an early sign of hypoxia in patients?

<p>Restlessness (C)</p> Signup and view all the answers

What is a potential complication of pulmonary embolism?

<p>Increased pulmonary pressure (C)</p> Signup and view all the answers

Which condition is characterized by sudden transudation of fluid into alveoli?

<p>Pulmonary edema (B)</p> Signup and view all the answers

What should be monitored in patients with suspected pulmonary embolism?

<p>Blood coagulation parameters (C)</p> Signup and view all the answers

What dietary change should be made for a patient post-throat surgery?

<p>Cold and soft foods (B)</p> Signup and view all the answers

What is a common reason for lung collapse in patients?

<p>Trauma or airway obstruction (B)</p> Signup and view all the answers

Which voice sound indicates lung consolidation?

<p>All of the above (D)</p> Signup and view all the answers

What is an effective method to prevent complications related to pulmonary embolism?

<p>Using anti-embolic stockings (C)</p> Signup and view all the answers

Which medication is commonly given to manage anxiety in a patient with pulmonary edema?

<p>Morphine sulfate (D)</p> Signup and view all the answers

Flashcards

Respiration

The process of gas exchange between the body and the environment; taking in oxygen and releasing carbon dioxide.

Ventilation

The act of moving air into and out of the lungs. This includes inhalation and exhalation.

Diffusion (Respiration)

The movement of gases from an area of high pressure to an area of low pressure, crucial for gas exchange in the lungs.

Perfusion

The flow of blood through the capillaries surrounding the alveoli, delivering oxygen and removing carbon dioxide.

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Alveoli

Tiny air sacs in the lungs where gas exchange takes place.

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Upper Airways

The part of the respiratory system from the nose to the larynx; helps protect the lower airways and humidify the air.

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Lower Airways

The part of the respiratory system from the trachea down to the alveoli; includes bronchi and bronchioles and is involved in gas exchange.

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Dyspnea

Difficult or labored breathing.

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Nares (Nostrils)

Openings of the nose, leading to the nasal vestibule.

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Vibrissae

Hairs in the nasal vestibule that filter pollutants.

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Para-nasal Sinuses

Air-filled spaces in the skull, lined with mucus membranes, aiding phonation.

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Pharynx Function

Funnel-shaped tube connecting nose/mouth to larynx/esophagus, shared by respiratory and digestive systems.

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Epiglottis Function

Cartilage flap that covers the larynx during swallowing to prevent food from entering the lungs.

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Trachea

Windpipe, a tube connecting the larynx to bronchi.

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Surfactant

Substance that reduces surface tension in alveoli, preventing collapse.

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Tidal Volume

Amount of air inhaled and exhaled during a normal breath.

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Residual Volume

Air remaining in the lungs after forceful exhalation, preventing lung collapse.

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Sputum Culture and Sensitivity (CandS)

A test done on sputum (mucus from the lungs) to identify the bacteria causing an infection and determine which antibiotics are most effective against it.

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Transbronchoscopic Lung Biopsy

A procedure where a small sample of lung tissue is taken during a bronchoscopy (examining the airways).

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Percutaneous Needle Lung Biopsy

Lung tissue sample taken with a needle, often near the side of the lungs.

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Open Lung Biopsy

Surgical procedure to obtain a large lung tissue sample, a whole lobe or lung.

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Spirometry

A lung function test that measures the amount of air inhaled and exhaled.

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Vital Capacity

The greatest volume of air that can be expelled from the lungs after maximum inhalation.

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Allen Test

A test done to check the blood flow in the hand before taking blood from the radial artery.

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Arterial Blood Gas (ABG)

A blood test to assess the level of gases (oxygen and carbon dioxide) and acid-base balance in the blood, specifically, the blood coming from the artery.

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Chest tube

A medical device inserted into the chest cavity to drain fluid, air, or blood and help re-expand the lung.

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Pneumothorax

A condition where air leaks into the space between your lung and chest wall, causing the lung to collapse.

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Two-bottle system (chest tube)

A system used to drain fluids from the chest with two bottles, one for drainage and the other for water seal.

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Water seal bottle

A bottle in a chest tube system that prevents air from entering the chest cavity.

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Suction control bottle

A bottle in a chest tube system that regulates the suction applied to the chest.

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Three-bottle system (chest tube)

A chest drainage system using three bottles: one for drainage, one for water seal, and one for suction.

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Milking a chest tube

Squeezing the chest tube to help remove fluid or clots.

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Clamping a chest tube

Closing off the chest tube to prevent air leakage or fluid drainage.

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Deviated septum

A condition where the nasal septum, the wall between the nostrils, is bent or displaced.

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Septoplasty

Surgical procedure to correct a deviated septum.

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Nasal fracture

A break in the bones of the nose.

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Ecchymosis

A type of bruising, often caused by trauma.

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Epistaxis

Nosebleed.

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Sinusitis

Inflammation of the sinus cavities, often caused by infection.

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Frontal sinuses

Sinus cavities located in the forehead, above the eyebrows.

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Hemolysis

The breakdown or destruction of red blood cells, usually caused by physical damage or chemical reactions.

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Oxygen Saturation (SpO2)

The percentage of oxygen carried by red blood cells in the blood. A normal range is typically 95% to 100%.

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Pleural Effusion

An abnormal buildup of fluid in the pleural space between the lung and the chest wall.

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Pulmonary Edema

A condition where fluid builds up in the lungs, making it difficult to breathe.

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Informed Consent

A legal process where a patient is given information about a medical procedure and then agrees to it voluntarily.

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Orthopneic Position

A sitting position where the patient leans forward with their arms supported on a table or bedside table, used to improve breathing by expanding the chest.

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Pulse Oximeter

A medical device that measures the oxygen saturation of the blood, often used to monitor breathing problems.

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Continuous Pulse Oximetry

A type of pulse oximetry where the oxygen saturation is measured constantly, providing a continuous stream of data.

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Tracheobronchial Suctioning

A procedure that involves using a suction catheter to remove mucus or other secretions from the airway.

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Chest Physiotherapy

A combination of techniques, including postural drainage, percussion, and vibration, used to help clear mucus from the lungs.

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Postural Drainage

Using gravity to help drain mucus from the lungs by positioning the patient so that the affected area is lower than the trachea.

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Thoracostomy Tube

A tube inserted into the chest cavity to drain air or fluid from the pleural space, often used after surgery or to treat collapsed lungs.

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Clot formation

When blood thickens and forms a clot, often in surgical procedures. Coagulants are used to speed up clot formation in cases where clotting takes longer than usual.

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Post-operative patient positioning

After surgery, patients may need to be positioned in a way that promotes breathing and prevents complications. Common post-operative positioning includes lateral or prone with a pillow under the chest and head tilted to one side.

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Post-operative airway monitoring

After surgery, close attention is paid to ensuring a clear airway and safe breathing. This includes observing for signs of hemorrhage, like coughing and vomiting blood.

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Nursing diagnosis: Alteration in Thermoregulation

This means the patient has difficulty regulating their body temperature, often seen after surgery due to anesthesia and other factors.

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Nursing management for pain

Pain management after surgery is critical. This includes pain relievers, oral care and avoiding foods that could irritate the throat.

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Atelectasis

A condition where the lungs, or parts of the lungs, collapse. This happens when tiny air sacs in the lungs (alveoli) don't inflate properly.

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Collapsed alveoli

Tiny air sacs in the lungs called alveoli don't inflate correctly, causing atelectasis (lung collapse).

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Causes of atelectasis

Atelectasis can be caused by factors like trauma, lung compression, airway obstruction, and inadequate surfactant production.

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Restlessness in atelectasis

Restlessness is a common early sign of hypoxia (low oxygen levels) in patients with atelectasis.

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Nursing interventions to prevent complications

These include medications, deep breathing exercises, and encouraging mobility to prevent further lung problems.

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Classical sign of pulmonary edema

One classic sign of pulmonary edema is pink, frothy sputum (mucus), which is a mix of blood and fluid from the lungs.

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Nursing interventions to relieve anxiety

These include medication, staying with the client, and encouraging deep breathing exercises. Calmness is essential.

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Nursing interventions to improve cardiac function

Various interventions aim to improve the heart's function in pulmonary edema. These include oxygen therapy, medications, fluid management, and positioning.

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Pulmonary embolism

A dangerous condition where a blood clot travels to the lungs and blocks blood flow, often caused by factors like surgery or immobility.

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Manifestations of pulmonary embolism

These include chest pain, shortness of breath, restlessness, and sometimes crackles in the lungs.

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Study Notes

Respiratory System

  • Respiratory system is responsible for breathing, supplying oxygen, and removing carbon dioxide.
  • Composed of various structures including airways, lungs, thorax, and diaphragm.

Respiratory Processes

  • Ventilation: Movement of air in and out of the lungs. This includes inspiration (inhaling) and expiration (exhaling).
  • Diffusion: Exchange of gases (oxygen and carbon dioxide) between alveoli and blood.
  • Perfusion: Blood flow to the lungs for gas exchange.

Respiratory Structures

  • Airways (nose, pharynx, larynx, trachea, bronchi, and bronchioles): Channels for air flow.
  • Lungs: Contain alveoli for gas exchange.
  • Thorax: Protects the lungs and heart. The diaphragm is the main muscle for respiration.
  • Respiratory Center: Located in the brainstem (medulla oblongata and pons). Regulates breathing.

Dyspnea

  • Difficulty in breathing (shortness of breath).
  • Can be acute (sudden) or chronic (ongoing).
  • Characterized as mild, moderate, or severe, based on intensity.

Thorax and Diaphragm

  • The thorax (chest cavity) protects vital organs, and contains the lungs and heart.
  • The diaphragm is a key muscle for inhalation and exhalation.

Pleura

  • Two-layered membrane surrounding the lungs.
  • Reduces friction during breathing.

Lungs

  • Key organ in the respiratory system.
  • Contains alveoli, where gas exchange occurs.
  • Right lung has three lobes; left lung has two.
  • Alveoli is the site for oxygen exchange with the blood stream.

Respiration

  • It's the process of gaseous exchange between individual and an environment.
  • The main process is breathing in oxygen and breath out carbon dioxide.

Respiratory Tests and Procedures

  • Bronchoscopy: Direct inspection of larynx, trachea, and bronchi.
  • Bronchography: Instilling a radiopaque medium into the bronchial tree for Xray visualization.
  • Chest X-Ray: Used to visualize the lungs and chest structure.
  • Pulmonary Function Studies: Assess lung function (e.g., spirometry).
  • Lung Scan: Assess blood flow in the lungs.
  • Arterial Blood Gases (ABG): Assess blood's oxygen and carbon dioxide levels.
  • Thoracentesis: Removing fluid or air from the pleural space.
  • Lung Biopsy: Removing tissue from the lungs for examination.

Important Information

  • Diseases like pneumonia, tuberculosis, and asthma can affect the respiratory system.
  • Smoking and pollution are associated with respiratory problems.
  • Symptoms of respiratory problems include coughing, shortness of breath, and wheezing.

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