Podcast
Questions and Answers
The nurse is evaluating the function residual capacity(FRC) of a patient's lung. What does this represent?
The nurse is evaluating the function residual capacity(FRC) of a patient's lung. What does this represent?
The nurse is caring for an older adult patient with dyspnea from a decreased oxygen-carrying capacity. What data should the nurse collect to confirm this?
The nurse is caring for an older adult patient with dyspnea from a decreased oxygen-carrying capacity. What data should the nurse collect to confirm this?
The nurse is caring for a patient who becomes dyspneic, which the patient states is a "6 out of 10" on the dyspnea scale. Which action should the nurse do first?
The nurse is caring for a patient who becomes dyspneic, which the patient states is a "6 out of 10" on the dyspnea scale. Which action should the nurse do first?
The nurse is auscultating a patient's chest and hears an adventitious sound in the left lower lobe. What is the first step in determining whether this is an abnormality?
The nurse is auscultating a patient's chest and hears an adventitious sound in the left lower lobe. What is the first step in determining whether this is an abnormality?
Signup and view all the answers
The nurse is listening to the lung sounds of a patient and hears a moist bubbling sound on inspiration and expiration. How should the nurse document these findings
The nurse is listening to the lung sounds of a patient and hears a moist bubbling sound on inspiration and expiration. How should the nurse document these findings
Signup and view all the answers
A patient's arterial blood gas analysis shows a PaO2 of 69 mmHg. What action should the nurse take first?
A patient's arterial blood gas analysis shows a PaO2 of 69 mmHg. What action should the nurse take first?
Signup and view all the answers
The patient begins to demonstrate symptoms of a pulmonary embolism. What test should the nurse anticipate will be completed
The patient begins to demonstrate symptoms of a pulmonary embolism. What test should the nurse anticipate will be completed
Signup and view all the answers
The nurse places a patient who is experiencing dyspnea in the Fowler position. What does the nurse hope to accomplish?
The nurse places a patient who is experiencing dyspnea in the Fowler position. What does the nurse hope to accomplish?
Signup and view all the answers
The nurse is caring for a patient with chronic lung disease who is receiving oxygen via a nonrebreather mask. Which finding indicates proper functioning?
The nurse is caring for a patient with chronic lung disease who is receiving oxygen via a nonrebreather mask. Which finding indicates proper functioning?
Signup and view all the answers
The nurse is providing discharge instructions for a patient who is to use an adrenergic bronchodilator. Which statement indicates understanding?
The nurse is providing discharge instructions for a patient who is to use an adrenergic bronchodilator. Which statement indicates understanding?
Signup and view all the answers
The patient arrives to the emergency department with a stab wound to the chest. The HCP places two chest tubes to drain air and blood from the patient's thoracic cavity. The nurse sets up the chest tube drainage system, Where should the nurse place the system?
The patient arrives to the emergency department with a stab wound to the chest. The HCP places two chest tubes to drain air and blood from the patient's thoracic cavity. The nurse sets up the chest tube drainage system, Where should the nurse place the system?
Signup and view all the answers
A patient with a chest drainage system is admitted to the medical-surgical unit. The nurse notes vigorous bubbling in the water seal chamber of the system. What action should the nurse take?
A patient with a chest drainage system is admitted to the medical-surgical unit. The nurse notes vigorous bubbling in the water seal chamber of the system. What action should the nurse take?
Signup and view all the answers
The nurse is caring for a patient with a tracheostomy. What determines if the patient requires suctioning?
The nurse is caring for a patient with a tracheostomy. What determines if the patient requires suctioning?
Signup and view all the answers
The nurse is caring for a patient who is on a ventilator and the high-pressure alarm sounds. What should the nurse consider as the cause for this alarm?
The nurse is caring for a patient who is on a ventilator and the high-pressure alarm sounds. What should the nurse consider as the cause for this alarm?
Signup and view all the answers
The nurse is caring for patients in a respiratory unit and hears a ventilator alarm from the hallway. Which action should the nurse take first?
The nurse is caring for patients in a respiratory unit and hears a ventilator alarm from the hallway. Which action should the nurse take first?
Signup and view all the answers
The nurse is reviewing the results of a patient's pulmonary function studies. Which finding are most concerning?
The nurse is reviewing the results of a patient's pulmonary function studies. Which finding are most concerning?
Signup and view all the answers
The nurse instructs the patient with chronic obstructive pulmonary disease(COPD) on methods to lower the risk of lung complication. Why would the nurse recommend this?
The nurse instructs the patient with chronic obstructive pulmonary disease(COPD) on methods to lower the risk of lung complication. Why would the nurse recommend this?
Signup and view all the answers
The patient has a loud, crowing noise heard without a stethoscope. What could this indicate?
The patient has a loud, crowing noise heard without a stethoscope. What could this indicate?
Signup and view all the answers
The nurse is caring for a patient who has a low pH and high CO2 on the arterial blood gas result. Which medical condition is the contributing factor?
The nurse is caring for a patient who has a low pH and high CO2 on the arterial blood gas result. Which medical condition is the contributing factor?
Signup and view all the answers
The nurse is caring for the patient who is experiencing uncontrolled diabetes mellitus. The patient is exhibiting Kussmaul respirations. What best described the compensatory action for the respirations?
The nurse is caring for the patient who is experiencing uncontrolled diabetes mellitus. The patient is exhibiting Kussmaul respirations. What best described the compensatory action for the respirations?
Signup and view all the answers
The nurse is caring for a patient who has recently recovered form a spontaneous pneumothorax. The nurse palates the patient's left shoulder area and feels a "Rice Krispies" presence under the skin How should the nurse document this finding?
The nurse is caring for a patient who has recently recovered form a spontaneous pneumothorax. The nurse palates the patient's left shoulder area and feels a "Rice Krispies" presence under the skin How should the nurse document this finding?
Signup and view all the answers
The nurse is making cultural considerations in the care of a patient with respiratory conditions. Which consideration is correct?
The nurse is making cultural considerations in the care of a patient with respiratory conditions. Which consideration is correct?
Signup and view all the answers
The licensed practical nurse/Licensed vocational nurse(LPN/LVN) is caring for a patient with COPD who is using oxygen therapy at 2L/min. The patient becomes short of breath and requests that the oxygen flow rate be increased. What is the LPN/LVN's next step?
The licensed practical nurse/Licensed vocational nurse(LPN/LVN) is caring for a patient with COPD who is using oxygen therapy at 2L/min. The patient becomes short of breath and requests that the oxygen flow rate be increased. What is the LPN/LVN's next step?
Signup and view all the answers
The nurse is caring for the patient receiving oxygen therapy. Which statement is correct when delivering oxygen via a simple face mask?
The nurse is caring for the patient receiving oxygen therapy. Which statement is correct when delivering oxygen via a simple face mask?
Signup and view all the answers
The nurse is coaching a patient who is using a transtracheal catheter. The nurse recognizes that the patient understands the care for the catheter by which of the following statements?
The nurse is coaching a patient who is using a transtracheal catheter. The nurse recognizes that the patient understands the care for the catheter by which of the following statements?
Signup and view all the answers
The LPN/LVN is caring for a a patient with a chest tube. The nurse notes that the dressing over the insertion site is saturated with serous drainage. What action should the nurse take?
The LPN/LVN is caring for a a patient with a chest tube. The nurse notes that the dressing over the insertion site is saturated with serous drainage. What action should the nurse take?
Signup and view all the answers
The LPN/LVN is caring for a patient with a chest tube and notices that the tubing appears to be occluded with clots and not draining. What is the LPN/ LVN's next step with this issue?
The LPN/LVN is caring for a patient with a chest tube and notices that the tubing appears to be occluded with clots and not draining. What is the LPN/ LVN's next step with this issue?
Signup and view all the answers
The nurse is assessing a patient's respiratory system and notices upon auscultation the the lung sounds are faint and difficult to hear in both lung bases. How should the nurse document this finding?
The nurse is assessing a patient's respiratory system and notices upon auscultation the the lung sounds are faint and difficult to hear in both lung bases. How should the nurse document this finding?
Signup and view all the answers
The nurse is preparing to perform a routine cleaning of the patient's cuffed tracheostomy. The nurse notes that the cuff has been deflated since the patient's weaning off of the mechanical ventilator. What is the nursing intervention at this time?
The nurse is preparing to perform a routine cleaning of the patient's cuffed tracheostomy. The nurse notes that the cuff has been deflated since the patient's weaning off of the mechanical ventilator. What is the nursing intervention at this time?
Signup and view all the answers
The nurse is caring for a patient with a tracheostomy who has a large amount of secretions. What actions should the nurse take to improve patient outcomes?
The nurse is caring for a patient with a tracheostomy who has a large amount of secretions. What actions should the nurse take to improve patient outcomes?
Signup and view all the answers
The nurse is concerned about the older adult and their ability to fight a respiratory infection. Which effect of aging will impact the patient's recovery?
The nurse is concerned about the older adult and their ability to fight a respiratory infection. Which effect of aging will impact the patient's recovery?
Signup and view all the answers
The nurse is teaching a patient about pursed-lip breathing. Which patient statement indicates understanding?
The nurse is teaching a patient about pursed-lip breathing. Which patient statement indicates understanding?
Signup and view all the answers
A patient is diagnosed with respiratory acidosis. Which health problems should the nurse consider as causing this patient's diagnosis? Select all that apply
A patient is diagnosed with respiratory acidosis. Which health problems should the nurse consider as causing this patient's diagnosis? Select all that apply
Signup and view all the answers
The nurse is providing care to patient who has been receiving high oxygen concentration therapy for 36 hours. Which of the following symptoms, if exhibited by the patient, should the nurse contact the HCP for suspected lung damage from this therapy?(Select all that apply)
The nurse is providing care to patient who has been receiving high oxygen concentration therapy for 36 hours. Which of the following symptoms, if exhibited by the patient, should the nurse contact the HCP for suspected lung damage from this therapy?(Select all that apply)
Signup and view all the answers
Which are effects of aging on the respiratory system?(Select all that apply)
Which are effects of aging on the respiratory system?(Select all that apply)
Signup and view all the answers
The nurse is assessing a patient who has a history of COPD. What are some of the expected finding during the assessment?(Select all that apply)
The nurse is assessing a patient who has a history of COPD. What are some of the expected finding during the assessment?(Select all that apply)
Signup and view all the answers
The nurse is caring for a patient who is heavily sedated from pain medication and breathing 12 shallow breaths /minute on room air. What findings should the nurse anticipate?(Select all that apply)
The nurse is caring for a patient who is heavily sedated from pain medication and breathing 12 shallow breaths /minute on room air. What findings should the nurse anticipate?(Select all that apply)
Signup and view all the answers
During inhalation, which of the following muscle contractions takes place to enlarge the chest cavity from top to bottom?
During inhalation, which of the following muscle contractions takes place to enlarge the chest cavity from top to bottom?
Signup and view all the answers
Study Notes
Functional Residual Capacity (FRC)
- FRC is the volume of air remaining in the lungs after a normal expiration.
Decreased Oxygen-Carrying Capacity
- Data to collect:
- Hemoglobin levels
- Red blood cell count
- Signs of anemia
- History of blood loss
Dyspnea
- Dyspnea is shortness of breath.
- A dyspnea scale is used to assess the severity of the condition.
- If a patient reports dyspnea, the nurse should first assess the patient's respiratory rate and effort.
Adventitious Lung Sounds
- Adventitious lung sounds are abnormal sounds heard during auscultation of the lungs.
- The first step is to identify the location, timing, and quality pf the sound.
Moist Bubbling Lung Sounds
- These findings suggest the presence of fluid in the lungs, such as with pneumonia or pulmonary edema.
PaO2 of 69 mmHg
- This indicates hypoxemia.
- The nurse should first administer supplemental oxygen.
Pulmonary Embolism
- Pulmonary embolism (PE) is a blockage of the pulmonary artery by a blood clot.
- The nurse should anticipate a diagnostic test like a Computed Tomography (CT) scan or Ventilation/Perfusion (V/Q) scan.
Fowler Position
- Elevating the patient's head to a semi-sitting position.
- This position helps to improve lung expansion and reduce respiratory distress.
Non-Rebreather Mask
- Signs of proper functioning:
- The bag should inflate and deflate with each breath.
- The reservoir bag should remain at least two-thirds full during inspiration.
Adrenergic Bronchodilators
- Understanding:
- The patient should know to use the medication as prescribed and report any changes in their condition.
Chest Tube Drainage
- The drainage system must be lowered below the patient's chest to ensure proper drainage.
Vigorous Bubbling in the Water Seal Chamber
- This indicates an air leak in the chest tube system. The nurse should check for any loose connections or disconnections.
Tracheostomy Suctioning
- The need for suctioning is determined by:
- Changes in respiratory rate, rhythm, or effort
- The patient's ability to clear secretions effectively
Ventilator High-Pressure Alarm
- The nurse should consider the following:
- Increased airway resistance
- Mucus plug
- Patient biting on the endotracheal tube
Ventilator Alarm
- The nurse should first assess the patient and then investigate the alarm's cause.
Pulmonary Function Studies
- The most concerning findings are decreased forced vital capacity (FVC), forced expiratory volume in one second (FEV1), and peak expiratory flow (PEF)
Chronic Obstructive Pulmonary Disease (COPD)
- Reducing the risk of lung complications in COPD patients is important because:
- COPD can cause progressive lung damage
- Exposure to irritants can worsen symptoms
- Infection can lead to exacerbations
Crowing Noise
- Indicates a partial obstruction of the upper airway such as croup.
Low pH and High CO2
- This indicates respiratory acidosis.
- The contributing factor could be a condition such as chronic obstructive pulmonary disease (COPD).
Kussmaul Respirations
- These are deep, rapid respirations, a compensatory action for the buildup of acid in the blood.
"Rice Krispies" Presence in the Shoulder
- This is a clinical sign of subcutaneous emphysema, which occurs when air leaks from the lungs into the tissues.
Cultural Considerations
- It is important to be sensitive to dietary, spiritual, and social customs of different cultures for respiratory care.
Oxygen Therapy for COPD
- The LPN/LVN should first assess the patient's respiratory status and contact the RN or physician for a change in the oxygen flow rate.
Simple Face Mask
- The oxygen concentration delivered by a simple face mask is typically between 40% and 60%.
Transtracheal Catheter
- Patient understanding:
- The patient should know how to care for the catheter, including cleaning and changing the dressing.
Chest tube Dressing
- The nurse should assess the patient's vital signs.
- The nurse should check the drainage system for leaks.
- The nurse should notify the physician of excessive drainage.
Chest Tube Occlusion
- The LPN/LVN should try to remove the clot by gently milking the tubing towards the drainage system while assessing for any signs of pain.
- If this fails, contact the physician for further instructions.
Faint Lung Sounds in Both Bases
- This suggests atelectasis, a collapsed lung.
Deflated Tracheostomy Cuff
- The nurse should re-inflate the cuff to prevent aspiration.
Large Amount of Tracheostomy Secretions
- The nurse should use suctioning to remove secretions, administer humidified oxygen, and reposition the patient to improve mucus drainage.
Effects of Aging on the Respiratory System
- Reduced lung elasticity.
- Decreased cough reflex
- Weakened respiratory muscles
- Decreased gas exchange capacity
Pursed-Lip Breathing
- Patient indicates understanding:
- By performing pursed-lip breathing correctly.
Respiratory Acidosis
- Causes:
- COPD
- Pneumonia
- Pulmonary edema
- Asthma
High-Oxygen Therapy Lung Damage
- Symptoms :
- Dyspnea
- Non-productive cough
- Decreased lung compliance
- Chest pain
Effects of Aging on the Respiratory System
- Decreased lung elasticity
- Decreased cough reflex
- Weakened respiratory muscles
- Decreased gas exchange capacity
COPD Assessment Findings
- History of smoking
- Dyspnea, especially on exertion
- Wheezing
- Barrel chest
- Chronic cough
Sedated Patient Breathing Shallowly
- Findings:
- Hypoventilation
- Hypoxemia
- Respiratory acidosis
Muscle Contractions During Inhalation
- Diaphragm and external intercostal muscles contract to enlarge the chest cavity.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
This quiz explores the concept of Functional Residual Capacity (FRC) in the context of lung function assessment. It highlights its significance in respiratory health, detailing what FRC represents and its implications for patient care. Ideal for nursing students and healthcare professionals interested in respiratory physiology.
