Respiratory Quiz Items

cdunbar4's version from 2016-10-01 19:48

Match abnormal findings w/ etiology

Question Answer
finger clubbingchronic hypoxemia
stridorpartial obstruction of trachea or larynx
pleural friction rubpleurisy
increased tactile fremituslung consolidation with fluid or exudates
hyperresonanceair trapping
fine cracklesinterstitial filing with fluid
absent breath soundsatelectasis

Lung Volumes

Question Answer
VTvolume of air inhaled and exhaled with each breath (Tidal Volume)
RVamount of air remaining in lungs after forced expiration (Residual Volume)
TLCmaximum amount of air lungs can contain (Total Lung Capacity)
VCmaximum amount of air that can be exhaled after maximum inhalation
FVCamount of air that can be quickly and forcefully exhaled after maximum inspiration
PEFRMaximum rate of airflow during forced expiration
FEV1amount of air exhaled in first second of forced vital capacity (Forced Expiratory Volume 1)

Match descriptions with trach tubes

Question Answer
patient can speak with attached air sourcespeaking trach tube
cuff pressure monitoring not requiredtrach tube with foam-filled cuff
two tubings, one opening just above cuffspeaking trach tube
most likely to cause airway obstruction if exact steps are not followed to produce speechfenestrated trach tube
pilot tubing is not cappedtrach tube with foam filled cuff
airflow around tube and through window allows speaking when cuff deflated and plug insertedfenestrated trach tube
patient does not require mechanical ventilation and can protect airwaycuffless trach tube
cuff fills passively with airtrach tube with foam-filled cuff
patient can swallow without aspiration, but requires suctioning of secretionscuffless trach tube

Antibiotic Tx for pneumonia

Question Answer
the class of antibiotics most commonly used to treat a category 1 CAP is advanced generation macrolides
the drug of choice for treatment of pneumocystis carinii pneumonia is trimethoprim/sulfamethoxazole (Bactrim)
a group 3 HAP caused by pseudomonas aeruginosa is most likely to be treated with an aminoglycoside
Patient with MRSA has a group 3 HAP. Treatment would include the antibiotic: vancomycin
group 1 HAPs caused by enteric gram-negative bacilli, such as Klebsiella, are treated with a: cephalosporin
If you have a patient with altered consciousness, what is your priority nursing intervention?position on side, protect airway
You have a pt. with a feeding tube, what are your nursing interventions before and after feedings?check placement of tube before feeding, residual feeding, keep HOB up after feeding or always up with continuous feedings
What should you be monitoring if you have a patient with CNS depressant drugs?monitor respirations, alertness; avoid over sedation; fluids
What should you check on a patient who has had a local anesthetic to the throat?gag reflex before feedings or offering fluids
If you have a patient with dysphagia, what are some of the interventions pertaining to feedings?cut food into small bites, encourage thorough chewing; provide soft foods that are easier to swallow than liquids

Tx's for Lung Cancer

Question Answer
standard treatment for NSCLCchemotherapy
dye activated by laser light that destroys cancer cellsphototherapy
freezes bronchial tumors with use of bronchoscope radiationcryotherapy
palliative treatment for airway collapse or compression therapyairway stenting
best procedure cure for lung cancersurgical therapy
palliative treatment by bronchoscope to remove obstructing bronchial tumorsbronchoscopic laser
improves survival when combined with chemo and surgeryradiation
used with chemo to overcome effect of blood brain barrierprophylactic cranial

Oxygen Delivery Systems

Question Answer
provides highest oxygen concentrationsnon-rebreathing mask
may cause aspiration of condensed fluidtracheostomy collar
safest system to use in a patient with COPDventuri mask (can deliver precise concentrations of O2)
most comfortable and causes least restriction on activitiesnasal cannula (up to 6L)
used to give oxygen quickly for short timesimple face mask; 35-50% oxygen and rates of 6-12L/min, provides humidfication of inspired air
provides 40-60% oxygen concentrationpartial rebreathing mask; bag must stay inflated, pt. inspires about 1/3 of exhaled air that is rich in O2
invasive placement of catheter into tracheatranstracheal catheter
long-term O2 therapy at home, has built-in reservoir that ↑ O2 concentration, allowing patient to use a lower flow (30-50%Oxygen-conserving cannula; up to 8L/min; CF, pulmonary HTN

Match drugs with class and actions

Question Answer
albuterol nebulizerbeta-adrenergic agonist; quick-relief agent
oral prednisonesteroid anti-inflammatory; long-term control
triamcinolone inhalersteroid anti-inflammatory; long-term control
ipratropium in haleranticholinergic; quick relief agent
oral theophyllinemethylxanthine bronchodilator; long-term control
cromolyn inhalermast-cell stabilizer; long-term control
budesonide inhalersteroid anti-inflammatory; long-term control
IV aminophyllinemethylxanthine bronchodilator; quick-relief agent
formoterol inhalerbeta-adrenergic agonist; long-term control
zileutonleukotrine inhibitor; long-term control
metaproterenol inhalerbeta-adrenergic agonist; quick relief agent
beclomethasone inhalersteroid anti-inflammatory; long-term control
nedocromil inhalermast-cell stabilizer; long-term control
salmeterol inhalorbeta-adrenergic agonist; long-term control

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