RESPIRATORY ATI - MED SURG
What diagnostic resp procedure determines lung function & breathing difficulties? - CORRECT ANSWER PFT's
If a client is... [Show More] a smoker or has asthma, what do you advise to do before a PFT? - CORRECT ANSWER do not smoke 6-8 hr prior
do not use inhaler 4-6 hr prior
What is the amount of free hydrogen ions in the arterial blood also known as? - CORRECT ANSWER pH
What does PaO2 and PaCO2 mean? - CORRECT ANSWER partial pressure of oxygen
partial pressure of carbon dioxide
What are 2 ways ABG's can be obtained? - CORRECT ANSWER arterial puncture
Through an arterial line
What type of syringe do you use for arterial puncture? - CORRECT ANSWER heparinized syringe for the sample collection
How do you verify patent radial and ulnar circ prior to arterial puncture? - CORRECT ANSWER Allen's test
How quickly should a client's hand turn pink indicating patency of ulnar artery and ability to use radial artery to obtain ABG's (with Allen's test)? - CORRECT ANSWER 15 secs
Where do you put the specimen directly after an arterial puncture? - CORRECT ANSWER in a basin of ice and water to preserve pH and O2 pressure. Send to lab immediately
How long do you hold pressure over site of Arterial puncture? What if pt is taking anticoags? - CORRECT ANSWER 5 min
20 min w/ anticoags
What is the rr for PAO2? - CORRECT ANSWER 80-100 mm Hg
What are 2 complications of arterial puncture? - CORRECT ANSWER hematoma (apply pressure)
air embolism (put pt in trendelenburg position- on left side)
What parts does the bronchoscopy visualize? - CORRECT ANSWER larynx, trachea, bronchi
What type of scope is used for bronchoscopy? - CORRECT ANSWER flexible fiber-optic
rigid bronchoscope
What type of anesthesia is used for bronchoscopy? - CORRECT ANSWER general or local anesthesia
outpt procedure
What does bronchscope look for? - CORRECT ANSWER tumors, inflammation, strictures, suspicious tissue (lung cancer), aspirate sputum for C&S (not only a dx test, also performed for therapeutic purposes)
If client has dentures what should you do prior to bronchoscopy? - CORRECT ANSWER remove them
how long is client NPO prior to bronchoscopy? - CORRECT ANSWER 4-8 hrs
What are some preprocedure meds for bronchoscopy? - CORRECT ANSWER anxiolytic
atropine
viscous lidocaine
local anesthetic throat spray
what position is pt supposed to be in during bronchscopy? - CORRECT ANSWER supine or sitting
Post bronchscopy, what should RN assess? - CORRECT ANSWER LOC, gag reflex, ability to swallow prior to resuming oral intake -- also monitor for significant fever, productive cough, significant hemoptysis, hypoxemia
What are possible complications of bronchoscopy? - CORRECT ANSWER Laryngospasm, pneumothorax, aspiration
What does laryngospasm impede? - CORRECT ANSWER ability to inhale. -- monitor for s/s of resp distress
If the provider used a rigid bronchoscope, what addt'l complcation is possible? - CORRECT ANSWER pneumothorax -- when rigid scope used
What procedure perforates the chest wall & pleural space with a large-bore needle? - CORRECT ANSWER Thoracentesis
What can thoracentesis dx? - CORRECT ANSWER transudates,exudates, empyema, pneumonia, chest injuries/trauma, ?? invasive thoracic procedures??
How may a client present that needs a thoracentesis? - CORRECT ANSWER pain, SOB, cough, abnormal breath sounds, dull percussion, dec chest wall expansion
What do you analyze about fluid obtained w/ thoracentesis? - CORRECT ANSWER general appearance, cell counts, protein & glucose content, enzymes such as LDH & amylase, abnormal cells and culture
What is a preproc [Show Less]
