Respiratory disorders

The client with a thoracic burn and smoke inhalation requires aggressive pulmonary measures to prevent atelectasis and pneumonia. These include turning and repositioning, using humidified oxygen, providing incentive spirometry, and suctioning on an as-needed basis. The client should not be left lying in a single position and should not have the head of bed flat. These could promote the development of complications by limiting chest expansion.

Hemorrhage is a potential complication following tonsillectomy and adenoidectomy. If the client vomits large amounts of altered blood or bright red blood, or if the pulse rate or temperature rises and the client is restless, the nurse must notify the surgeon immediately. The nurse should obtain a light, mirror, gauze, curved hemostats, and a waste basin for examination of the surgical site. The nurse would also gather additional assessment data, but the immediate nursing action would be to contact the surgeon.


Pulmonary embolism is a life-threatening emergency. Nasal oxygen is administered immediately to relieve hypoxemia, respiratory distress, and central cyanosis. IV infusion lines are needed to administer medications or fluids. A perfusion scan, among other tests, may be performed. The ECG is monitored for the presence of dysrhythmias. Additionally, a urinary catheter may be inserted and arterial blood gases may be drawn. However, the immediate nursing action is to administer oxygen.


A traumatic open pneumothorax is an emergency. Stopping the flow of air through the opening in the chest wall is a life saving measure. In such an emergency, anything may be used that is large enough to fill the chest wound including a towel, a handkerchief, or the heel of the hand. If conscious, the victim is instructed to inhale and strain against a closed glottis. This action assists in reexpanding the lung and ejecting the air from the thorax. In the hospitalized client who experiences an open pneumothorax, the opening is plugged by sealing it with gauze impregnated with petrolatum.


Respiratory disorders final

1. Common side effects of decongestants - hypertension
2. Over of topical ( secondary) decongestants lead to:
3. Coughing, sneezing allergic- administer antihistamines
4. Antiyussive agent -reduces the cough
5. BAC ( 6-10 glasses of water) being hydrated photosensitivity
6. OTC meds are
7. Therapy for emphysema patient
8. SSK potassium chloride therapy
9. (asthmatic patient ) receptor agonist -actions cause vasoconstriction : Zulfirleukast
10. Collapsed lung or part of a lung: Atelectasis
11. Localized area of lung and cause pus lung absec ventilation problem
12. Suctioning inappropriate action- limit the task 20 ( too much suctioning 10 sec)
13. Interstitial fibrosis of the lungs causes by inhalation of asbestos fibers: Asbestosis
14. Accumulation of excess fluid in the peritoneal cavity: Ascites
15. Water seal drainage constant bubbling in the water seal area fluctuating
16. Dependent in lobes in test tubes: has to be straight
17. Wheezes : high pitched continuous musical sound on inspiration and expiration/ sometimes called ronchi
18. Increased fluid intake to : liquefy secretions
19. At risk for COPD- less than body requirement means excessive respirator effort/breathlessness
20. Small and frequent meals
21. Walking for 10-15 minutes a COPD people mild dysthmia: when walking moderate when: Severe : when doing everything
22. A patient who has AIDS are more prone to TB
23. Right failure is : decreased urine output
24. When asked a Tb patient how long medicine taken = 1-2 years or several years
25. Eminent means happens in few seconds example tachcardia
26. Vitamin b6= INH Myamtritol INH- ( tuberculin TB) Rifampin
27. Insertion of a needle through the chest wall into the pleural space to remove fluid, blood, or air or to instill medication.: Thoracentesis
28. Airiscentsis: removal of fluid
29. Diffusion problem: gastric aspiration( intracellular problem) , pulmonary edema
30. Ventilation problems: scoliosis, sleep apnea, opiods( suppress breathing), meningitis, chronic bronchitis, obese patient
31. Perfusion problem: pulmonary embolism
32. Pleurisy: water in the pleural area
33. A nurse is administering deep breathing, chest wall with 2 hands administer oxygen via nasal canula
34. A patient with pleural effusion: indomithcian and caring for the patient what other meds to lessen side effects- Ramitidine
35. Isolation room
36. Pulmonary embolism: malnourished homeless patient
37. COPD= oxygen per nasal canula ¾ ( cuts off the carbon dioxide that inhibits) bretahing
38. Thephyllin -asthma , monitor the pt with side effects : palpatations and increased heart rate
39. Bronchoscopy : in mouth visualize the lungs
40. IM : atrophine ( drug secretions slows the heart rate)
41. A diagnostic test in which we inhale and exhale in one breath = pulmonary function test
42. A patient is unable to breathe sitting/semi-sitting: orthopenia
43. hand washing for 15-20 seconds
44. A collection of gas in the chest wall: pnemothorax
45. Noninvasive oxygen = pulse oximeter
46. Blood: hemothorax
47. To remove and fluid from pleural space
48. High pitched harsh sound = stridor sound EEEEEEEEEEE sound
49. Pneumonia = E y auscultate sounds like AY
50. Upright-stretch grating sound does not clear with pleural friction rub
51. Mr. G is to rule out pulmonary TB - night sweat
52. Each alveolus coded with lipoprotein prevents from True : surfactant
53. Walls do thoracic endophillic cells : partial pleura
54. Diffusion
55. Osmosis
56. A patient ear goes from nose to lung sequence: pharynx, bronchia, larynx
57. Route of inspired air
58. Tachypnia : breaths more than 20.
59. A 90 year old male complains of SOB age retaliated changes- enlargement of bronchitis
60. To ausculate breath sounds - 5th intercostal space
61. Lung may have punctured prosthesis
62. Prior to aterial stick ABG : Allen test is required for pinky ulna
63. TB : infectious disease that primarily effects the lungs. Can also effects other structures: bones, meningitis, kidneys, lymph nodes
64. GI ( H2 blockers) PPI
65. TB is called primary reflex in children