Oxygenation

Obstructive lung disease

Asthma COPD (chronic bronchitis, emphysema)

crackles heard may be a sign of

CHF, pulmonary edema, pulmonary fibrosis

Spirometry measures

Vital capacity

A client vomits as a nurse is inserting his oropharyngeal airway. What would be the mostappropriate intervention in this situation?

Remove the airway, turn the client to the side, and provide mouth suction, if necessary.

A health care provider orders the collection of a sputum specimen from a client with a suspected bacterial infection. Which actions best ensure a usable specimen?

-if possible, patient should be sitting upright with feet flat on floor -instruct patient to breathe deeply and cough -collect sputum in specimen container - placed in a semi-Fowler's position and instructed to clear the nose and throat and rinse the throat with water.

The nurse is implementing an order for oxygen for a client with facial burns. Which delivery device will the nurse gather?

A face tent is used without a mask; it is open and loose around the face and is often used for patients with facial trauma or burns

how is pleural effusion treated?

thoracentesis

pleural effusion

abnormal accumulation of fluid in the pleural space

A client has edema of the feet and ankles, along with crackles in the lower lobes and a frothy, productive cough. The client is suffering from

congestive heart failure

To drain the apical sections of the upper lobes of the lungs, the nurse should place the client in which position?

high-fowler's

A nurse is assigned to care for a client admitted to the health care facility with the diagnosis of atelectasis. When interviewing the client, the nurse would anticipate a history of

pneumonia

Which diagnostic procedure measures lung size and airway patency, producing graphic representations of lung volumes and flows?

pulmonary function tests

symptoms of poor tissue perfusion

- hair loss in the affected area -discolored skin - thickened nails -shiny, dry skin

LUNGDAMAGE (COPD mnemonic)

L- lack of energy U- unable to tolerate activity (SOB) N- nutrition (poor) burn more calories than norm - weight loss G- gases abnormal (high CO2 low pH) respiratory acidosis D- dry/unproductive cough A- accessory muscles used, abnormal lung sounds M- modification of skin color A- anterior posterior diameter increase; barrel chest G- gets in tripod position E- extreme dyspnea

The nurse auscultates a client with soft, high-pitched popping breath sounds on inspiration. The nurse documents the breath sounds heard as

crackles

what position should the patient be placed in to drain the right lobe of the lung

lying on the left side with a pillow under the chest wall

When a nurse observes that an older client's skin is dry and shiny and his nails are thickened, the nurse determines that the client is most likely experiencing

poor tissue perfusion