Chapter 20 The Respiratory System

Emphysema

Chronic condition that usually results from cigarette smoking and chronic bronchitis.

Asthma

Chronic, episodic disorder causing difficulty breathing, heavy wheezing, coughing, and a tight feeling in the chest.

Chronic obstructive pulmonary disease (COPD)

Chronic, progressive disease leading to difficulty breathing due to obstruction of the airways.

When a resident is using an incentive spirometer, what kind of breathing should he do?

Deep breathing

Best time of the day to collect sputum?

Early morning

Is it true or false airways become more elastic with age, increasing movement of air inside the lungs.

False

Is it true or false all residents using oxygen will need oxygen continuously?

False

Is it true or false that asthma is a normal part of aging.

False

Is it true or false that it is safe to smoke around oxygen, as long as it is not done within three feet of the oxygen device?

False

Is it true or false that nursing assistants may adjust a resident's oxygen levels if the resident requests it?

False

Is it true or false that petroleum-based lubricants are best for soothing sensitive areas on the nose and mouth when a person is using oxygen?

False

Is it true or false the nursing assistant should turn off the oxygen delivery device if the equipment does not seem to be working?

False

Is it true or false with age, the cough reflex becomes more effective, and coughs become stronger.

False

Multidrug-resistant TB (MDR-TB)

Form of tuberculosis that is caused by an organism that is resistant to medication that is used to treat TB.

Tuberculosis (TB)

Highly contagious airborne disease that usually affects the/ lungs, but may affect other parts of the body; causes coughing, difficulty breathing, and fatigue.

Pneumonia

Inflammation of the lungs caused by viral, bacterial, or fungal infection or chemical irritants.

One of the things that a sputum specimen is checked for?

Microorganisms

Fluid that should not be used for rinsing the mouth before a sputum collection?

Mouthwash

Comes from the salivary glands and is not the same as sputum?

Saliva

Mucus that comes from inside the respiratory system?

Sputum

What is one of the nursing assistant's responsibilities regarding the incentive spirometer?

The nursing assistant should encourage the resident to take a deep breath while using the device.

What is the first step the nursing assistant should take before helping a resident with an incentive spirometer?

The nursing assistant should wash her hands.

Is it true or false a decrease in lung capacity is a normal change of aging.

True

Is it true or false a person's voice becomes weaker as she gets older.

True

Is it true or false it is important for the nursing assistant to perform frequent skin care on areas of the face on which an oxygen device rests?

True

Is it true or false oxygen therapy is the administration of oxygen given to increase the supply of oxygen to the lungs?

True

Is it true or false that a nursing assistant should encourage activity as permitted for residents who are receiving oxygen?

True

Is it true or false that as a person ages, the air sacs in the lungs become less elastic and decrease in number.

True

Is it true or false that common types of oxygen delivery devices include the nasal cannula, simple face mask, and the oxygen concentrator?

True

Is it true or false that oxygen in blood decreases with age.

True

Is it true or false that when a person gets older, his chest muscles become weaker.

True

Is it true or false the nursing assistant should report sores on the nasal area, complaints of discomfort or pain, and chest pain or tightness to the nurse?

True

Acute bronchitis

Type of bronchitis caused by an infection; usually treated with antibiotics.

Chronic bronchitis

Type of bronchitis in which the lining of bronchial tubes becomes inflamed, causing coughing and restricted air flow.

Liquid to use to rinse the mouth before obtaining a sputum specimen?

Water

Bronchiectasis

permanent dilation/widening of the bronchi that causes chronic coughing, shortness of breath, weight loss, and coughing up blood.