Med-Surg

preeclampsia

A condition in pregnancy characterized by high blood pressure sometimes with fluid retention and proteinuria

which nursing intervention is most important for a client with severe preeclampsia who is receiving intravenous magnesium sulfate

A quiet darken rooms reduces stimuli which is essential for limiting or preventing eclamptic seizures

Which clinical manifestations would be expected of a client with tuberculosis

Night sweats and blood-tinged sputum

A client is admitted to the hospital for a thyroidomy which position with the nurse maintain the client in after the surgery

The semi Fowler position limits edema in the operative area via gravity and promotes respirations by facilitating thoracic expansion

diaphragmatic hernia

a birth defect where there is a hole in the diaphragm

which client is most likely to report fatigue

a client with increased oxygen demand

which type of tracheostomy relates to one that has a small balloon encircling it's tracheal end?

a cuffed tracheostomy tube has a small balloon encircling it's tracheal end that when inflated provides a seal and keeps air from leaking around the tube

asthma

a restrictive airway disease and is best assessed by measuring peak expiratory flow (PEF)

pleural effusion

abnormal accumulation of fluid in the pleural space; compression of the lung by fluid that accumulates at the base of the lungs reduces lung expansion and air exchange

A nurse administer's albuterol to a child with asthma which common side effects would the nurse monitor for

albuterol produces sympathetic nervous system side effects such as tachycardia and hypertension

tracheostomy

an incision in the windpipe made to relieve an obstruction to breathing

which condition may cause respiratory alkalosis

asthma

which sign would the nurse expect to find in a client admitted with atelectasis

atelectasis refers to the collapse of alveoli; breath sounds over the area are diminished

which is an important nursing intervention when caring for a hospitalized toddler with cystic fibrosis?

because the mucous glands secrete thick mucous secretions that accumulate, reducing ciliary action and mucus flow, the nurse should perform postural drainage, which promotes the removal of mucopurulent secretions by means of gravity.

hemoptysis

blood in the sputum

which complications are most commonly associated with chronic obstructive pulmonary disease (COPD)?

cardiac problems

anaphylaxis

causes the immune system to release a flood of chemicals that can cause you to go into shock

which aspect of care would the nurse begin with in a client hospitalized with a diagnosis of emphysema

clients need to understand the disease process and how interventions, such as breathing exercises, can improve ventilation

the nurse is caring for a newborn with a diaphragmatic hernia and impaired gas exchange. which would the nurse identify as the cause of the infants decreased gas exchange

decreased oxygen intake

atelectasis

diminished breath sounds

acute spasmodic laryngitis

during a spasmodic croup attack, cool humidified air to decrease inflammation of the upper airways (the voice box and windpipe) is a fast come remedy

which first line medication would the nurse state is used to treat anaphylactic reactions?

epinephrine

Impaired gas exchange

excess or deficit in oxygenation and/or carbon dioxide elimination at the alveolar-capillary membrane

Which pathophysiologic factor has the greatest impact on the health status and plan of care for a child with cystic fibrosis

extremely thick mucus causes obstructive airways

which action by the nurse will decrease secretions in a client with bronchial pneumonia who is having difficulty maintaining airway clearance because of thick secretions

increased fluid intake helps liquefy respiratory secretions, which promotes expectoration

which would the nurse expect to be prescribed for members of a family who have contracted tuberculosis and now have a positive reaction to the tuberculin skin test and are candidates for treatment

isoniazid

which intervention would the nurse use to prevent aspiration in a client who underwent a partial laryngectomy?

keep suction machine handy during meals

where in the brain are respiratory patterns controlled

medulla

the nurse encourages a client with Raynaud disease to stop smoking because it causes which complication?

nicotine causes peripheral vasoconstriction which is spasms and construction of the smooth muscles of the arterial vasculature, compromising blood flow to the distal extremities

epistaxis

nosebleed

Which type of pneumonia is likely in a client who developed the condition three days after admission to the hospital

nosocomial pneumonia

which action would the nurse take on finding a client with pneumothorax in a side-lying position?

place client in a fowler or semi-fowler position

immunomodulator agent

prescribed for clients who have been diagnosed with subtypes of asthma and usually are used in combination with other drugs to reduce the frequency of asthma exacerbations

expectorant agent

prescribed for clients with nonproductive coughs to help liquefy mucus because they stimulate the secretion of natural lubricant fluids from serous glands

A client is prescribed prolonged bedrest after surgery which complication would the nurse expect to prevent by teaching this client to avoid pressure on the popliteal space

pulmonary embolism. pressure on the popliteal space causes venous stasis, promoting thrombus formation

pyothorax

pus in the chest cavity

who would the nurse present data to in order to develop an action plan regarding an increased instance of health care-associated pneumonia (HCAP) cases?

quality improvement team

anti inflammatory agents

reduce inflammation

the client who is hyperventilating is at risk for which complication?

respiratory alkalosis

which is the priority need that must be included in the nursing care for a child with pneumonia?

rest reduces the need for oxygen and minimizes metabolic needs during the acute, febrile stage of the disease

when an older adult participates in mild exercise, which would the nurse expect to happen to the respirations

slightly increase in rate per minute

antitussive agents

suppressing the cough center in the brain

which response would the nurse expect the client to exhibit when experiencing severe respiratory distress

tachycardia. the heart rate increases in an attempt to compensate for the lack of oxygen to body cells

respiratory alkalosis

the kidneys excrete increased amounts of bicarbonate to lower pH levels

respiratory acidosis

the kidneys retain increased amounts of bicarbonate to increase pH levels

metabolic acidosis

the lungs excrete carbon dioxide to raise pH levels

how does the body compensate for metabolic alkalosis?

the lungs retain carbon dioxide to lower pH levels

which assessment would the nurse perform to determine complications in clients exposed to phosgene?

the nurse will assess lung sounds in victims of phosgene exposure because the chemical agent can cause respiratory distress and pulmonary edema.

phlegm

thick mucus secreted by the respiratory system

which is a clinical manifestation of respiratory acidosis?

tremors

when suctioning a client with a tracheostomy, which safety measure would the nurse take into consideration?

use of suction upon withdrawal of a suction catheter reduces unnecessary removal of oxygen

which would the nurse document when auscultating a clients chest and hearing swishing sounds of normal breathing

vesicular breath sounds are the normal respiratory sounds hears on auscultation as inspired air enters and leaves the alveoli