Med Surg Respiratory HESI

At which interval are humidified oxygen systems replaced to prevent infection

1 day

Pco2 normal range

35-45 mmHg

cordectomy

A surgical procedure performed in clients with laryngeal cancer. Removal of the vocal chords

What rationale would the nurse use when explaining the purpose of pursed-lip breathing to a client with emphysema

Decreases air trapping in lungs (provides positive pressure in the airways during expiration)

Flatness

Giant pleural effusion

Which personal protective equipment would the nurse use when giving a bath to a client with acquired immunodeficiency syndrome (AIDS), pneumonia, and AIDS wasting syndrome with fecal incontinence?

Gown Gloves Goggles (for pneumonia) Surgical Mask

Tympanic notes over the lungs

Large pneumothorax

Resonance

Low pitched, hollow sound normally hears over the air filled lungs during percussion in healthy individuals

Dullness

Medium-pitched "thud-like" sound that might be heard with problems ljme lung consolidation due to pneumonia

Resonance

Normal lung sound

What is the primary purpose of pursed-lip breathing

Promotes elimination

In which position will the nurse place a client who has been transferred from the postanesthesia care unit to the intensive care unit after a radical neck dissection?

Semi Fowler's Helps maintain the head and neck in functional alignment and facilitates respiration. High Fowler may cause flexion of the neck

Residual volume

The amount of air remaining in the lungs after forced expiration

During a chest assessment of a client with idiopathic pulmonary fibrosis, the nurse hears bilateral short, discontinuous, high-pitched sounds in the lower lung lobes. The sounds are similar to hair rolled between the fingers just behind the ear. Which respiratory disorders may also manifest these sounds as a pathophysiological sign?

This indicates fine crackles: Atelectasis Pulmonary edema

A client with chronic obstructive pulmonary disease (COPD) reports chest congestion, especially upon awakening in the morning. To address the concern, the nurse would make which suggestion?

Use humidifier in room

Tidal volume

Volume of air inhaled and exhaled with each breath

Which actions will the nurse take after noticing bibasilar crackles in a client who had an open cholecystectomy on the previous day?

Encourage turning, coughing and deep breathing exercises Preform frequent breath sounds assessment *chest X-ray isn't needed, post op atelecstasis is a common complication

Risk factors for head and neck cancer to assess for in a pt with persistent, nagging cough

Employment Ear pain History of tobacco use Oral hygiene practices Amount of alcohol intake

normal inspiratory reserve volume

3000 mL

Normal blood ph range

7.35-7.45

Which action would the nurse take to prevent aspiration recurrence in a client with aspiration pneumonia who is NPO status with a nasogastric tube and a prescription for antibiotics?

Elevate bed

Which assessment finding of a client being treated in the emergency department after a motor vehicle collision indicates the need for immediate health care provider intervention? Select all that apply.

Facial Edema Septal Deviation Clear nasal drainage Oxygen saturation 89% Bilateral periorbital bruising

Tympanic

High-pitched and musical sounds heard on percussion. Might be heard over a pneumothorax

Thoracentesis

Inserting a catheter into the pleural space to obtain specimens of pleural fluid

Which action would the nurse take to prevent complications when caring for a client with a chest tube to water seal drainage system for a pneumothorax?

Mark the drainage system every shift to determine the amount of drainage - these are closed systems (sterile) switch out container never empty. Notify hcp if drainage is over 100ml/hr. Always keep it upright and below chest level to prevent fluid from backing up into lungs

Which medical intervention would the nurse anticipate will be included in the management of a client with acute respiratory distress syndrome (ARDS)?

Positive end-exploratory pressure PEEP mechanical ventilation with peep will prevent alveolar collapse and improve oxygenation

Hyper resonance

Trapped air

Flatness

High-pitched and short duration sound that might be heard over a pleural effusion