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NUR |/ 211 |/Final |/Exam |/questions |/with
|/correct |/answers
what |/does |/the |/use |/of |/accessory |/muscles |/indicate |/- |/CORRECT |/ANSWERS |/✔✔an |/attempt |/to |/increase |/lung |/volume |/that |/results |/in |/fatigue |/is |/not |/effective |/ventilation. |/indicates |/ventilatory |/fatigue, |/air |/hunger, |/or |/decreased |/lung |/expansion how |/does |/oxygenation |/of |/tissues |/take |/place |/- |/CORRECT |/ANSWERS |/✔✔ventilation; |/the |/process |/of |/moving |/gases |/into |/and |/out |/of |/the |/lungs perfusion; |/the |/cardiovascular |/system |/pumping |/oxygenated |/blood |/to |/the |/tissues |/and |/return |/deoxygenated |/blood |/to |/the |/lungs diffusion; |/exchange |/of |/respiratory |/gases |/in |/the |/alveoli |/and |/capillaries how |/are |/respirations |/regulated |/(chemical |/and |/neural) |/- |/CORRECT |/ANSWERS |/✔✔neural |/regulation- |/CNS |/controls |/the |/respiratory |/rate, |/depth, |/and |/rhythm |/and |/cerbral |/cortex |/control |/voluntary |/respirations chemical |/regulation |/- |/maintains |/the |/rate |/and |/depth |/of |/respirations |/based |/on |/changes |/in |/the |/blood |/concentrations |/of |/CO2 |/and |/O2 |/and |/in |/pH, |/SO |/the |/chemoreceptors |/sense |/these |/changes |/in |/chemicals |/and |/stimulate |/the |/nervous |/system |/to |/adjust
Factors |/affecting |/oxygenation |/- |/physiology |/- |/CORRECT |/ANSWERS |/✔✔decreased |/o2 |/carrying |/capacity, |/hypovolemia |/(low |/blood |/volume, |/less |/hemoglobin |/to |/carry |/O2 |/through |/vessels), |/decreased |/inspired |/O2 |/conc., |/increased |/metabolic |/rate |/(infection, |/sepsis), factors |/affecting |/oxygenation |/- |/chest |/wall |/movement |/- |/CORRECT |/ANSWERS |/✔✔prgnancy, |/obesity, |/neuromuscular |/disease, |/musculoskeletal |/deformities, |/trauma, |/alterations |/to |/CNS COPD |/and |/oxygenation |/- |/CORRECT |/ANSWERS |/✔✔-these |/pts |/have |/adapted |/to |/a |/high |/level |/of |/CO2, |/so |/the |/CO2 |/sensitive |/receptors |/do |/not |/function -COPD |/pts |/stimulus |/to |/breathe |/is |/low |/O2, |/while |/normally |/it |/is |/high |/CO -receptors |/in |/the |/aortic |/arch |/and |/carotid |/bodies |/are |/sensitive |/to |/low |/O2 |/level |/causing |/increased |/ventilation |/when |/low |/O -SO, |/administering |/high |/levels |/of |/O2 |/to |/these |/pts |/prevents |/their |/O |/level |/from |/falling |/and |/stimulating |/the |/receptors, |/which |/REMOVES |/THEIR |/STIMULUS |/TO |/BREATHE hyper |/and |/hypo |/ventilation |/- |/CORRECT |/ANSWERS |/✔✔hyper- |/breathing |/in |/excess |/of |/what |/is |/required |/to |/remove |/CO hypo- |/inadequate |/breathing |/to |/meet |/bodys |/O2 |/demands |/or |/needs |/to |/eliminate |/CO
-EXAMINE |/skin |/and |/mucous |/membranes, |/LOC, |/breathing |/patterns, |/chest |/wall |/movement, |/palpate |/chest, |/feet, |/legs, |/pulses, |/auscultate |/heart |/and |/lung |/sounds how |/to |/assess |/breath |/sounds |/- |/CORRECT |/ANSWERS |/✔✔rate, |/volume |/(shallow |/or |/deep), |/rhythm |/(regular |/or |/irregular), |/effort, |/AP:LAT |/diameter |/(1:2), |/cough |/(productive |/or |/not) |/- |/amt., |/color, |/consistency, |/odor what |/causes |/decreased |/or |/absent |/breath |/sounds |/- |/CORRECT |/ANSWERS |/✔✔pneumothorax, |/emphysema, |/removed |/lung |/lobes, |/obstruction, |/atelectasis difference |/between |/hypoxia |/and |/hypoxemia |/- |/CORRECT |/ANSWERS |/✔✔hypoxia |/- |/inadequate |/tissue |/oxygenation |/at |/cell |/level hypoxemia |/- |/low |/level |/of |/oxygen |/in |/arterial |/blood what |/is |/a |/more |/invasive |/way |/than |/pulse |/oximetry |/of |/determining |/level |/of |/oxygenation |/- |/CORRECT |/ANSWERS |/✔✔arterial |/blood |/gases |/(ABGs) |/- |/invasive |/way |/to |/measure |/partial |/pressure |/of |/O2 |/in |/blood. |/NORMAL |/80- acute |/hypoxia |/- |/CORRECT |/ANSWERS |/✔✔SUDDEN |/- |/causes? |/- |/obstructed |/airway, |/pulmonary |/embolism, |/impaired |/ventilation |/(asthma, |/pneumonia)
SX- |/anxious, |/sitting |/up, |/increased |/RR |/and |/HR, |/confusion, |/behavior |/changes, |/nasal |/flaring |/- |/cyanosis |/is |/a |/late |/sign chronic |/hypoxia |/- |/CORRECT |/ANSWERS |/✔✔long |/term |/- |/Causes? |/- |/COPD, |/anemia, |/impaired |/ventilation, |/cardiac |/abnormalities SX- |/fatigue, |/lethargy, |/clubbed |/fingers, |/barrel |/chest, |/SOA, |/paroxysmal |/nocturnal |/dyspnea, |/orthopnea, |/activity |/intolerance define |/orthopnea |/- |/CORRECT |/ANSWERS |/✔✔shortness |/of |/breath |/that |/occurs |/when |/lying |/flat an |/H+H |/diagnostic |/blood |/test |/- |/CORRECT |/ANSWERS |/✔✔hematocrit |/- |/% |/of |/total |/blood |/volume |/made |/up |/by |/RBCs MALE |/- |/42-52% |/FEMALE |/- |/37-47% = |/decreased |/levels |/are |/called |/anemia |/ hemoglobin |/- |/iron |/containing |/pigment |/of |/RBC |/ MALE |/- |/14-18 |/FEMALE |/12- ways |/to |/promote |/oxygenation |/- |/CORRECT |/ANSWERS |/✔✔monitor |/hydration, |/humidification, |/administer |/inhalant |/medications |/(expectorants, |/mucolytics, |/bronchodilators, |/anti |/inflammatory |/agents), |/teach |/coughing |/and |/breathing, |/perform |/chest |/physiotherapy, |/suction |/airway, |/artificial |/airways
what |/are |/the |/indications |/for |/CPAP |/- |/CORRECT |/ANSWERS |/✔✔sleep |/apnea |/or |/heart |/failure what |/are |/indications |/for |/a |/bi-pap |/- |/CORRECT |/ANSWERS |/✔✔respiratory |/failure, |/pulmonary |/edema, |/exacerbation |/of |/COPD describe |/the |/nasal |/cannula |/and |/indications |/for |/use |/- |/CORRECT |/ANSWERS |/✔✔administers |/low |/concentrations |/(24-44%), |/usually |/administered |/at |/1-6L/min |/- |/check |/for |/skin |/breakdown |/around |/ears |/and |/cheeks simple |/face |/mask |/and |/indications |/for |/use |/- |/CORRECT |/ANSWERS |/✔✔administers |/moderate |/to |/high |/concentrations, |/where |/O2 |/enters |/through |/entry |/port |/at |/bottom |/and |/exits |/through |/large |/holes |/on |/sdes |/of |/mask |/- |/usually |/40-60% |/oxygen |/at |/a |/flow |/rate |/5-8 |/L/min partial |/nonrebreather |/mask |/and |/indications |/for |/use |/- |/CORRECT |/ANSWERS |/✔✔administers |/high |/concentrations, |/has |/a |/resevoir |/bag |/for |/the |/collection |/of |/clients |/exhaled |/air |/and |/this |/air |/is |/mixed |/w |/oxygen |/for |/the |/next |/breath |/- |/delivers |/40-70% |/oxygen |/at |/6-10 |/L/min |/- |/resevoir |/should |/not |/collapse |/during |/inspiration nonrebreather |/mask |/and |/its |/indications |/for |/use |/- |/CORRECT |/ANSWERS |/✔✔administers |/high |/concentrations, |/delivers |/highest
|/concentration!! |/exhaled |/air |/goes |/out |/one |/way |/flap, |/does |/not |/allow |/room |/air |/to |/enter, |/pt |/only |/breathes |/O Venturi |/mask |/and |/its |/indications |/for |/use |/- |/CORRECT |/ANSWERS |/✔✔delivers |/specific |/concentrations |/of |/oxygen, |/most |/accurately, |/used |/for |/COPD |/patients what |/is |/the |/device |/that |/allows |/people |/with |/trachs |/to |/speak |/- |/CORRECT |/ANSWERS |/✔✔passy-muir |/valve what |/to |/do |/if |/trach |/tube |/becomes |/dislodged |/- |/CORRECT |/ANSWERS |/✔✔obturator |/should |/be |/at |/bedside!! |/attempt |/re |/insertion |/using |/spare |/trach |/tube |/and |/obturator metabolic |/changes |/of |/immobility |/- |/CORRECT |/ANSWERS |/✔✔stress |/releases |/hormones |/altering |/the |/metabolism |/of |/carbs, |/fats, |/and |/proteins; |/causing |/fluid |/and |/electrolyte |/imbalances |/ negative |/nitrogen |/balance |/- |/breakdown |/of |/protein |/(malnourishment) calcium |/resorption |/- |/from |/disuse |/ GI |/function |/- |/slowing |/of |/peristalsis |/= |/constipation cardiovascular |/changes |/related |/to |/immobility |/- |/CORRECT |/ANSWERS |/✔✔orthostatic thrombus |/formation |/- |/alterations |/in |/blood |/flow, |/damage |/to |/vessels
what |/does |/it |/mean |/to |/have |/circadian |/synchronization |/- |/CORRECT |/ANSWERS |/✔✔when |/persons |/biological |/clock |/coincides |/with |/sleep/wake |/cycles |/- |/environment |/and |/self |/are |/synchronized |/ -body |/temp |/highest |/when |/awake |/and |/lowest |/when |/asleep what |/happens |/if |/external |/time |/cues |/are |/inconsistent |/- |/CORRECT |/ANSWERS |/✔✔desynchronization |/- |/chronic |/fatigue, |/disruptive |/sleep |/patterns, |/decreased |/performance |/and |/coping |/abilities what |/is |/insomnia? |/risk |/factors? |/tx? |/- |/CORRECT |/ANSWERS |/✔✔inability |/to |/fall |/asleep |/or |/remain |/asleep ACUTE- |/lasts |/one |/to |/several |/nights |/and |/is |/often |/caused |/by |/personal |/stressors CHRONIC- |/difficulty |/sleeping |/for |/a |/few |/nights, |/followed |/by |/adequate |/sleep |/before |/the |/problem |/returns |/ Risk |/factors |/- |/older |/ages, |/female |/gender |/(hormones) TX; |/behavioral |/modification, |/drugs |/to |/promote |/sleep, |/prescription |/or |/over |/the |/counter shift |/work |/sleep |/disorders |/- |/CORRECT |/ANSWERS |/✔✔-effects |/people |/whose |/sleep- |/wake |/and |/lifestyle |/demands |/are |/out |/of |/sync |/with |/their |/circadian |/rhythm
- |/consistent |/w |/insomnia |/symptoms
sleep |/apnea |/- |/types, |/sx, |/tx |/- |/CORRECT |/ANSWERS |/✔✔obstrctive |/- |/occurs |/when |/structures |/of |/pharnyx |/or |/oral |/cavity |/block |/the |/flow |/of |/air central |/- |/a |/defect |/in |/the |/respiratory |/center |/of |/the |/brain mixed |/- |/a |/combination |/of |/both SX; |/loud |/snoring, |/frequent |/awakening, |/excessive |/daytime |/sleepiness, |/difficulties |/falling |/asleep, |/morning |/headaches, |/memory |/and |/cognitive |/problems, |/irritability, |/loss |/of |/functioning, |/high |/blood |/pressure, |/increased |/risk |/of |/MI |/and |/stroke |/ TX; |/surgical |/procedure |/for |/enlarged |/tonsils, |/laser |/removal |/of |/excess |/tissue |/in |/the |/pharynx, |/CPAP, |/weight |/loss insufficient |/sleep/ |/sleep |/deprivation |/- |/CORRECT |/ANSWERS |/✔✔decrease |/in |/quality |/and |/quantity |/of |/sleep |/- |/inconsistency |/of |/timing |/of |/sleep -illness, |/emotional |/stress, |/meds, |/environmental |/distrubances, |/variability |/in |/timing |/of |/sleep |/due |/to |/shift |/work SX; |/slow |/response |/time, |/blurred |/vision, |/ptosis |/(lazy |/eye), |/decreased |/judgement, |/increased |/pain |/sensitivity, |/irritability, |/excessive |/sleepinees, |/hyperactive DANGERS; |/act |/worse |/than |/people |/that |/are |/intoxicated, |/magnifies |/alcohols |/effects
what |/is |/a |/protective |/environment |/- |/CORRECT |/ANSWERS |/✔✔for |/a |/limited |/pt |/population, |/uses |/positive |/airflow( |/air |/coming |/in |/is |/filtered), |/used |/for |/severely |/immunocompromised |/patients what |/are |/nurse |/sensitive |/patient |/indicators |/- |/CORRECT |/ANSWERS |/✔✔quality |/indicators |/that |/capture |/care |/or |/pt |/outcomes |/most |/affected |/by |/nursing |/care |/- |/patient |/satisfaction, |/pressure |/ulcers, |/falls, |/noscomial |/infections, |/hours |/of |/nursing |/care |/per |/patient -med |/errors, |/HAIs, |/restraint |/use, |/mislabeled |/specimens, |/pt |/deterioration, |/pain |/management what |/care |/can |/an |/RN |/delegate |/to |/someone |/else |/- |/CORRECT |/ANSWERS |/✔✔routine |/tasks |/and |/skills, |/skills |/that |/person |/has |/been |/taught, |/care |/for |/stable |/pts |/w |/predictable |/outcomes |/ -VS, |/FSBS, |/inserting |/catheter, |/hanging |/IV |/fluid, |/sterile |/dressing |/change, |/enternal |/feeding what |/can |/a |/nurse |/never |/delegate |/- |/CORRECT |/ANSWERS |/✔✔assessment, |/teaching, |/evaluation -physical |/assessment, |/assessing |/IV |/site principles |/of |/nursing |/- |/autonomy |/- |/CORRECT |/ANSWERS |/✔✔right |/to |/make |/ones |/own |/decisions |/- |/respect |/clients |/right |/to |/make |/on |/decisions
principles |/of |/nursing |/- |/nonmalfecience |/and |/beneficence |/- |/CORRECT |/ANSWERS |/✔✔duty |/to |/do |/no |/harm doing |/good principles |/of |/nursing |/- |/justice |/- |/CORRECT |/ANSWERS |/✔✔fairness, |/equal |/treatment principles |/of |/nursing |/- |/fidelity |/- |/CORRECT |/ANSWERS |/✔✔be |/faithful |/to |/agreements |/and |/promises principles |/of |/nursing |/- |/veracity |/- |/CORRECT |/ANSWERS |/✔✔telling |/the |/truth principles |/of |/nursing |/- |/privacy |/- |/CORRECT |/ANSWERS |/✔✔keeping |/pt |/information |/confidential |/- |/HIPPA describe |/the |/categories |/of |/blood |/pressure |/- |/CORRECT |/ANSWERS |/✔✔normal: |/S- |/less |/than |/ 120 |/D- |/less |/than |/ 80 elevated: |/S-120-129 |/D- |/less |/than |/ 80 HTN |/stage |/1: |/S- |/130-139 |/D- |/80- HTN |/stage |/2: |/S- |/greater |/than |/ 140 |/D- |/ 90 |/or |/higher EMERGENCY: |/S-higher |/than |/ 180 |/D- |/higher |/than |/ 120
|/hypotension, |/evidence |/of |/poor |/peripheral |/perfusion, |/pulmonary |/edema, |/low |/blood |/volume, |/CHF CO |/increased |/sepsis, |/drops |/in |/blood |/pressure, |/anemia, |/exercise what |/is |/angina |/and |/MI |/- |/CORRECT |/ANSWERS |/✔✔angina |/is |/chest |/pain |/related |/to |/inadequate |/supply |/of |/O2 |/to |/heart |/muscle MI |/is |/necrosis |/of |/heart |/muscle |/due |/to |/compromised |/blood |/flow |/to |/heart |/muscle left |/sided |/heart |/failure |/- |/CORRECT |/ANSWERS |/✔✔fluid |/backs |/up |/into |/lungs, |/prevents |/body |/from |/getting |/oxygen |/rich |/blood, |/causes |/SOB |/and |/fluid |/build |/up, |/crackles |/upon |/auscultation |/of |/lungs right |/sided |/heart |/failure |/- |/CORRECT |/ANSWERS |/✔✔fluid |/backs |/up |/into |/body, |/generally |/caused |/by |/left |/sided |/failure, |/blood |/not |/pumped |/to |/lungs |/normally -left |/sided |/heart |/failure |/causes |/blood |/to |/back |/up |/into |/lungs, |/then |/right |/ventricle, |/and |/then |/the |/rest |/of |/peripheral |/vascular |/structures |/ SX; |/edema, |/swelling, |/fatigue, |/SOB jugular |/venous |/distention |/- |/CORRECT |/ANSWERS |/✔✔due |/to |/right |/sided |/heart |/failure, |/HOB |/at |/degrees, |/turn |/head |/to |/left, |/use |/tangential |/lighting
describe |/raynauds |/phenonmenon |/- |/CORRECT |/ANSWERS |/✔✔vasospasms |/associated |/w |/PAD |/- |/fingers |/turn |/white |/due |/to |/lack |/of |/blood |/flow, |/blue |/as |/vessels |/dilate |/to |/keep |/blood |/in |/tissues, |/then |/red |/as |/blood |/flow |/returns what |/is |/the |/effect |/of |/high |/fowlers |/or |/semi |/fowlers |/position |/- |/CORRECT |/ANSWERS |/✔✔decrease |/venous |/return |/and |/preload, |/improved |/breathing, |/used |/during |/respiratory |/distress describe |/the |/findings |/of |/arterial |/insufficiency |/- |/CORRECT |/ANSWERS |/✔✔secondary |/to: |/smoking, |/increased |/BP, |/diabetes, |/increased |/cholesterol, |/age, |/sedentary SX; |/intermittent |/claudication |/during |/activity |/(due |/to |/obstructed |/arteries), |/decreased |/pulses, |/cap |/refill |/> |/ 3 |/secs, |/skin |/is |/pale |/and |/cool, |/legs |/become |/shiny |/and |/hairless |/due |/to |/lack |/of |/O2, |/impaired |/sensation, |/pale |/ulcer |/base |/w |/even |/edges, |/delayed |/healing NO |/edema describe |/the |/findings |/of |/venous |/insufficiency |/- |/CORRECT |/ANSWERS |/✔✔secondary |/to: |/valvular |/incompetency, |/venous |/stasis, |/CHF, |/DVT SX; |/constant |/aching |/pain, |/patchy |/bron |/patches |/on |/lower |/ext., |/warm |/skin, |/EDEMA, |/delayed |/healing, |/pressure |/ulcers |/on |/ankles |/are |/common peripheral |/edema |/is |/defining |/- |/ 1 |/= |/barely |/perceivable, |/4= |/very |/deep
distributive- |/massive |/peripheral |/vasodilation |/traps |/blood |/in |/peripheral |/microcirculation SX; |/tachycardia, |/hypotension, |/decrease |/peripheral |/pulses, |/LOC |/changes, |/skin |/is |/cold |/and |/clammy, |/decrease |/urine |/output TX; |/early |/detection! |/frequent |/VS, |/oxygen, |/fluid |/replacement classify |/wound |/- |/clean |/- |/CORRECT |/ANSWERS |/✔✔uninfected, |/minimal |/inflammation, |/closed |/wound -respiratory, |/alimentary, |/genital, |/and |/urinary |/tract |/not |/entered classify |/wound |/-clean |/contaminated |/wound |/- |/CORRECT |/ANSWERS |/✔✔surgical |/wound |/where |/respiratory, |/alimentary, |/urinary, |/or |/genital |/system |/has |/been |/entered
- |/no |/evidence |/of |/infection classify |/wounds- |/contaminated |/wound |/- |/CORRECT |/ANSWERS |/✔✔fresh |/accidental |/or |/surgical |/wound, |/break |/in |/sterility, |/drainage |/from |/GI |/tract -evidence |/of |/inflammation classify |/wounds |/- |/dirty |/or |/infected |/wound |/- |/CORRECT |/ANSWERS |/✔✔infected |/- |/purulent |/drainage, |/contains |/dead |/tissue
wounds |/healing |/by |/primary |/intention |/- |/CORRECT |/ANSWERS |/✔✔surgical |/- |/little |/to |/no |/tissue |/loss |/w |/approximated, |/closed |/edges
- |/formation |/of |/granulation |/tissue |/and |/slim |/scarring wounds |/healing |/by |/secondary |/intention |/- |/CORRECT |/ANSWERS |/✔✔- pressure |/ulcers, |/infected |/wounds, |/abdominal |/wounds
- |/edges |/not |/approximated, |/left |/open |/to |/heal -takes |/longer, |/has |/more |/scarring, |/more |/susceptible |/to |/infection wounds |/healing |/by |/tertiary |/intention |/- |/CORRECT |/ANSWERS |/✔✔surgical |/wounds |/that |/have |/become |/infected, |/swollen, |/contain |/debris -wound |/is |/debrided |/and |/protected -surgical |/closed |/when |/appropriate -primary |/and |/secondary |/mixed short |/description |/of |/ 3 |/phases |/of |/wound |/healing |/- |/CORRECT |/ANSWERS |/✔✔inflammation |/- |/immediately |/after |/injury |/- |/lasts |/3- |/days, |/hemostasis, |/phagocytosis proliferation |/- |/until |/about |/day |/ 21 |/after |/injury |/- |/collagen |/produced, |/granulation |/tissue |/develops, |/eschar |/forms maturation |/- |/can |/extend |/ 1 |/or |/ 2 |/years |/post |/injury |/- |/collagen |/produced, |/scar |/tissue |/remodels |/and |/contracts
