NACE EXAM — Health Care exam material
HEAL100 · Other
HEAL100 Health Care — exam and revision material · Other
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Health Care exam material, 6 pages. Originally published on StudyMerit.
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NSG 2610 Exam 1 Study Guide Rachel Brady Chronic bronchitis o Assessment findings in regard to sputum : thickened copious amounts of sputum. o Ways to mobilize secretions: coughing, turning, deep breathing, hydration, nebulizing treatment. How to prevent hospital acquired pneumonia— cough, turn, and deep breath every 2 hours How to perform incentive spirometry: exhale completely, put mouth around the tube and breathe in slow and pause for 3 seconds then exhale, 10 times every hour while awake. Viral rhinitis o Are antibiotics indicated?: only if bacterial rhinitis. Pleurisy: inflammation of both layers of the pleurae, due to pneumonia, respiratory infection or TB. o What happens to pain when the patient coughs or takes a deep breath? It worsens the pain, sharp and knife like. Pneumothorax: accumulation of atmospheric air in the plural space causing lung collapse. o Signs of: use of accessory muscles, diminished or lack of breath sounds, chest pain, SOB, hypotension, subcutaneous emphysema, sudden pain, tachypnea, respiratory distress, diminished breath sounds. COPD o Risk factors: exposure to tobacco smoke, advanced age, occupational exposure, pollution, genetic abnormalities. o Prevention : decrease environmental exposure, smoking cessation. o Want to improve oxygenation and minimize CO2 retention o What do high levels of oxygen do to the respiratory drive? Suppresses it, results in loss of respiratory drive to breathe. Downloaded by Studymerit Dotcom (samuelkaruiki40@gmail.com) lOMoARcPSD|6879242
Atelectasis o What are risk factors to developing? Post op patients, patients with impaired cough mechanisms (neuro disorders), bed bound, anesthesia, shallow breathing, underlying lung disease. o What are some ways to prevent a patient from developing atelectasis? Ambulating, frequent turning, deep breathing, cough, incentive spirometry, secretion management. TB o Signs and symptoms : persistent cough lasting longer than 3 weeks, purulent sputum, possibly blood streaked, fatigue and lethargy, weight loss and anorexia, * night sweats*, low grade fever in the afternoon. o What type of solation precautions should these patients be on? Airborne. o If suspected based on symptoms, have patient wear a mask Sleep apnea o What type of ABG? Respiratory acidosis o What are signs and symptoms? Snoring, daytime sleepiness, breathing ceases for 10 seconds or longer. Acute bronchitis o Are antibiotics indicated? Only if the bronchitis is bacterial. What to do if a patient becomes SOB and dusky when ambulating? Assess first! BiPAP: bilevel positive airway pressure o Contraindications to patient being placed on BiPAP: not tolerable or motivated to use the machine. Status asthmaticus: rapid onset, severe, and persistent asthma that does not respond to conventional therapy. o Absent breath sounds…are they concerning? Yes, frequently a sign of impending respiratory failure. Downloaded by Studymerit Dotcom (samuelkaruiki40@gmail.com) lOMoARcPSD|6879242
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HEAL100 · Other
HEAL100 · Other
HEAL100 · Other
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