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WorksheetsRespiratory Care
Total questions: 65
Worksheet time: 33mins
When this pathway is unblocked and air is moving freely, it is referred to as?
Normal Airway
Patent Airway
Clear Airway
Productive Airway
Late signs of Hypoxia includes:
Bradycardia
Cardiac Dysrhythmias
Retractions
Bradypnea
Cyanosis
Oxygen levels in the blood drop below normal range, is referred to as?
Hypoxia
Hypoxica
Hypoxemia
Hypocemia
When the blood cannot take adequate amounts of oxygen to the tissues during internal respiration.
Hypocemia
Hypocia
Hypoxemia
Hypoxia
When the patient is having difficulty moving air in and out of the lungs.
Dyspnea
Tachypnea
Bradypnea
Apnea
If the patient has to stop to rest or catch his or her breath when ambulating a brief distance, then the patient is short of breath known as?
Exertional Circulation
Extortionate Dysphasia
Exertional Dyspnea
Exertional Apnea
When oxygen levels in the tissue decrease, the lips take on a bluish color, called Cyanosis.
True
False
Patients with impaired oxygenation often assume a position of sitting upright and leaning slightly forward with arms and head over a table.
Orthopedic Position
Orthopneic Position
Orthostatic Position
Orthocardiac Position
If the patient is bringing up sputum, or mucus, from the lungs when coughing is referred to as?
Pulmonary Cough
Nonproductive Cough
Sputum
Productive Cough
Dry cough is also known as productive cough.
False
True
When fluid is in the chest cavity.
Tension pneumothorax
Crepitus
Pneumothorax
Pleural effusion
Occurs when a hole allows air to enter the pleural space, also termed the pleural cavity, where there is supposed to be negative pressure. (Will not hear lung sounds)
Pleural effusion
Pneumothorax
Tension pneumothorax
Crepitus
Air in the subcutaneous tissues, in the chest wall, face, and neck. (Can hear bubbles popping)
Tension Pneumothorax
Crepitus
Pneumothorax
Pleural Effusion
A life-threatening type of pneumothorax that occurs when air is trapped in the pleural cavity surrounding the lungs. (Medical Emergency)
Pleural effusion
Tension pneumothorax
Pneumothorax
Crepitus
You want to determine the patients oxygen saturation using a pulse oximeter.
True
False
Increased respiratory rates
Tachypnea
Bradypnea
Eupnea
Apnea
Depth of respirations begins as very shallow, then each respiration gradually increases in depth until reaching a peak, at which time the depth begins to decrease with each breath until the depth is barely discernible; then there is a period of apnea, from 10 to 60 seconds in length, after which the cycle begins again.
Eupnea
Kussmaul’s
Biot’s
Cheyne-Stokes
Abnormally slow respiratory rate
Tachypnea
Apnea
Bradypnea
Eupnea
Abnormally deep and rapid respirations, rhythm regular, blows off excess CO2
Kussmaul’s
Tachypnea
Bradypnea
Cheyne-stokes
Normal rate and pattern: regular, equal-depth respirations
Apnea
Bradypnea
Eupnea
Tachypnea
Temporary or periodic absence of breathing
Eupnea
Tachypnea
Bradypnea
Biot’s
Apnea
A sequence of several breaths of equal depth that alternate with periods of apnea
Bradypnea
Tachypnea
Biot’s
Eupnea
Ways to thin secretion includes:
Humidifier
Fluids
Medications
Nebulizers
When the muscles relax in response to nerve stimulus, the size of the chest cavity decreases.
External Respiration
Inhalation(Inspiration)
Exhalation(Expiration)
Internal Respiration
The diaphragm and the intercostals are the muscles required for breathing to occur.
True
False
When the diaphragm contracts in response to stimulus from the phrenic nerves, it moves downward, which increases the size of the chest cavity.
External Respiration
Internal Respiration
Exhalation(Expiration)
Inhalation(Inspiration)
Respiratory center is located in the medulla, located in the brainstem.
False
True
The nurse is suctioning a patient for secretions. Which action should the nurse take?
Suction the mouth first, then the nose.
Use suction by placing thumb on valve continuously.
Suction no longer than 10-15 second.
Use the dominant hand to control the suction.
A patient is having tachypnea and dyspnea. Which action should the nurse take?
Leave to go get help.
Speak loudly to get patients attention.
Say, “Follow me and my breathing”
Keep silent to focus on breathing
The nurse is reinforcing teaching with a patient about the incentive spirometry. Which statement by the patient indicates a correct understanding of the teaching?
I should breathe fast to raise the platform.
I should inhale at least ten times hour.
I should blow into the device.
I should do this every other hour.
A patient is using a nebulizer with a mouthpiece. Which technique would the nurse observe for in this patient?
Patient opens mouth to exhale.
Patient securely holds mouthpiece with teeth.
Patient breathes fast and shallow throughout the treatment.
Patient breathes in through mouth and out through nose.
Which patient would cause the nurse to question the healthcare providers prescription of percussion?
A patient with excess mucus production in the lungs.
A patient with lung congestion from pneumonia.
A patient with thick mucus buildup in the lungs.
A patient with broken ribs from a vehicle accident.
The nurse is caring for a patient who needs an endotracheal tube suctioned. Which technique should the nurse use?
Sterile
Clean
Medical asepsis
Hygienic
The nurse is helping a coworker care for a patient with a chest tube. Which action by the coworker will cause the nurse to intervene?
At the end of the shift, writes the date, time, and initials next to the amount of chest tube drainage.
Watches for tidaling in chamber two of the chest tube system.
Fills chamber one of the chest tube system to the -20cm line with sterile water.
Pinches tubing closed and slides fingers down the tubing to pull clots toward the drainage unit.
A patients chest tube becomes disconnected from the drainage unit when the patient was transferred from the bed to the chair. Which action is the nurses first priority?
Clamp the chest tube with padded hemostats.
Place the end of the tube in water.
Check for bubbles in the water seal chamber
Milk the tubing of the chest tube system.
A patient has dark skin. Which area is best for the nurse to check for cyanosis.
Tip of nose
Tops of ears
Mucous membranes
Nailbeds
The nurse is cleaning the patients tracheostomy. Which technique should the nurse use?
Apply suction during insertion.
Change the old ties and then apply the new ones.
Use half-strength hydrogen peroxide with saline
Clean the tube q12h
occurs between the alveoli and capillaries
external respiration
diffusion
internal respiration
inspiration
occurs between the bloodstream and the body cells
diffusion
external respiraton
osmosis
internal respiration
If there is a blockage in the airway, what should you do ?
start compressions
perform hiemlich maneuver
administer oxygen
get object out with fingers
Early signs of Hypoxia
irritability
Retractions
tachypnea
anxiety
changes in level of consciousness
Clear sputum indicates :
a viral infection
blood
smoke/soot
pulmonary edema (life-threatening condition)
Rust colored sputum indicates :
smoke or soot
viral infection
pulmonary edema (life-threatening condition)
blood is present
Pink or frothy sputum indicates :
pulmonary edema (life-threatening condition)
blood
smoke or soot
viral infection
Grey or black sputum indicates :
blood
pulmonary edema (life-threatening condition)
smoke or soot
viral infection
What do you if a chest tube becomes disconnected from the drainage unit ?
leave it disconnected and notify provider
place the end of the tube in 1 cm of sterile saline or sterile water
place the end of the tube in 2 cm of sterile saline or sterile water
place the end of the tube in 2 cm of peroxide
You have to have a doctors order to remove a clot in a chest tube
false
true
What is the purpose of a chest tube
to reestablish the negative pressure within the pleural space
to maintain excursion of the lungs
to reestablish positive pressure within the pleural space
to allow excess air to leave the lungs
Chamber 1 of the chest drainage system
used for wet suction
used for the water seal
fill with sterile water to -20 cm mark
should see tidaling
should see gentle bubbling
Chamber 2 of chest drainage system
fill with sterile water to 2 cm mark
used for water seal
should see gentle bubbling
should see tidaling
Chamber 3 of the chest drainage system
the collection chamber
fill with sterile water to 3 cm
used for water seal
dont empty when full, attach a new one
measure the output
when blood and drainage are present in the pleural space, they pool in the lower portion of the cavity
tension pneumothorax
hemothorax
pneumothorax
excursion
ABG's are drawn from a vein rather an artery
true
false
What do ABG's measure ?
measure the pH
the bicarbonate level
the partial pressures of oxygen and carbon dioxide
the oxygen saturation of arterial blood
Turn, Cough, and Deep Breathe
patients must take 1 deep breath then cough
patients must turn or be turned every two hours
patient must take 3 deep breaths then cough
patients must be turned every 3 hours
Liquid medication is administered using :
nebulizer treatments
chest physical therapy
incentive spirometry
supplemental oxygen
What is chest physical therapy ?
helps drain mucus from the lobes of the lungs
must perform every two hours
involves using percussion to help loosen pooled mucus
involves using palpation to help loosen pooled mucus
What is an oropharyngeal airway ?
is made of hard plastic in a slightly curved shape and is designed to hold the tongue in place so it cannot obstruct the airway of an unconscious patient
a firm but flexible plastic tube that may be inserted through the nose or the mouth
is made of pliable rubber and designed to be inserted through the nose into the pharynx
an incision into the trachea that is held open with a tube to promote breathing
What is a endotracheal tube ?
is made of hard plastic in a slightly curved shape and is designed to hold the tongue in place so that it cannot obstruct the airway of an unconscious patient
tube inserted into the trachea to promote breathing
a firm but flexible plastic tube that may be inserted through the nose or the mouth and connects patient to a ventilator so that oxygen and air are delivered directly to the lungs
is made of pliable rubber and is designed to be inserted through the nose into the pharynx
What is a nasopharyngeal airway ?
incision into the trachea that is held open with a tube to promote breathing
holds tongue in place so it cannot obstruct the airway of an unconscious patient
is made of pliable rubber and is designed to be inserted through the nose into the pharynx
plastic tube that may be inserted into the nose or the mouth
An incision into the trachea that is held open with a tube to promote breathing
nasopharyngeal airway
tracheostomy
tracheotomy
endotracheal airway
Three parts of a tracheostomy
obturator
inner cannula
middle cannula
outer cannula
You should perform trach care every 8 hours
true
false
When suctioning , pressure should be no higher than 120 mm Hg
false
true
What do you use to test for strep throat ?
throat culture specimen
culture and sensitivity
sputum specimens
abg test
