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Respiratory System Disorders NCLEX Practice Quiz (60 Questions)

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All questions are given in a single page and correct answers, rationales or explanations if any are immediately shown after you have selected an answer. You can also copy this exam and make a printout. Jones prescribes albuterol sulfate Proventil for a patient with newly diagnose asthma.

When teaching the patient about this drug, the nurse should explain that it may cause:. Nasal congestion B. Nervousness C. Lethargy D. Miriam, a college student with acute rhinitis sees the campus nurse because of excessive nasal drainage. The nurse asks the patient about the color of the drainage. In acute rhinitis, nasal drainage normally is:. A male adult patient hospitalized for treatment of a pulmonary embolism develops respiratory alkalosis.

Which clinical findings commonly accompany respiratory alkalosis? Nausea or vomiting B. Abdominal pain or diarrhea C. Hallucinations or tinnitus D. Lightheadedness or paresthesia.

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Patients with an acute asthma attack B. Patients with narcolepsy C. Patients under age 6 D. Elderly patients.Find out more about the updates made. Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up to date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations.

The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages and recommendations are for the non-pregnant adult who is not breastfeeding. Respiratory failure RF is defined as the acute or chronic impairment of respiratory system function to maintain normal oxygen and CO2 values when breathing room air.

The most common causes are exacerbation of chronic obstructive pulmonary disease COPDasthma, and neuromuscular fatigue, leading to dyspnoea, tachypnoea, tachycardia, use of accessory muscles of respiration, and altered consciousness.

History and arterial blood gas analysis is the easiest way to assess the nature of acute RF and treatment should solve the baseline pathology. The acute hypoxemic RF arising from widespread diffuse injury to the alveolar-capillary membrane is termed Acute Respiratory Distress Syndrome ARDSwhich is the clinical and radiographic manifestation of acute pulmonary inflammatory states. Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

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You could not be signed in, please check and try again. Sign in with your library card Please enter your library card number. Search within Disclaimer Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Update: Many minor changes as well as added new sub-headings and paragraphs throughout.

Updated on 22 February The previous version of this content can be found here. All rights reserved. Sign in to annotate. Delete Cancel Save.Written by a dedicated team of expert authors led by Sharon Lewis, Medical-Surgical Nursing, 10th Edition offers up-to-date coverage of the latest trends, hot topics, and clinical developments in the field.

Completely revised and updated content explores patient care in various clinical settings and focuses on key topics such as patient safety, NCLEX exam preparation, evidence-based practice, and teamwork.

Respiratory System Disorders NCLEX Practice Quiz (60 Questions)

A variety of helpful boxes and tables make it easy for you to find essential information and the accessible writing style and building-block approach make even the most complex concepts easy to grasp. Section One — Concepts in Nursing Practice 1. Professional Nursing Practice 2. Health Disparities and Culturally Competent Care 3. Health History and Physical Examination 4. Patient and Caregiver Teaching 5. Chronic Illness and Older Adults 6. Stress and Stress Management 7.

Sleep and Sleep Disorders 8. Pain 9. Palliative Care at End of Life Inflammation and Wound Healing Genetics and Genomics Altered Immune Responses and Transplantation Infection and Human Immunodeficiency Virus Infection Cancer Preoperative Care Intraoperative Care Assessment of Visual and Auditory Systems Visual and Auditory Problems Assessment of Integumentary System Integumentary Problems Assessment of Respiratory System Upper Respiratory Problems Lower Respiratory Problems Assessment of Hematologic System Assessment of Cardiovascular System Hypertension Heart Failure Dysrhythmias Inflammatory and Structural Heart Disorders Assessment of Gastrointestinal System Nutritional Problems Obesity Upper Gastrointestinal Problems Written by a dedicated team of expert authors led by Sharon Lewis, Medical-Surgical Nursing, 10th Edition offers up-to-date coverage of the latest trends, hot topics, and clinical developments in the field.

Completely revised and updated content explores patient care in various clinical settings and focuses on key topics such as patient safety, NCLEX exam preparation, evidence-based practice, and teamwork. A variety of helpful boxes and tables make it easy for you to find essential information and the accessible writing style and building-block approach make even the most complex concepts easy to grasp.

Section One — Concepts in Nursing Practice 1. Professional Nursing Practice 2. Health Disparities and Culturally Competent Care 3. Health History and Physical Examination 4.

Medical Surgical Nursing - Pulmonary Embolism PE, Respiratory Emergencies

Patient and Caregiver Teaching 5. Chronic Illness and Older Adults 6. Stress and Stress Management 7. Sleep and Sleep Disorders 8. Pain 9.

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Palliative Care at End of Life Inflammation and Wound Healing Genetics and Genomics Altered Immune Responses and Transplantation Infection and Human Immunodeficiency Virus Infection Cancer Preoperative Care Intraoperative Care Assessment of Visual and Auditory Systems Visual and Auditory Problems Assessment of Integumentary System Integumentary Problems Assessment of Respiratory System Upper Respiratory Problems Lower Respiratory Problems Assessment of Hematologic System Assessment of Cardiovascular System Hypertension Heart Failure Dysrhythmias Inflammatory and Structural Heart Disorders Assessment of Gastrointestinal System Nutritional Problems These images are a random sampling from a Bing search on the term "Acute Respiratory Distress Syndrome.

Search Bing for all related images. Started inthis collection now contains interlinked topic pages divided into a tree of 31 specialty books and chapters.

Content is updated monthly with systematic literature reviews and conferences. Although access to this website is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. Toggle navigation. Organ Failure Chapter. From Related Chapters. Page Contents Pathophysiology Acute, bilateral, complete lung inflammation Onset hours after major Trauma or severe illness Variant of multi-system organ failure e.

Symptoms Onset within hours of triggering event Progressive Dyspnea. Blastomycosis or Coccidioidomycosis Pneumocystis Pneumonia. Pneumonia Maximize nutritional status and fluid balance Conservative fluid therapy titrated down to lower Central Venous Pressure s shortens ICU stay Enteral Nutrition started within 24 to 48 hours of ICU admission Eicosapentaenoic Acid fish oil extract effective Inotropic pressure support may be required Pulmonary artery catheters and central venous catheters are not routinely indicated Choose selectively in complicated fluid status, and then only by experienced clinicians Higher risk of complications without significantly improved outcomes Maintain adequate sedation and analgesia Stress Ulcer prophylaxis Sucralfate 1 gram orally or via Nasogastric Tube four times daily or Ranitidine e.

Protonix 40 mg IV Deep Vein Thrombosis Prevention Enoxaparin 40 mg SQ daily or Daltaeparin units SQ daily or Unfractionated Heparin units SQ twice daily Prone position reduces dependent consolidation Prone position requires adequate sedation Prone position does not alter hemodynamic parameters Inhaled Beta Agonist s appear effective Reduce Ventilator y pressures and increase oxygenation Corticosteroid s have mixed outcome results Consult with a medical intensivist about use Some studies suggest early use of Methylprednisolone decreases days on mechanical Ventilator Other studies show possible benefit later in course No consistent benefit shown in terms of reduction in mortality Measures not proven effective Inhaled nitric oxide Aerosolized surfactant replacement N-Acetylcysteine Mucomyst Vasodilators e.

Images: Related links to external sites from Bing. Related Studies. Trip Database TrendMD. Definition NCI A group of conditions characterized by failure of normal respiration caused by lack of lung surfactant.

Definition NCI Progressive and life-threatening pulmonary distress in the absence of an underlying pulmonary condition, usually following major trauma or surgery. Cases of neonatal respiratory distress syndrome are not included in this definition. Definition CSP fulminant pulmonary interstitial and alveolar edema resulting from diffuse infection, shock, or trauma of the lungs. Ontology: Congestive atelectasis C Ontology: Acute Lung Injury C This can represent a spectrum of pulmonary lesions, endothelial and epithelial, due to numerous factors physical, chemical, or biological.

Related Topics in Organ Failure. Pulmonology Chapters. Pulmonology - Organ Failure Pages. Back Links pages that link to this page. Search other sites for 'Acute Respiratory Distress Syndrome'.

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A disorder characterized by progressive and life-threatening pulmonary distress in the absence of an underlying pulmonary condition, usually following major trauma or surgery. A group of conditions characterized by failure of normal respiration caused by lack of lung surfactant.What oxygen is to the lungs, such is hope to the meaning of life.

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Compare the pathophysiologic mechanisms and clinical manifestations that result in hypoxemic and hypercapnic respiratory failure. Differentiate between the nursing and collaborative management of the patient with hypoxemic or hypercapnic respiratory failure. Relate the pathophysiologic mechanisms and the clinical manifestations associated with acute lung injury and acute respiratory distress syndrome ARDS.

Select appropriate nursing and collaborative management strategies for the patient with ARDS. Prioritize measures to prevent or reverse complications that may result from acute respiratory failure or ARDS. Reviewed by Susan J. This chapter discusses the etiology, pathophysiology, and clinical manifestations of acute respiratory failure and acute respiratory distress syndrome ARDS.

Nursing and collaborative management of patients with respiratory failure and ARDS focuses on interventions to promote adequate oxygenation and ventilation while addressing the underlying causes. The major function of the respiratory system is gas exchange. This involves the transfer of oxygen O 2 and carbon dioxide CO 2 between atmospheric air and circulating blood within the pulmonary capillary bed Fig.

Respiratory failure results when one or both of these gas-exchanging functions are inadequate e. Diseases that interfere with adequate O 2 transfer result in hypoxemia. Insufficient CO 2 removal results in hypercapnia. Pulse oximetry is used intermittently or continuously to assess arterial O 2 saturation SpO 2. Maintains adequate tissue oxygenation as indicated by normal or baseline arterial blood gases.

Ineffective airway clearance related to excessive secretions, decreased level of consciousness, presence of an artificial airway, neuromuscular dysfunction, and pain as evidenced by difficulty in expectorating sputum, presence of rhonchi or crackles, ineffective or absent cough. Maintains effective airway with removal of excessive secretions.

Demonstrates normal or baseline respiratory rate, rhythm, and depth of respirations. Imbalanced nutrition: less than body requirements related to poor appetite, shortness of breath, presence of artificial airway, decreased energy level, and increased caloric requirements as evidenced by weight loss, weakness, muscle wasting, dehydration, poor muscle tone, and poor skin integrity.

Risk for imbalanced fluid volume related to sodium and water retention. Maintains stable body weight and balanced intake and output. Respiratory failure is not a disease but a symptom of an underlying pathologic condition affecting lung function, O 2 delivery, cardiac output COor the baseline metabolic state. It is a condition that occurs because of one or more diseases involving the lungs or other body systems Table and eTable [available on the website for this text].

Respiratory failure is classified as hypoxemic or hypercapnic Fig. Hypoxemic respiratory failure is also referred to as oxygenation failure because the primary problem is inadequate O 2 transfer between the alveoli and the pulmonary capillaries. Hypercapnic respiratory failure is also referred to as ventilatory failure because the primary problem is insufficient CO 2 removal. See Chapter 17 for a discussion of acid-base balance.

Numerous disorders can compromise lung ventilation and subsequent carbon dioxide removal see Table and eTable Many patients experience both hypoxemic and hypercapnic respiratory failure. Although this example implies that ventilation and perfusion are ideally matched in all areas of the lung, this situation does not normally exist. In reality, some regional mismatch occurs.