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Problems of Oxygenation VentilationMedical Surgical Nursing

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You have a patient with a chronic cough that is on ACE inhibitor. He expresses he is concerned he has bronchitis because nothing seems to help his cough. You tell him...
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A common side effect of ACE inhibitors is a chronic cough
A patient comes in complaining that that every time she goes outside in the cold weather she ends up coughing and carrying on for a while. She would like to know what is causing this. You tell her...
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That it is a common symptoms associated with asthma. Asthma is commonly exacerbated by cold weather, animals or exercise.
What is considered a chronic cough?
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A cough that persists longer than 3 weeks
How should a nurse quantify sputum?
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In teaspoons, tablespoons, or cups per day.
What is normal sputum color for a smoker?
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Clear to gray with occasional specks of brown
What can differentiate between hemoptysis and hematemesis?
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Hematemesis is acidic, so pH testing can differentiate between the two
What conditions can cause hemoptysis?
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Pneumonia, tuberculosis, lung cancer, or severe bronchiectasis (localized, irreversible dilation of part of the bronchial tree)
T/F Wheezing can be caused by postnasal drip.
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True
Why should you ask a patient that you suspect has tuberculosis where they have lived and traveled?
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A risk factor for tuberculosis includes having lived or traveled to Asia, Africa, the former Soviet Union, Latin American or any third world country.
What fungal infection is a patient who lives in the Mississippi River Valley at risk for?
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Histoplasmosis
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What fungal infection are those individuals who have lived or traveled to the Southwest at risk for?
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Coccidiodomycosis
How is cigarette smoking quantified in pack years? I.E. what is the formula?
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Number of packs smoked per day x the number of years
Smoking is the most important risk factor for...
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COPD and lung cancer
What are the recommendations for Pneumovax?
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It should be administered to people over 65 with chronic disease and revaccination in 5 years is only necessary if the patient was under 65 for their first dose or are immunocompromised. Immunocompromised people should get one every 5 years.
Why does a patient with COPD often lose weight from getting full too quickly when eating?
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The lungs hyperinflate, leading to a sensation of fullness
How does dehydration cause airway obstructions?
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Dehydration can result in thickened mucus which can create an obstruction in the airway
How can respiratory disorders lead to problems in elimination?
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Dyspnea can cause activity intolerance which could lead to incontinence and it can also cause mobility issues which could lead to constipation
What is the most common complaint of people with respiratory problems?
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Shortness of breath (dyspnea)
Pleuritic chest pain occurs during inspiration or expiration?
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Inspiration
A patient comes in complaining that 'it hurts to breathe' You question her further and she tells you that when she breathes in it starts to hurt, like she's being stabbed, and it is right in her chest. She also states coughing makes it really hurt. You suspect she has...
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Pleuritic chest pain. It is aggravated by deep breathing/coughing and starts mildly on inspiration and becomes sharp towards the end of inspiration.
Hoarseness, stridor, muffling or a barking cough may indicate abnormalities of the ________.
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Upper airway, like GERD or vocal cord dysfunction
  
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