Campus Collusion
Review Questions for Test Preparation

       
    

  



Upper Respiratory ProblemsMedical Surgical Nursing

Review Online for Free
Lies about Study Techniques: Believe them at your own risk.
www.NursingInAFlash.com

Page 8
Skip Navigation Links
Question Answer
What conditions can cause a peritonsillar abscess?
Show Answer
A complication from acute pharyngitis or acute tonsillitus where bacteria invades one or both tonsils
Hot potato voice, leukocytosis (high WBC count), high fever and chills is a classic clinical presentation of...
Show Answer
Peritonsillar abscess
How long does breathing need to stop to be considered apnea?
Show Answer
20 seconds
What is hypopnea?
Show Answer
Shallow respirations characterized by a 30-50% reduction in airflow
What is obstruction the airway in patients with Obstructive Sleep Apnea (OSA)?
Show Answer
The tongue and soft palate
What happens that causes a patient with OSA to wake from sleep?
Show Answer
The ventilatory stimulants Hypoxemia and Hypercapnea develop, causing the person to awaken and open the airway
Which gender is more likely to suffer from OSA?
Show Answer
Men
________ are risks factor for OSA.
Show Answer
Obesity (BMI greater than 28 kg/m2) Age (Being over 65) Neck circumference greater than 17 inches Craniofacial abnormalities that obstruct upper airways
What causes the headaches associated with OSA?
Show Answer
Hypercapnea results in vasodilation of cerebral vessels, resulting in a headache
What conditions can develop from untreated OSA?
Show Answer
HTN, right-sided heart failure from pulmonary HTN caused by hypoxemia, and cardiac dysrhythmias
Download these questions to your phone here
What tool is used to diagnose OSA?
Show Answer
Polysomnography
More than _______apneic events an hour with oxygen desaturation below 90% is considered a positive test for OSA.
Show Answer
Ten
If a patient considers polysomnography too much of a pain to have done, what is an acceptable alternative that is less of a hassle?
Show Answer
Overnight pulse oximetry assessments
What changes can be made by a patient with mild sleep apnea to improve their quality of sleep?
Show Answer
-avoid sedatives and alcoholic beverages for 3-4 hours before bed -Lose weight -use an oral appliance -go to a support group if needed
How does an oral appliance help patients with mild OSA?
Show Answer
It brings the mandible and tongue forward to enlarge the airway space, preventing occlusion
How are tje OSA treatments CPAP and a BiPAP different?
Show Answer
CPAP-has equal positive pressure on inhalation and exhalation (5-20 cm2 of H2O), highly effective, sometimes poorly tolerated BiPAP-has high pressure inhalation, low pressure exhalation, lower mean pressure and better tolerated
What should a nurse consider when caring for a patient with OSA in the hospital?
Show Answer
Opoids may suppress respirations so the patient will need to be on a CPAP of BiPAP while sleeping or resting
________ is a surgical treatment for OSA that involves excision of the tonsillar pillars, uvula, and posterior soft palate.
Show Answer
Uvulopalatopharyngoplasty (UPPP or UP3)
________ is a surgical treatment for OSA that involves advancing the attachment of the muscular part of the tongue on the mandible.
Show Answer
Genioglossal Advancement and Hyoid Myotomy (GAHM)
When GAHM is performed to treat OSA, _______ is usually done as well.
Show Answer
UPPP/UP3
What are the complications of OSA surgeries that a nurse should monitor for post-operatively?
Show Answer
Hemorrhage and airway obstruction
  
Page 8 Skip Navigation Links
Not what your looking for, continue searching

    
Skip Navigation Links