OXYGEN DELIVERY SYSTEMS | MISCELLANOUS | CHEST PHYSIOTHERAPY | SPUTUM SPECIMEN COLLECTION | NURSING INTERVENTIONS |
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WHAT IS assess proper fit to ensure a secure seal over the nose and mouth
make sure client wears nasal cannula during meals use with caution for clients who have high risk of aspiration or airway obstruction monitor for skin breakdown
What are nursing actions for the simple face mask
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WHAT IS the lowest
Provide oxygen therapy at the _____ liter flow that will correct the hypoxemia
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WHAT IS CHEST PHYSIOTHERAPY
a method of mobilizing pulmonary secretions by positioning the patient's head downward to incline the trachea below the affected area and then applying percussion and vibration techniques; often used synonymously with postural drainage, although that term technically refers to drainage by gravity without percussion and vibration
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WHAT IS
for cytology to identify aberrant cells or cancer for culture and sensitivity to grow and identify micro-organisms and the antibiotics effective against them. To identify acid-fast bacillus (AFB) to diagnose tuberculosis (requires three consecutive morning samples)
Indications of sputum specimen collection.
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WHAT IS confirming placement of pulse oximeter probe
A nurse checks a client’s oxygen saturation by using a bedside sensory probe. The client has pneumonia that is currently being treated with antibiotics. When the nurse places the pulse oximeter probe on the client, the first reading she notes is 89 percent. Which of the following actions should the nurse perform first?
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WHAT IS a nonrebreather mask?
Offers the highest oxygen concentration of the low-flow systems.
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WHAT IS
empty condensation from tubing often ensure adequate water in the humidification canister ensure that the aerosol mist leaves from the vents during inspiration and expiration make sure the tubing does not pull on the tracheostomy
What are aerosol mask nursing actions
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WHAT IS Vibration
Vibration is used after percussion to increase the turbulence of exhaled air and loosen secretions.
An RN is performing chest physiotherapy for a patient who needs help mobilizing and expectorating thick pulmonary secretions. To increase the turbulence of the air the patient exhales, the nurse should use which technique?
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WHAT IS endotracheal suctioning.
older adult clients have a weak cough reflex and decreased muscle strength, making it difficult for them to expectorate. They can require suctioning for sputum specimen collection
If a client cannot cough effectively and expectorate sputum into the container what is another method to retrieve the specimen?
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WHAT IS Pursed-lip breathing.
Pursed-lip breathing has also been shown to keep the airways open longer and slow down breathing rates.
A breathing technique that can be used with COPD clients to help facilitate easier work of breathing and improve gas exchange.
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WHAT IS VENTURI MASK
A nurse is caring for a critically ill patient with COPD who requires delivery of a precise concentration of oxygen. Which of the following types of oxygen-delivery device is indicated for this patient?
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WHAT IS
oxygen toxicity oxygen-induced hypoventilation combustion
What are oxygen therapy complications
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WHAT IS PERCUSSION
uses clapping of the chest with a cupped hand to vibrate the airways in the lungs. This vibration moves the mucus from smaller airways into larger ones where it can be coughed up
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WHAT IS
HUMIDIFICATION NEBULIZATION CHEST PT EARLY MORNING POSTURAL DRAINAGE
A nurse is preparing to obtain a sputum specimen from a client. Which of the following nursing actions will facilitate obtaining the specimen?
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WHAT IS breathing in through the nose and then breathes out slowly through puckered lips.
How would the nurse instruct a patient to perform pursed-lip breathing
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WHAT IS
Check the position of the cannula frequently. Report any nasal stuffiness, nausea, or fatigue. Post "no smoking" signs in a prominent location.
A provider is discharging a client with a prescription for home oxygen therapy via nasal cannula. Client
and family teaching by the nurse should include which of the following instructions |
WHAT IS INCENTIVE SPIROMETRY
Measures inspiration
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WHAT IS sitting on the side of the bed
Positioning for chest physiotherapy: apical segments of both lobes
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WHAT IS take 3-4 deep breaths, then inhale fully and cough forcefully until sputum is collected (at least 1 tsp)
when collecting a sputum by coughing, how would you instruct the patient?
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WHAT IS Hypoxia
The goal of oxygen therapy is indicated for treating patients who are at risk of developing what?
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Tachypnea
Tachycardia restlessness, anxiety, confusion pale skin, mucous membranes elevated BP use of accessory muscles, nasal flaring, tracheal tugging, adventitious lung sounds
what are EARLY manifestations of hypoxia
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WHAT IS PEAK FLOW METER
What measures expiratory efforts
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WHAT IS
Clients who are pregnant have rib, chest, head, or neck injury have increased intracranial pressure have had a recent abdominal surgery have pulmonary embolism or have bleeding disorders or osteoporosis
Who is chest physiotherapy contraindicated in?
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WHAT IS high or semi fowlers
what position should a patient be placed in if collecting a sputum by suction?
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WHAT IS
1. Coughing 2. Hydration 3. Positioning 4. Humidification 5. Nebulizer therapy 6. Chest physiotherapy 7. Suctioning
7 nursing interventions that mobilize secretions (that promote adequate gas exchange and lung expansion)
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