NUR 347 Exam 1
- Delegation
Answer
A patient care tech (PCT) can take and record vitals as per their education and scope of practice
- LPN/LVN scope of practice
Answer
Insertion of indwelling urinary catheters and caring for critically ill patients (experienced)
- Acute Shortness of Breath
Answer
Assessment of breath sounds will give you data as to the plan of care for the patient (intubation)
- Post bronchoscopy nursing interventions and priority of care
Answer
Assess VS, gag reflex(MAKE SURE THEY WON'T ASPIRATE), auscultate lung sounds, ensure a patent airway
- Symptoms suggest possible tension pneumothorax
Answer
- sob, tachypnea, tachycardia, dyspnea, 1 / 2
- Tension Pneumothorax definition
Answer
Complete collapse of the lung. Occurs when air enters but does not leave, the space around the lung (pleural space)
- In what type of pneumothorax can air enter and leave the pleural space easily?
Answer
Uncomplicated pneumothorax
- In what type of pneumothorax does air enter the pleural space with each breath and gets
trapped there?
Answer
Tension pneumothorax
- Tension pneumothorax complications
Answer
As the amount of air increases, pres- sure builds up in the chest. The lung collapses on that side and can push the important structures in the center of the chest (such as heart, major blood vessels, and airways) toward the other side of the chest. The shift can cause the other lung to become compressed and can affect the flow of blood returning to the heart. Can lead to low blood pressure, shock, and death.
- Tension pneumothorax
S/S
Answer
Sudden chest pain, SOB, chest tightness, easy fatigue, bluish color of the skin due to lack of O2,
- / 2