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- A nurse is suctioning the nasopharyngeal airway ofa patient to maintain a patent airway. For whichcondition would the nurse anticipate the need for anasal trumpet?a. The patient vomits during suctioning.b. The secretions appear to be stomach contents.c. The catheter touches an unsterile surface.d. Epistaxis is noted with continued suctioning.Children may also suffer from obstructive sleep apnea (OSA).Symptoms experienced during the daytime include breathingthrough the mouth and difficulty focusing. Children don’t oftenhave the excessive sleepiness during the day that adults may have.Children with OSA often have enlarged tonsils or adenoids.Removal of the tonsils and adenoids often alleviates the problem.Continuous positive airway pressure (CPAP) treatment might benecessary if the OSA continues after surgery. Why would enlargedtonsils or adenoids cause OSA?Choose the prefered method for inserting an oropharyngeal airway into a 7 year old patient: A) Use the bite stick or tongue blade during insertion B) Measurement is from the center of the teeth to the earlobe C) Insertion is done with direct visualization of the oropharynx and epiglotis D) Oropharangeal airway should only be attempted after naropharyngeal airways are isnerted
- 1. Define the term oxygen saturation. (1 Mark)__________________________________________________________________________________________________________________________________________________________________________________________________________________2. List two causes that can contribute to a low O2 sat reading. (2 Marks)________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________3. Define the term “continuous oxygen therapy” and explain why it is beneficial for peoplewith chronic breathing difficulties. (2…. Two days after undergoing an abdominal hysterectomy, a 40-year-old womman has shortness of breath while walking. She appears apprehensive and has a low-grade fever, tachycardia, and tachypnea. Lungs are clear on auscultation. An x-ray of the chest shows no abnormalities. Which of the following is the most likely diagnosis?A. Aspiration pneumoniaB. AsthmaC. AtelectasisD. Nosocomial pneumoniaE. Pulmonary emboliA 77-year-old man seeks medical attention because of shortness of breath onminimal exertion. His chest X-ray reveals a right-sided pleural effusion. Theaspirated fluid is straw colored and clear. The protein concentration is low, andthe specific gravity is 1.011(low). Which of the following is the most likely causeof the effusion.A- TuberculosisB- Left ventricular heart failureC- lung cancerD- Pneumonia
- What type of artificial tracheal airway should be used for the following clinical situations? If more than one option is indicated, include all appropriate choices with an explanation. E. Patient with dysphagia and chronic aspiration: F. Patient with a fractured jaw G. An alert stroke patient who cannot coughReference: https://www.copd.com/about-copd/what-is-copd/ 1. COPD encompasses several conditions, however, asthma is the only obstructive disease within the umbrella that can be associated with children. Do you think that because asthma is not typically associated with "smoking" that it gets special consideration in the medical field? Why or why not? 2. Many patients who have COPD continue to smoke. Based on your knowledge of the airway system, why do you think this is particularly damaging to their respiratory system? Or, do you think it matters? 3. The website mentions occupational hazards accounting for approximately 20% of COPD cases. What do you think has an effect and why? Give examples. 4. How does nutrition play a role in COPD? 5. Did any of the patient stories inspire you? What did you think of their stories? Does it change the way you feel about a "COPD-er"?The emergency treatment of open pneumothorax is() A) Closed thoracic drainage B) Endotracheal intubation, positive end expiratory pressure ventilation C) Rapid closure of chest wall wound D) Oxygen inhalation E) Exploratory thoracotomy
- Place the following guidelines for teaching a patient effective coughing in the order in which they would be performed: a. Ask the patient to “hack out” for three short breaths. b. Repeat the exercise every 2 hours while awake. c. Place the patient in a semi-Fowler’s position, leaning forward and provide a pillow or bath blanket to splint the incision. d. Ask the patient to cough deeply once or twice and take another deep breath. e. Ask the patient to take a quick breath with mouth open. f. Ask the patient to inhale and exhale deeply and slowly through the nose three times. g. Ask the patient to take a deep breath and hold it for 3 seconds.A 40yo male presents to the emergency department with the chief complaint of shortness of breath (SOB). His past medical history (MHx) is remarkable for hypertension (HTN) and diabetes mellitus II (DMII). On examination, his oxygen saturation on room air is 87%, blood pressure 160/100 mmHg, and pulse rate is 93/min. His arterial blood gas on room air shows pH 7.44, PCO2 35 mmHg, PO2 55 mmHg. Assume that the RQ is 0.8. Based on your calculations, what should the arterial blood gas be?List three priority NANDAs for the patient post-laryngectomy.