NURS 4110 PRIMARY CONCEPTS OF
ADULT NURSING II FINAL LATEST
UPDATED STUDY GUIDE ARIZONA
COLLEGE OF NURSING
lOMoAR cPSD|19857451
MED SURG II FINAL STUDY GUIDE
*What’sin bold she verbally mentioned*
20- Respiratory
Asthma (3 questions)
*Bronchodilator teaching- appropriate time?
• Can used prophylactic before activity such as walking and eating
• Prescribed for PRN or for regular basis
• Proper usage: exhale first, seal lips around pump, press down and inhale and hold for 10
seconds, repeat puffs as directed but allow 15-30 in between.
Asthma patho
• Chronic inflammatory disease, reversible condition, causes airway hyper responsiveness,
mucosal edema and mucous production.
• Inflammatory response occurs= mast cells, macrophages, t lymphocytes, neutrophils,
eosinophils, IgE(causes direct bronchoconstriction)
S/S
• Cough, chest tightness, wheezing (on expiration), dyspnea
*Monitor airway patency due to mucous from the inflammatory process.
Status Asthmaticus- is when an asthma attack doesn’t respond to therapy. Rapid onsetsevere and
persistent.
Atelectasis
*prevention (post op)
• Atelectasis can arise from abdominal/thoracic surgery
o Teach pt. cough deep breathing (splint pillow on incision)
o Incentive spirometer
o Frequent turning
o Ambulating
o PEEP for pt. that cannot perform the basic measures (listed above)- positive end
expiratory pressure.
Pneumonia
*Nursing Interventions
• Remove secretions (if pt. cant cough, possible suctioning)
• Encourage hydration/humidifier-lossenssecretions
• High humidity face mask
• Encourage coughing
• Lung expansion maneuvers- IS, deep breathing and coughing