NACE II

• when should metoclopramide be administered?

  30 mins before meals, at bedtime
• which medication can precipitate a hypertensive crisis in clients with pheocytochroma?

  metoclopramide
• medications ending in -azole are which classification?

  proton pump inhibitors
• antiemetics can cause __?

  drowsiness
• bulk forming laxatives are contraindicated in clients who have a __?

  bowel obstruction
• when poisons, infections or bacterial toxins cause diarrhea, what do opioids do?

  worsen
• how does lactulose promote the evacuation of ammonia?

  increase peristalsis
• the client may feel what things when the dye is injected during pulmonary angiography?

  urge to cough, flushing, nausea, salty taste
• avoid taking BP for __ after pulmonary angiography?

  24 hrs
• If the client cannot sit up, how should the client be positioned for a thoracentesis?

  side lying on unaffected side, HOB elevated
• after a thoracentesis, apply a dressing and monitor for ?

  bleeding, crepitus
• what should be delayed in beging given prior to PFT?

  bronchodilator
• the client should avoid smoking and eating a heavy meal for __ to __ hrs before PFT?

  4-6 hrs
• should client remove dentures for PFT?

  yes
• the client is instructed to do what things prior to PFT?

  void, wear loose clothing
• you should avoid __ prior to drawing ABG's beause it can cause imbalances?

  suctioning
• condraindicated conditions for chest physiography?


  unstable vs, increased ICP, bronchospasm
• pursed lip breathing and diaphragmatic breathing are two examples of __?

  breathing retraining
• An effective coughing technique that conserves energy, reduces fatigue, and facilitates mobilization of secretions?

  huff coughing
• The client needs to perform three or four deep breaths using pursed lip and diaphragmatic breathing. Leaning slightly forward, the client would cough three or four times during __?

  exhalation
• 3 times of the day when chest physiography is preformed?

  morning, 1 hr before meals, 2-3 hrs after
• if pain occurs during CPT what should you do?

  stop
• if the client is recieving tube feeding prior to CPT, what should you do?

  stop feeding, aspirate residuals
• what medication can be admin prior to CPT?

  bronchodilator
• what kind of mask is not usually rx for a client with COPD?

  partial rebreather
• maintains a set positive airway pressure during inspiration and expiration?

  CPAP
• For a client receiving mechanical ventilation, always check __first and then check __?

  client, ventilator
• a client on a mechanical ventilator can suffer from which complications?

  hypotension, pneumothorax, emphysema
• The volume of air that the client receives with each breath?

  tidal volume
• a low pressure alarm would indicate which complications?

  disconnected tubing, client stops spontaneous breathing
• a high pressure alarm on a mechaical ventilation would indicate?

  secretions, anxious fighting ventilator, wheezing or bronchospaasm
• positioning for client with flail chest?

  fowlers
• dx of pneomothorax is done by?

  xray
• chest tube placement in a pneumothorax is removed when?

  the lung is reinflated
• The ABG levels identify respiratory acidosis and hypoxemia that do not respond to an increased percentage of oxygen would be indicative of?

  acute respiratory distress syndrome
• what are some things that can cause ARDS?

  sepsis, fluid overload, shock, trauma, burns, DIC
• a condition in which the air sacs in the lungs are damaged and enlarged, resulting in hyperinflation and breathlessness?

  emphysema
• condition in which the bronchial tubes become inflamed and excessive mucus production occurs as a result from irritants or injury?

  chronic bronchitis
• clients with COPD need what kind of diet?

  high calorie, high protein
• Knife-like pain that is aggravated on deep breathing and coughing, dyspnea & plural friction rub would indiciative of __?

  pleurisy