ED Respiratory Essentials for New Nurses

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Respiratory ED basics

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Erin

Australia

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ED Respiratory Essentials for New Nurses


ED Respiratory Essentials for New NursesVersión en línea Respiratory ED basics por Erin 1 What is the first priority when a patient presents with acute dyspnea in the ED? a Start antibiotics b Obtain a chest X-ray c Assess and secure the airway d Order an ABG 2 Which is first-line treatment for an acute asthma attack in the ED? a Inhaled short-acting beta-agonist (SABA) b Oral steroids only c Nebulized saline only d Antibiotics 3 Which finding favors pulmonary edema over pneumonia on exam? a Bibasilar crackles with edema signs b High fever c Localized dullness d Absent breath sounds 4 Best initial test to evaluate suspected pulmonary embolism in the ED? a D-dimer b ECG c CT pulmonary angiography d Chest X-ray 5 What is the first sign suggesting a spontaneous pneumothorax on examination? a Hyperresonant chest percussion b Dullness to percussion c Wheezing d Coarse crackles 6 How is COPD exacerbation commonly managed in the ED? a Nebulized bronchodilators + systemic steroids b Immediate intubation c Antibiotics for all patients d Only oxygen therapy 7 When is noninvasive ventilation (CPAP) most beneficial in ED respiratory failure? a Asthma alone without hypoxemia b Any respiratory distress c Stable COPD without failure d Pulmonary edema with hypoxemia not responding to oxygen 8 Discharge criteria for a stable ED pneumonia patient include: a Ongoing hypoxemia on room air b Inability to ambulate without assistance c Vital signs stable, adequate oral intake, improving symptoms d Need for IV antibiotics 9 Which scenario most strongly indicates the need for intubation in the ED? a Oxygen saturation 94% on room air b No fever and normal exam findings c Severe respiratory distress with rising CO2 and altered mental status d Mild cough with wheeze 10 What is a trigger for Asthma a Eating a diet high in fibre b Airborne irritants, pollen or respiratory infection c Sun exposure d Overusing salbutamol inhaler Feedback 1 Airway comes first (ABCs). Securing breathing and airway prevents rapid deterioration. 2 SABA rapidly opens airways in acute asthma; steroids are adjunctive. 3 Pulmonary edema often shows diffuse crackles and edema signs rather than focal infection. 4 CTPA is the preferred diagnostic test when PE is suspected and patient can be imaged. 5 Hyperresonance suggests air in the pleural space consistent with pneumothorax. 6 Bronchodilators and steroids are mainstays; only intubation if failure. 7 CPAP helps improve oxygenation in pulmonary edema and select COPD cases. 8 Stability and tolerance of oral intake with improving symptoms support discharge. 9 Progressive failure to maintain ventilation despite support necessitates intubation.

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ED Respiratory Essentials for New Nurses

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ED Respiratory Essentials for New NursesVersión en línea

por Erin

What is the first priority when a patient presents with acute dyspnea in the ED?

Which is first-line treatment for an acute asthma attack in the ED?

Which finding favors pulmonary edema over pneumonia on exam?

Best initial test to evaluate suspected pulmonary embolism in the ED?

What is the first sign suggesting a spontaneous pneumothorax on examination?

How is COPD exacerbation commonly managed in the ED?

When is noninvasive ventilation (CPAP) most beneficial in ED respiratory failure?

Discharge criteria for a stable ED pneumonia patient include:

Which scenario most strongly indicates the need for intubation in the ED?

What is a trigger for Asthma

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