Description

It provides information
regarding the
anatomical location and
appearance of the lungs.
arocedure
 Remove all jewelry and other metal
objects from the chest area
 Assess the clients ability to inhale and
hold breath.
 Question females regarding pregnancy
or the possibility of pregnancy.
aost procedure
 Assist the client to dress
Description
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aR
DUR
 Determine a specific purpose of collection and
check with institutional policy for appropriate
collection of specimen
 btain an early morning sterile specimen from
suctioning or expectoration after a respiratory
treatment, if a treatment is prescribe.
 btain 15 ml of sputum.
 Instruct the client to rinse the mouth with water
before collection
 Instruct the client to take several deep breath and
then cough deeply to obtain sputum.
 Always collect the specimen before client begins
antibiotic therapy.
aS aR
DUR
 If a culture of sputum is prescribe, transport specimen
to laboratory immediately
 Assist the client with mouth care.
Description:
Is a direct visual
examination of the larynx,
trachea and bronchia with
a fiber optic bronchoscope
aR
DUR
 btain inform consent
 Maintain a status for client from midnight
before the procedure
 btain vital signs
 Assess the result of coagulation studies
 Remove dentures or eyeglasses
 arepare suction equipment
 Administered medication for sedation as
prescribed
 ave emergency resuscitation equipment
readily available
aS aR
DUR
 Monitor vital signs
 Maintained client in semi-fowlers position
 Assess for return of the gag reflex
 Maintain a status until gag reflex
 ave an emesis basin readily available for client to
expectorate sputum
 Monitor for bloody sputum
 Monitor respiratory status, particularly if sedation was
administered
 Monitor for complication such as bronchospasm,
bronchial perforation ,dysrhytmias, fever, bacteremia,
hemorrhage, hypoxemia and pneumothorax]
 otify the physician if fever, difficulty in breathing or
other signs of complication occur following the
procedure.
D S
RIaI
Removal of fluid or
air from the pleural
space via a transthoracic
aspiration
aR
DUR

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aost procedure
 Monitor vital signs
 Monitor respiratory status
 Apply pressure dressing and assess the
punctures site for bleeding and crepitus
 Monitor for sings of pneumothorax, air
embolism and pulmonary edema
aR aR
DUR
 btain inform consent
 Assess for allergies to iodine, seafood or other
radiopaque dyes
 Maintain a status of client for 8 hours before
the procedure
 Monitor vital signs
 Assess result of coagulation studies.
 stablish an intravenous access
 Administer sedation s prescribed
 Instruct the client that he or she may feel an
urge to cough, flushing, nausea or a salty taste
following injection of the dye
 ave emergency resuscitation equipment
available.
aS aR
DUR
 Monitor vital signs
 Avoid taking blood pressure for 24 hours
in the extremity used for injection
 Monitor peripheral neurovascular status
of affective extremity
 Assess insertion site for bleeding
 Monitor for delayed reaction to dye.
 A skin test is an intradermal injection
used to assist in diagnosing various
infectious diseases.
aR aR
DUR
 Determine hypersensitivity or previous
reaction to skin test.
aR
DUR
 Used a test site that is free of excessive
body hair dermatitis, and blemishes.
 Apply the injection at the upper one
third of inner surface of left arm

ircle and mark the injection test site
 Document the date time and test site
aS aR
DUR
 Advise the client not to scratch the test site
so as to prevent infection and abscess
formation
 Instruct the client to avoid washing the test
site
 Interpret the reaction at the injection site 24
to 72 hours after administration of the test
antigen
 Assess the test site for the amount of
indurations( hard swelling) in millimeters and
for the presence of erythema and
vesiculation(small blister like elevation).
 aulse oxymetry is a non invasive test that
registered the oxygen saturation of the
clients hemoglobin
 his arterial oxygen saturation (Sa 2) is
recorded as percentage.
 he normal value is 96% to 100%.
 A pulse oximeter reading can alert the
nurse to hypoxemia before clinical signs
occur.
Measurements of the
dissolved 2 and
2 in
the arterial blood to reveal
the acid-base state and
how well the oxygen is
being carried to the body.
are procedure
 aerform Allen test before drawing radial
artery specimen.
 ave the client rest for 30 minutes before
specimen collection
 Avoid suctioning before drawing A
sample
 Do not turn off 2 unless the A sample
is ordered to be draw with the client
breathing room air.
aS aR
DUR
 alace the specimen on ice
 ote the client temperature on
laboratory form note the 2 and type of
ventilation that the client is receiving on
the laboratory form
 Apply pressure to the puncture site for 5
to 10 minutes and longer if the clients is
taking anticoagulant therapy or has a
bleeding disorder.