Chapter 14

Question 1

When an older adult patient with chronic emphysema comes to the emergency department
in respiratory distress, at what rate should the nurse begin oxygen per nasal cannula?
a. 2 L/min
b. 3 L/min
c. 4 L/min
d. 5 L/min

Answer 1

a. 2 L/min

Question 2

The nurse instructs a patient receiving home O2 therapy to drink plenty of fluids to help
keep bronchial secretions liquefied. What is the recommended fluid?
a. Milk
b. Water
c. Tea with artificial sweetener
d. Coffee

Answer 2

b. Water

Question 3

The wife of a patient with a cuffed tracheostomy asks why the cuff is inflated intermittently.
What is the purpose of the inflated cuff?
a. Prevent regurgitation after meals.
b. Hold the trachea open until it is completely healed.
c. Dilate the tracheal opening for passage of secretions.
d. Prevent aspiration when eating.

Answer 3

d. Prevent aspiration when eating.

Question 4

Which of the following is an appropriate nursing measure when performing tracheostomy
care?
a. Wear clean gloves.
b. Insert the catheter without suction.
c. Suction for 1 minute before removing the catheter.
d. Place the used catheter in a plastic shield for later use.

Answer 4

b. Insert the catheter without suction.

Question 5

An 80-year-old male patient has been admitted to the acute care facility with the diagnosis
of pneumonia. He is receiving oxygen via nasal cannula at 2 L/min. The nurse assesses
respirations at 24/min, PaO2 level 88 mm Hg, and pink skin tone. What action should the
nurse implement?
a. Notify the health care provider. (Space added)
b. Increase oxygen to 4 L/min.
c. Record PaO2 level.
d. Administer nebulizer treatment.

Answer 5

c. Record PaO2 level.

Question 6

What is the appropriate value for the venturi mask? (Capitalize Venturi)
Oxygen delivery devices with percent of oxygen delivered
a. 1–6 L/min = 24%–44% O2
b. 5–8 L/min = 35%–55% O2
c. 4–10 L/min = 24%–55% O2
d. 6–12 L/min = 60%–90% O2
e. 6–15 L/min = 70%–100% O2

Answer 6

c. 4–10 L/min = 24%–55% O2