NURS Chapter 26 Flashcards
Alcohol and narcotics affect oxygen needs because they
a. Depress the brain
b. Are pollutants
c. Cause allergies
d. Cause infection
A
Hypoxia is
a. Not enough oxygen in the blood
b. The amount of hemoglobin that affects oxygen
c. Not enough oxygen in the cells
d. The lack of carbon dioxide
C
An early sign of hypoxia is
a. Cyanosis
b. Increased pulse and respiratory rates
c. Restlessness
d. Dyspnea
C
A person can breathe deeply and comfortably only while sitting. This is called
a. Biot respirations
b. Orthopnea
c. Bradypnea
d. Kussmaul respirations
B
The nurse tells you that a person has tachypnea. The person’s respirations are
a. Slow
b. Rapid
c. Absent
d. Difficult or painful
B
The person needs to rest after
a. A chest x-ray
b. A lung scan
c. Arterial blood gases
d. Pulmonary function tests
D
A person’s pulse oximeter measurement is 98%. Which is true?
a. The pulse oximeter is wrong
b. The pulse is 98 beats per minute
c. The measurement is within normal range
d. The person has respiratory depression
C
Which is not a site for a pulse oximetry sensor?
a. Toe
b. Finger
c. Earlobe
d. Upper arm
D
You are assisting with deep breathing and coughing. Which is false?
a. The person inhales through pursed lips
b. The person sits in a comfortable sitting position
c. The person inhales deeply through the nose
d. The person holds a pillow over an incision
A
Deep-breathing and coughing exercises are ordered. The person has a productive cough. You need to remind the person to
a. Cover the nose and mouth when coughing
b. Use a face mask
c. Provide a sputum specimen
d. Inhale through the mouth
A
A person has a tracheostomy. Which is false?
a. The person must not cough
b. The obturator is taped to the wall or bedside stand
c. The nurse removes the inner cannula for cleaning
d. The outer cannula must be secured in place
A
A person with a tracheostomy cannot
a. Shampoo
b. Shave
c. Shower with a handheld nozzle
d. Swim
D
The nurse is changing tracheostomy ties. You must
a. Remove the inner cannula
b. Clean the stoma
c. Remove the dressing
d. Hold the outer cannula in place
D
A person has a tracheostomy. You cannot slide a finger under the ties. This means that the ties
a. Are secure
b. Are too tight
c. Need to be replaced
d. Need to be removed
B
Which signals the need for suctioning?
a. A pulse rate of 90 beats per minute
b. Signs and symptoms of respiratory distress
c. The orthopneic position
d. Being unable to speak
B
Tracheostomy suctioning requires
a. Sterile technique
b. Mechanical ventilation
c. An artificial airway
d. Chest tubes
A
You note the following while assisting with suctioning. Which should you report at once?
a. A pulse rate of 82 beats per minute
b. A regular heart rhythm
c. O2 saturation of 92%
d. Thick secretions
C
A person requires mechanical ventilation. Which is false?
a. The person has an ET or tracheostomy tube
b. The call light must always be within reach
c. Touch provides comfort and reassurance
d. You can resetalarms on the ventilator
D
An alarm sounds on a person’s ventilator. What should you do first?
a. Reset the alarm
b. Check to see if the airway is attached to the machine
c. Call the nurse at once
d. Ask the person what is wrong
B
A person has a pneumothorax. This is
a. Fluid in the pleural space
b. Blood in the pleural space
c. Air in the pleural space
d. Secretions in the pleural space
C
