Nursing Intervention to Improve Oxygenation

Question 1

Sputum Specimen Collection
How is it performed?

Answer 1

Obtain in AM
Takes deep breaths
Cough 1-2 tsp into sterile cup

Question 2

Sputum Specimen Collection
Why is it performed?

Answer 2

Obtain specimen in infectious lung disease

Question 3

Sputum Specimen Collection Outcome

Answer 3

Sputum specimen obtained for lab analysis

Question 4

Sputum Specimen Collection Nursing Implications

Answer 4

May require suctioning to obtain sample

Question 5

CPT, How is it performed?

Answer 5

Percussion
Vibration
Postural Drainage

Question 6

CPT, why is it performed?

Answer 6

Unable to expectorate thick secretions (cystic fibrosis)

Question 7

CPT Outcome

Answer 7

Clearance of secretions

Question 8

CPT Nursing Implications

Answer 8

Rib Fracture
Proper positioning

Question 9

Incentive Spirometer
How is it performed?

Answer 9

10 times/ hour
Monitors inspiratory volume

Question 10

Incentive Spirometer
Why is it performed?

Answer 10

Decrease risk for Atelectasis

Question 11

Incentive Spirometer Outcome

Answer 11

Promote Deep Breathing

Question 12

Incentive Spirometer Nursing Implications

Answer 12

Not using as prescribed.
Fatigue
Bronchospasm exacerbation

Question 13

Pursed Lip Breathing
How is it performed?

Answer 13

Take deep breath through nostrils then slowly exhale out of mouth with lips pursed

Question 14

Pursed Lip Breathing
Why is it performed?

Answer 14

For those with chronic lung disease

Question 15

Pursed Lip Breathing Outcome

Answer 15

Release trapped air

Question 16

Pursed Lip Breathing Nursing Implications

Answer 16

Patients not using technique

Question 17

Flutter Valve
How is it performed?

Answer 17

Tight seal around mouthpiece
Inhales deeply, Exhale at twice the rate of inhalation. Follow up with coughing

Question 18

Flutter Valve
Why is it performed?

Answer 18

Reducing Atelectasis

Question 19

Flutter Valve Outcome

Answer 19

Clear Mucus

Question 20

Flutter Valve Nursing Implications

Question 21

Coughing and Deep Breathing
How is it performed?

Answer 21

Take deep breath and slowly exhale.
Cough forcefully

Question 22

Coughing and Deep Breathing
Why is it performed?

Answer 22

Prevent Atelectasis and PNA

Question 23

Coughing and Deep Breathing Outcome

Answer 23

Clear lungs of mucus or pus.

Question 24

Coughing and Deep Breathing Nursing Implications

Answer 24

Can be painful for abdominal surgery- teach to splint with pillows

Question 25

Huff Coughing How is it performed?

Answer 25

Inhale Hold breath Forceful exhalation

Question 26

Huff Coughing Why is it performed?

Answer 26

Those who have difficulty clearing cough

Question 27

Huff Coughing Outcome

Answer 27

Clear mucus from lungs

Question 28

Huff Coughing Nursing Implications

Answer 28

Less exhausting than regular coughing

Question 29

Suctioning, Why is it performed?

Answer 29

Those who cannot clear mucus out of airway with coughing

Question 30

Suctioning Outcome

Answer 30

Improved lung sound O2 stats

Question 31

Suctioning, Nursing Implications

Answer 31

Deep suctioning requires sterile technique- can cause infections or injuries if performed incorrectly

Question 32

Tracheostomy Suctioning, why is it performed?

Answer 32

Patient with tracheostomy

Question 33

Tracheostomy Suctioning Outcome

Answer 33

Remove secretions from airways

Question 34

Tracheostomy Suctioning Nursing Impliations

Answer 34

Require proper technique

Question 35

Closed Chest Drainage How is it performed?

Answer 35

Dr. insets into pleural or mediastinal space of thorax to remove liquid, blood, air. Connected to suction, collection chamber and water seal chamber.

Question 36

Closed Chest Drainage Why is it performed?

Answer 36

Pneumothorax Hemothorax

Question 37

Closed Chest Drainage Outcome

Answer 37

Facilitate lung expansion and restore normal intrapleural pressure

Question 38

Closed Chest Drainage Nursing Implications

Answer 38

Careful monitor site for redness, swelling, pain, subcutaneous emphysema. Ensure drainage is below chest No kinks in tubing. Monitor water seal chamber Focused respiratory assessment.