oxygen Therapy Flashcards

1
Q

A home health nurse is instructing a patient who has just started receiving oxygen therapy via mask. The nurse should emphasize that the patient must

Clean the mask with soapy water every other day

Reposition the elastic band frequently

Apply petroleum jelly around and inside the nares

Make sure there is adequate condensation in the tubing

A

Reposition the elastic band frequently

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2
Q

A nurse should recognize that which of the following is an indication for oxygen therapy?

Respiratory rate 32/min; anxiety

Dyspnea; PaO2 90 mm Hg

Chest pain; FiO2 65% for 4 days

Tachypnea; SaO2 90%

A

Tachypnea; SaO2 90%

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3
Q

A nurse is providing discharge teaching to a patient who will continue oxygen therapy at home. The nurse should instruct the patient that turning the knob on the oxygen flow meter all the way to the right

Starts the flow of oxygen

Provides the maximal oxygen flow

Provides a minimal oxygen flow

Stops the flow of oxygen

A

Stops the flow of oxygen

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4
Q

A patient admitted with community – acquired pneumonia has been receiving oxygen therapy for several days. Which of the following assessment findings indicates an adverse effect of oxygen therapy?

Poor skin turgor

Copious respiratory secretions

Cracks in the oral mucosa

Elevated heart rate

A

Cracks in the oral mucosa

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5
Q

A patient has been receiving oxygen PRN via nasal cannula for 4 hours. Which of the following assessment findings helps indicate that oxygen therapy has been effective?

Respiratory rate 14/min

SaO2 90%

Cardiac output 5.6 L/min

PaCO2 68 mm Hg

A

Respiratory rate 14/min

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6
Q

A nurse is caring for a critically ill patient with COPD who requires delivery of a precise concentration of oxygen. Which of the following types of oxygen – device is indicated for this patient?

Simple face mask

Nasal cannula

Venturi mask

Face tent

A

Venturi mask

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7
Q

Administering oxygen therapy with a nonrebreather mask has which of the following advantages?

Offers the highest oxygen concentration of the low – flow systems

Provides oxygen concentrations of 60 to 75%

Incorporates a design that requires minimal monitoring of the patient

Is designed for safety once the mask’s valves and flaps are sealed

A

Offers the highest oxygen concentration of the low – flow systems

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8
Q

A nurse is caring for a patient who has a tracheostomy. Which of the following must the nurse use when administering oxygen to this patient?

Distilled water for humidification

A tracheostomy collar

An inner tracheostomy cannula

An aerosol mask

A

A tracheostomy collar

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9
Q

A nurse is caring for a patient who is dyspneic and slightly cyanotic, with a respiratory rate of 28/min. The nurse determines that the patient has impaired gas exchange during which of the following phases of the nursing process?

Assessment

Diagnosis

Planning

Evaluation

A

Diagnosis

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10
Q

A patient who is prescribed oxygen therapy 24 hours/day is concerned about being confined to bed. Which of the following should the nurse do to provide mobility for this patient?

Suggest rest periods between activities of daily living

Arrange an H cylinder for the patient’s oxygen supply

Allow the patient to remove the oxygen – delivery device periodically

Make sure the patient has up to 50 feet of connecting tubing

A

Make sure the patient has up to 50 feet of connecting tubing

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11
Q

Oxygen therapy is prescribed for a patient who is brought to an emergency department in the early stages of hypoxia. When assessing this patient, the nurse should expect to find which of the following clinical indicators?

Elevated blood pressure

Decreased respiratory rate

Cyanosis

Peripheral edema

A

Elevated blood pressure

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