Oxygenation (Practice Questions) Flashcards
What is important to remember for using oxygen at home with Chronic Obstructed Pulmonary Disease safety precautions?
A. “Smoking is allowed permitted when oxygen is in use.”
B. “Avoid materials that generate static electricity.”
C. “Acetone, oil, and alcohol are appropriate substances to use with clients who are using oxygen.”
D. “Fire extinguishers do not need to be stored.”
B
The nursing intervention that is appropriate for use with clients having an endotracheal tube is:
A. Providing room air
B. Communicating frequently with the client.
C. Rapidly assessing nasal and oral mucosa for redness and irritation.
D. None of these
A
When a client is suffering from respiratory difficulty and requires suctioning, the appropriate method to use is:
A. Goggles are not needed.
B. Portable or wall suction machine with tubing and collection receptacle.
C. Dextrose-and-water solution
D. Nasal cannula
B
After suctioning, appropriate follow-up evaluation of a client does not include:
A. Assessment of vital signs
B. Chart appearance if secretions
C. Compare findings to previous assessment data.
D. Only document findings abnormal in the client record; the doctor will see the results when rounds on the client are done.
E. All of the above
D
At the time of suctioning a client in ICU, the nurse sees that the activity causes deep breathing and coughing maneuvers. This is a good action because:
A. Deep breathing has zero effect.
B. Deep breathing oxygenates the lungs, and coughing loosens and moves secretions in the lungs.
C. It’s is impossible to perform when someone has a respiratory disease.
D. None of these
B
The right nursing responsibility in client’s caring with chest drainage systems would be:
A. Evaluating respiratory rate every four hours after the tube is inserted.
B. Not filling the water seal area of the unit.
C. Never use clamps with the drainage tubing.
D. Monitoring the patency and integrity of the drainage system.
E. All of the above
D
Which of these clients is at the highest risk for developing an upper respiratory infection?
A. A 3-year-old in preschool
B. A 13-year-old with a broken leg
C. A 20-year-old healthy adult
D. A 50-year-old non-smoker
A
In promoting healthy breathing, which of these actions is not appropriate to follow?
A. Eliminate or reduce the use of household pesticides and irritating chemical substances.
B. Make sure furnaces, ovens, and wood stoves are correctly ventilated.
C. Provide for rest periods during the day.
D. Sit straight and stand erect to permit full lung expansion.
E. None of the above
C
Hypoxemia refers to what?
A. The low level of oxygen in blood
B. The redness of the skin or mucous membranes
C. The low oxygen content in a tissue or organ
D. The high level of oxygen in the blood
A
Which oxygen level system would you use for the LOWEST flow of oxygen?
A. Non re-breather mask
B.Face tent
C.Nasal Cannula
D.Venturi Mask
C
What is the nursing role in patient education? Select all that apply.
A. Demonstrate the use of oxygen delivery system
B. Teach the importance and rational for oxygen therapy
C. Provide safety precautions for oxygen use
D. Provide the patient with a ‘going away’ kit to take home
A,B, and C
Common signs and symptoms of respiratory distress. Select all that apply.
A.Colour changes
B.Nasal flaring
C.Slowed breathing
D.Adventitious lung sounds
E.Retractions
A, B, D, and E
A client who is found unresponsive has arterial blood gases drawn and the results indicate the following: pH is 7.12, Pco2 is 90 mm Hg, and HCO3- is 22 mEq/L. The nurse interprets the results as indicating which condition?
A.Metabolic acidosis with compensation
B.Respiratory acidosis with compensation
C.Metabolic acidosis without compensation
D.Respiratory acidosis without compensation
D
The nurse plans care for a client with chronic obstructive pulmonary disease (COPD), understanding that the client is most likely to experience what type of acid-base imbalance?
A.Metabolic acidosis
B.Metabolic alkalosis
C.Respiratory acidosis
D.Respiratory alkalosis
C
A nurse is caring for a client who is retaining carbon dioxide (CO2) as a result of an obstructive respiratory disease. The nurse understands that as the client’s CO2 level rises, what will occur with the blood pH?
A. Fall
B. Rise
C. Double
D. Remain unchanged
A
A patient with a nasal cannula at 5 L/min has skin irritation around the nares and complains of a dry mouth and nose. Which action by the student nurse should be questioned by the nursing instructor?
A.Using humidification
B.Applying petroleum-based gel to the nares
C.Providing frequent oral cared
D.Asking the physician for an order for sterile nasal saline
B
The nurse is teaching a patient how to use a flow-oriented incentive spirometer (IS) the night before abdominal surgery. Which statement by the patient indicates an understanding of the procedure?
A. “I need to get the balls to the top as quickly as possible.”
B. “Quick rapid breaths are the most effective when the incentive spirometer is used.”
C. “I need to keep the balls elevated as long as possible.”
D.”The balls must be elevated to be effective.”
C
Which is the most COMMON and non-invasive way to measure a patient’s oxygenation?
A.Pulse oximeter
B.CPAP
C.Ventilator
D.Arterial blood gas (or ABG)
A
A patient who started smoking in adolescence and continues to smoke 40 years later comes to the clinic. The nurse understands that this patient has an increased risk for being diagnosed with which disorder:
A: Alcoholism and hypertension
B: Obesity and diabetes
C: Stress-related illnesses
D: Cardiopulmonary disease and lung cancer
D: Cardiopulmonary disease and lung cancer
A patient has been diagnosed with severe iron deficiency anemia. During physical assessment for which of the following symptoms would the nurse assess to determine the patient’s oxygen status?
A: Increased breathlessness but increased activity tolerance
B: Decreased breathlessness and decreased activity tolerance
C: Increased activity tolerance and decreased breathlessness
D: Decreased activity tolerance and increased breathlessness
D: Decreased activity tolerance and increased breathlessness
A patient is admitted to the emergency department with suspected carbon monoxide poisoning. Even though the patient’s color is ruddy, not cyanotic, the nurse understands that the patient is at a risk for decreased oxygen-carrying capacity of blood because carbon monoxide does which of the following:
A: Stimulates hyperventilation, causing respiratory alkalosis
B: Forms a strong bond with hemoglobin, creating a functional anemia.
C: Stimulates hypoventilation, causing respiratory acidosis
D: Causes alveoli to overinflate, leading to atelectasis
B: Forms a strong bond with hemoglobin, creating a functional anemia.
