Set 11

Question 1

The movement of air in and out of the alveoli/lungs

Answer 1

Ventilation

Question 2

The exchange of gasses (CO2 and O2) from the alveoli to the capillaries (intravascular space)

Answer 2

Diffusion

Question 3

The exchange of gasses (CO2 and O2) between the blood and the tissues

Answer 3

Perfusion

Question 4

Low oxygen in the blood, specifically arterial blood

Answer 4

Hypoxemia

Question 5

What is needed for the diagnosis of hypoxemia?

Answer 5

ABG

Question 6

Decreased oxygen in the tissues

Answer 6

Hypoxia

Question 7

Early signs of decreased oxygenation

Answer 7

Restlessness, irritability, anxiety

Question 8

Late signs of decreased oxygenation

Answer 8

Change of LOC, cyanosis

Question 9

Techniques to improve oxygenation

Answer 9

• deep breathing
• coughing
• positioning (High fowlers for conscious patient)
• incentive spirometry

Question 10

How often should patients use incentive spirometer?

Answer 10

10 times/hr every hour that they’re awake

Question 11

What kind of lubricant should be used on a patient with a nasal cannula to prevent drying?

Answer 11

Water-based lubricant

Question 12

A nonrebreather bag needs to be _________ inflated prior to applying while a partial rebreather bag needs to be ________ full.

Answer 12

Fully; 2/3

Question 13

The _________ device allows a precise fiO2 (up to 40% w/o intubation) to be delivered to the patient

Answer 13

Venturi

Question 14

Postural drainage, percussion, and vibration to help break up thick secretions and get them out of the patient

Answer 14

Chest physiotherapy

Question 15

When should chest physiotherapy be scheduled?

Answer 15

Before meals or 1-2 hours after meals to prevent N/V

Question 16

What should the nurse do prior to suctioning a patient?

Answer 16

Hyperoxygenate w/ 100% O2

Question 17

When should the nurse apply suction?

Answer 17

Apply intermittent suction upon withdraw of the catheter. NEVER apply suction while inserting the catheter

Question 18

The nurse should limit suctioning to ___ to ___ seconds per pass and _________ TOTAL passes

Answer 18

10-15; three

Question 19

Chest tube drainage to be reported to the provider

Answer 19

More than 100 mL/hr

Question 20

Continuous bubbling in the water seal chamber of chest tube indicates

Answer 20

A leak

Question 21

T or F: continuous bubbling is expected in the suction control chamber of chest tube

Answer 21

True

Question 22

Nursing interventions in the case of continuous bubbling in the water seal chamber of chest tube OR if chest tube were to become disconnected from the collection device

Answer 22

Place the end of tube into sterile water/saline, call the provider

Question 23

Tracheostomy care

Answer 23

clean from the stoma outward with STERILE technique

Question 24

Home oxygen safety

Answer 24

• NO smoking; place signs inside and outside of house
• keep oxygen tank upright and housed securely
• used water-based lubricants
• wear cotton clothes
• repair/replace frayed electrical cords

Question 25

How often should vital signs be assessed for a patient in PACU?

Answer 25

Every 5-15 minutes