Week 1 Study

Question 1

What is the importance of Oxygen?

Answer 1

To oxygenate the blood and lungs and perfuse the tissues

Question 2

What are the 3 things you plan for a patient with oxygenation and circulation issue goals?

Answer 2

1. Maintain patient airway
2. Improve comfort/ ease of breathing
3. Maintain / Improve oxygenation / Tissue Perfusion

Question 3

What comfort measures can a nurse do to improve patient w/ breathing?

Answer 3

Put bed into semifowlers or high semifowlers and encourage deep breathing / coughing

Question 4

Does mobility decrease your risk of developing pneumonia?

Answer 4

Yes, it promotes circulation and keeps things aaaaa flowwwwwing.

Question 5

When teaching deep breathing and coughing, how many deep breaths before the 2 or 3 coughs?

Answer 5

3 deep breathes, on the third breathe don’t exhale, cough instead.

Question 6

What do humidifiers do?

Answer 6

Increase the moisture in air. When pt. on 02 therapy, membranes can dry up.

Question 7

What medication can be given to increase 02 flow to lungs?

Answer 7

Bronchodilators

Question 8

When would you insert an artificial airway?

Answer 8

When patients airway is obstructed or likely to become obstructed.

Question 9

How do you measure what artificial airway to put in place?

Answer 9

From the corner of lips to the jaw bone (not proper wording, still need to look up)

Question 10

When would you insert an oropharnygeal artificial airway?

Answer 10

When the patient is unconscious. If they are conscious, this could cause them to gag.

Question 11

When would you insert a naropharyngeal artificial airway?

Answer 11

When the patient is conscious.

Question 12

How often should mouth care be provided when artificial airway is in place?

Answer 12

Every 2 hours.

Question 13

What are the early signs of hypoxia?

Answer 13

Confusion, Restlessness, Anxiety

Question 14

What is the late sign of hypoxia?

Answer 14

Cyanosis (bluish discolouration around mucous membranes)

Question 15

What are the 2 categories of 02 Delivery?

Answer 15

1. High Flow

2. Low Flow

Question 16

High Flow 02 methods include….
1.
2.

Answer 16

1. Venturi Mask

2. Large Volume Nebulizer

Question 17

Low Flow 02 methods include….
1.
2.
3.

Answer 17

1. Nasal Canula
2. Non rebreather mask
3. Partial rebreather mask

Question 18

How do you give 02 therapy to a pediatrics patient?

Answer 18

02 hood

Question 19

What is the maximum 02 in nasal canula?

Answer 19

6 ml… although most often not above 3 mL.

Question 20

02 should be applied at what minimum range of 02 stats?

Answer 20

88 - 92 SP02 on Room Air

Question 21

What is the purpose of Insentive Spirometery?

Answer 21

Helps a patient to deep breathe and provides the patient with visual feedback about their depth of breathes.

Question 22

Assessing a patients baseline on the spirometer before surgery, what would you expect their ability to be post surgery?

Answer 22

1/2 to 3/4 of baseline.

Question 23

Spirometers work best alongside what other tool to decrease the chance of developing postoperative pneumonia?

Answer 23

With deep breathing and coughing exercises.

Question 24

What is the difference between a non rebreather and partial rebreather mask?

Answer 24

Non Rebreather: one way valve

Partial Rebreather: not one way valve

Question 25

When do you use Bag Valve mask?

Answer 25

To provide Positive pressure ventilation to pt.s who are not breathing or not breathing adequately

Question 26

What are you pumping air into using the BVM?

Answer 26

The lungs. Watch for the chest to rise as you are pumping the air.