Quiz
Oxygen delivery
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Questions in this quiz (32)
11. The nurse uses a diagram to show that when the diaphragm moves:
- Aup, the increased negative pressure in the thoracic space forces air into the lungs.
- Bdown, the intercostal muscles retract, forcing air out of the lungs.
- Cdown, the negative pressure in the thoracic space pulls air into the lungs.
- Dup, the decreased negative pressure allows air to enter the lungs.
22. The nurse clarifies that the condition in which there is a decreased amount of oxygen in the blood is:
- Ahypoxia.
- Bhypercapnia.
- Cdyspnea.
- Dhypoxemia.
33. The nurse monitoring patients eating in the dining room of a skilled nursing facility notes that a patient begins choking. As the nurse prepares to deliver the Heimlich maneuver, the fist should be positioned:
- Ahalfway between the xiphoid process and the umbilicus.
- Bdirectly over the sternum.
- Cbetween the umbilicus and the symphysis pubis.
- Ddirectly over the umbilicus.
44. A patient has collapsed and cannot be aroused by asking loudly, Are you okay? The next action should be to:
- Aposition the fingers over the carotid artery to feel for a pulse.
- Btilt the head by placing one hand on the forehead and lift the chin.
- Ccall for help or, if there is assistance, have that person get help.
- Ddeliver two quick short breaths into the patients airway.
55. The nurse instructing the patient to perform forceful exhalation coughing would teach the patient to take in:
- Aone deep breath and quickly exhale.
- Btwo breaths and force the air out quickly.
- Ctwo deep breaths, then inhale deeply again and force out the air quickly.
- Done breath, hold it for 3 seconds, then forcefully exhale three times with mouth open.
66. The nurse is aware that the best time to schedule a postural drainage treatment is:
- Ashortly after the patient arises in the morning, before breakfast.
- Bin the morning immediately after breakfast.
- C30 minutes after lunch.
- D1 hour after supper.
77. A patient who will begin oxygen therapy has a history of sinus disorders. This patient would benefit most from which oxygen setup?
- AHigh oxygen flow rate
- BA humidifier
- CA Venturi mask
- DA nasal cannula
88. A patient has a history of chronic obstructive pulmonary disease. The patients oxygen flow rate should be set to no more than _____ L/min.
- A5 to 10
- B4 to 5
- C2 to 3
- D1 to 2
99. The nurse loosens mucus plugs by using percussion on a patient over the area of the:
- Asternum.
- Bthorax.
- Cspine between the scapulae.
- Dmidaxillary line on the rib cage.
1010. A patient requires a precise concentration of 40% oxygen. Which of the following devices would best allow for this?
- AA simple face mask
- BA non-rebreather mask
- CA partial rebreathing mask
- DA Venturi mask
1111. The nurse recognizes that a post-operative patient who can breathe independently but has trouble maintaining an airway because of the tongue falling back into the throat would be best benefited by a(n):
- Apharyngeal airway.
- Bendotracheal tube.
- Ctracheostomy
- Dpartial rebreather oxygen mask.
1212. A nurse performing oral suctioning on an adult patient should set the wall suction machine so that the suction pressure is between _____ mm Hg.
- A25 and 50
- B50 and 75
- C80 and 120
- D120 and 180
1313. A nurse caring for a patient with a tracheostomy should determine whether the patient needs suctioning by:
- Amonitoring the rate of respirations.
- Bdetermining the last time the patient was suctioned.
- Cexamining the character of the sputum.
- Dauscultating the breath sounds.
1414. A patient requires suctioning via the nasotracheal route. In order to perform this procedure safely, the nurse should:
- Aapply suction while advancing the catheter into the airway.
- Bsuction the nasotracheal passage after suctioning the mouth.
- Chold the catheter with the dominant hand after donning sterile gloves.
- Dinsert the non-lubricated catheter into the nasal passage.
1515. The nurse recognizes that, immediately before a tracheotomy cuff deflation, the patient should:
- Abe administered extra oxygen.
- Bhave the pharynx suctioned.
- Chave the cuff pressure checked.
- Dbe monitored for respiratory rate.
1616. The nurse takes into consideration that while caring for a patient on oxygen therapy, safety precautions should be observed, which include:
- Ausing clothing of synthetic cloth for the patient.
- Bremoving any adhesive from the patients skin with acetone.
- Cassessing equipment in room for frayed cords.
- Dreducing humidification on the oxygen delivery device.
1717. A nurse caring for a patient with a water seal type chest drainage that is on low suction assesses that there is constant bubbling in the suction container. The nurse should:
- Aimmediately turn the patient to the side of the insertion site.
- Bcheck for air leaks in drainage system.
- Cinclude findings in documentation.
- Dclamp the chest tube and place the patient in high Fowlers position.
1818. A nurse is aware that adequate hydration is necessary to mobilize respiratory secretions. To thin respiratory secretions for easier expectoration, the patient should consume at least _____ mL/day.
- A500 to 1000
- B1000 to 1500
- C1500 to 2000
- D2500 to 3000
1919. The nurse would determine that this patient is aware of how to use the incentive spirometer device properly when the patient:
- Atook 10 slow, deep breaths every hour.
- Btook five quick huffs and then coughed vigorously.
- Cexhaled deeply and then inhaled quickly and forcefully three times.
- Dtook five deep breaths slowly every 4 hours.
2020. The nurse assists the patient with emphysema into the most beneficial position to facilitate respiration, which is:
- Asemi-Fowlers position with a single pillow behind the head.
- Bhigh Fowlers position without a pillow behind the head.
- Cright lateral with the head of the bed elevated 45 degrees.
- Dsitting upright and forward with arms supported on an over-the-bed table.
2121. The nurse performing tracheotomy care will:
- Araise the head of the bed to high Fowlers position.
- Bremove the inner cannula with the ungloved hand.
- Csuction tracheotomy before beginning care.
- Dclean cannula with gauze and replace and lock.
2222. The nurse caring for a patient with a disposable chest drainage system can promote effective tube function and patient safety by:
- Ataping all connections within the system.
- Bkeeping the system at the level of the patients chest.
- Cturning on suction to 35 cm.
- Dlooping the tubing between the mattress and the bed rail to minimize length.
2323. The nurse takes into consideration that a pulse oximeter may not give an accurate reading if the patient is:
- Adark skinned.
- Bjaundiced.
- Cobese.
- Dfebrile.
2424. The nurse clarifies that the cough mechanism is stimulated when:
- Aforeign substances are propelled by the cilia toward the respiratory tract.
- Bdehumidified air enters the upper airway passages.
- Cmore than 250 mL of air moves in and out of the lungs with each breath.
- Dthe blood transports carbon dioxide to the lungs.
2525. When assessing the lungs of a patient, the nurse assesses a wheezing sound on inspiration. This finding is documented as:
- Aapnea.
- Bdyspnea.
- Cstridor
- Dretractions
2626. A sputum specimen is best obtained just after the patient [blank_start]awakens[blank_end] or after a [blank_start]nebulizer[blank_end] treatment because this is when there is more mucus available or when it is easier to cough up.
- Aawakens
- Bnebulizer
2727. When obtaining a sputum specimen, the nurse should provide the patient with a sterile sputum cup and teach the patient to rinse her mouth with [blank_start]water.[blank_end]
- Awater.
2828. The nurse explains that the rate of respiration is triggered when the medulla senses a change in the level of [blank_start]hydrogen[blank_end] ions in the blood.
- Ahydrogen
2929. The nurse administering cardiopulmonary resuscitation (CPR) would administer chest compressions at the rate of [blank_start]100[blank_end] compressions/minute.
- A100
3030. When a patient with a tracheostomy tube is taken care of at home by family, tracheostomy care instructions from the nurse include: (Select all that apply.)
- Ause sterile gloves during suctioning.
- Bavoid going to crowded theaters and malls.
- Cchange catheters every 8 hours.
- Dkeep the home environment free of dust.
- Euse bleach to clean suction equipment.
3131. The nurse is aware that changes occur in the respiratory system after the age of 70 that put the elderly more at risk for respiratory problems. These changes include: (Select all that apply.)
- Adecreased oxygen saturation.
- Bincreased elasticity in thorax and respiratory tissues.
- Cincomplete expirations.
- Dthinning of alveolar membrane.
- Eimpaired cilia.
3232. The multiple causes for hypoxia include: (Select all that apply.)
- Aextreme fright.
- Baspirated vomit.
- Cpulmonary fibrosis.
- Dhiccoughs.
- Ehigh altitude.
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