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College-Level Nursing Block 3 (2nd Half) Quiz sobre Airway Management/ Oxygenation and Perfusion, criado por cpeters em 03-03-2015.

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Airway Management/ Oxygenation and Perfusion

Questão 1 de 21

1

A nurse is assessing a client who has an acute respiratory infection that puts her at risk for hypoxemia. Which of the following findings are early indications that should alert the nurse that the client is developing hypoxemia? (Select all that apply.)

Selecione uma ou mais das seguintes:

  • Restlessness

  • Tachypnea

  • Bradycardia

  • Confusion

  • Pallor

Explicação

Questão 2 de 21

1

A nurse is caring for a client who is having difficulty breathing. The client is lying in bed and is already receiving oxygen therapy via nasal cannula. Which of the following interventions is the nurse’s priority?

Selecione uma das seguintes:

  • Increase the oxygen flow.

  • Assist the client to Fowler’s position.

  • Promote removal of pulmonary secretions.

  • Obtain a specimen for arterial blood gases.

Explicação

Questão 3 de 21

1

A nurse is preparing to perform endotracheal suctioning for a client. Which of the following are appropriate guidelines for the nurse to follow? (Select all that apply.)

Selecione uma ou mais das seguintes:

  • Apply suction while withdrawing the catheter.

  • Perform suctioning on a routine basis, every 2 to 3 hr.

  • Maintain medical asepsis during suctioning.

  • Use a new catheter for each suctioning attempt.

  • Limit suctioning to two to three attempts.

Explicação

Questão 4 de 21

1

A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse take each time he provides tracheostomy care? (Select all that apply.)

Selecione uma ou mais das seguintes:

  • Apply the oxygen source loosely if the SpO2 decreases during the procedure.

  • Use surgical asepsis to remove and clean the inner cannula.

  • Clean the outer surfaces in a circular motion from the stoma site outward.

  • Replace the tracheostomy ties with new ties.

  • Cut a slit in gauze squares to place beneath the tube holder.

Explicação

Questão 5 de 21

1

A provider is discharging a client with a prescription for home oxygen therapy via nasal cannula. Client and family teaching by the nurse should include which of the following instructions? (Select all that apply.)

Selecione uma ou mais das seguintes:

  • Apply petroleum jelly around and inside the nares.

  • Remove the nasal cannula during mealtimes.

  • Check the position of the cannula frequently.

  • Report any nasal stuffiness, nausea, or fatigue.

  • Post “no smoking” signs in a prominent location.

Explicação

Questão 6 de 21

1

You are an ER nurse treating a 3-year-old trauma patient. When assessing the patient's respirations, you note that the rate is 28 per minute. According to this finding, you should

Selecione uma das seguintes:

  • move on to your next area of assessment. The patient's respirations are normal.

  • call the respiratory therapist. The patient is hyperventilating.

  • call the physician to see if he would like to order a bronchodilator.

  • try to distract the patient and make them relax. They are tachypneic.

Explicação

Questão 7 de 21

1

What does a pulmonary toilet do?

Selecione uma das seguintes:

  • Prevents atelectasis and removes respiratory secretions

  • Prevents bronchospasm

  • Thins and cleans blood to help prevent pulmonary emoblism.

  • Dilates bronchioles and improves gas exchange.

Explicação

Questão 8 de 21

1

Which of the following is NOT a technique to thin respiratory secretions?

Selecione uma das seguintes:

  • Drinking fluid

  • Dosing mucolytic medication

  • Controlled coughing

  • Moderate activity

  • Blowing nose regularly

Explicação

Questão 9 de 21

1

Which of the following is a high-flow oxygen delivery system?

Selecione uma das seguintes:

  • Non-rebreather mask

  • Nasal cannula

  • Venturi mask

  • Simple face mask.

Explicação

Questão 10 de 21

1

How would you instruct patients to use an incentive spirometer and peak flow meter?

Selecione uma das seguintes:

  • Incentive= inhale; Peak flow= exhale

  • Incentive= exhale, Peak flow= inhale

  • Both require inhalation

  • Both require exhalation.

Explicação

Questão 11 de 21

1

Pursed lip breathing works well with what types of patients?

Selecione uma das seguintes:

  • COPD

  • Pneumonia

  • Lung cancer

  • Cystic fibrosis

Explicação

Questão 12 de 21

1

Which of the following is NOT a sign of anemia?

Selecione uma das seguintes:

  • Skin pallor

  • Tachypnea and/or dyspnea

  • Decreased hemoglobin

  • Decreased hematocrit

  • Bradycardia

Explicação

Questão 13 de 21

1

Which of the following reflects the normal ranges for RBC count, hemoglobin, and hematocrit (respectively)?

Selecione uma das seguintes:

  • 4.2-5.14 x 10(6) cells/ mm(3); 11.7-17.4 g/dL; 38- 44%

  • 3.1- 5.14 x 10(6) cells/ mm(3); 11.0- 17.0 g/dL; 38- 54%

  • 5.6- 7.9 x 10(6) cells/ mm(3); 12.3- 19.7 g/dL; 42- 51%

  • 3.6- 5.14 x 10(6) cells/mm(3); 11.7- 17.4 g/dL; 40- 48%

Explicação

Questão 14 de 21

1

The amount of blood circulating and entering the right atrium is the

Selecione uma das seguintes:

  • Preload

  • Afterload

  • Stroke volume

  • Cardiac output

Explicação

Questão 15 de 21

1

Heart rate X Stroke volume=

Selecione uma das seguintes:

  • Preload

  • Afterload

  • Rate of perfusion

  • Cardiac ouput

Explicação

Questão 16 de 21

1

The pressure the heart must pump against is the

Selecione uma das seguintes:

  • Preload

  • Afterload

  • Stroke volume

  • Cardiac ouput

Explicação

Questão 17 de 21

1

Which of the following symptoms can indicate decreased cardiac output?

Selecione uma das seguintes:

  • Low hematocrit

  • Low hemoglobin

  • Low urine output

  • Dyspnea

Explicação

Questão 18 de 21

1

The SA node is found

Selecione uma das seguintes:

  • At the top of the right atrium

  • At the top of the left atrium

  • At the bottom of the right ventricle.

  • Next to the tricuspid valve.

Explicação

Questão 19 de 21

1

Which of the following correctly identifies the path of an electrical impulse through the heart?

Selecione uma das seguintes:

  • SA node --> AV junction --> HIS bundle --> bundle branches --> purkinjie fibers --> ventricular muscle

  • AV junction --> SA node --> bundle branches --> HIS bundle --> purkinjie fibers --> ventricular muscle

  • SA node --> HIS bundle --> AV junction --> purkinjie fibers --> bundle branches --> ventricular muscle

  • SA node --> AV junction --> bundle branches --> HIS bundle --> purkinjie fibers --> ventricular muscle

Explicação

Questão 20 de 21

1

The stroke volume of the heart increases in response to an increase in the volume of blood filling the heart (the end diastolic volume) when all other factors remain constant is also know as

Selecione uma das seguintes:

  • Cardiac output

  • Frank Starling Law of the Heart

  • Afterload

  • Preload

Explicação

Questão 21 de 21

1

Which of the following is NOT a sign or symptom of heart failure?

Selecione uma das seguintes:

  • Weakness, fatigue

  • Decreased exercise tolerance

  • Dizziness, syncope

  • Weight gain

  • Dyspnea

Explicação

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