Oxygenation

Jessdwill
Quiz by Jessdwill, updated more than 1 year ago
Jessdwill
Created by Jessdwill about 5 years ago
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http://wps.prenhall.com/chet_kozier_fundamentals_8/61/15680/4014260.cw/index.html
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Resource summary

Question 1

Question
The nurse is to teach a client with Chronic Obstructed Pulmonary Disease safety precautions for using oxygen at home. The nurse knows that the client understands the safety principles discussed when he says the following:
Answer
  • "Acetone, oil, and alcohol are appropriate substances to use with clients who are using oxygen."
  • "Fire extinguishers do not need to be stored."
  • "Avoid materials that generate static electricity."
  • "Smoking is permitted when oxygen is in use."

Question 2

Question
The nursing intervention that is inappropriate for use with clients having an endotracheal tube is:
Answer
  • Communicating frequently with the client, providing a notepad or picture board for the client to use to communicating
  • Providing room air
  • Frequently assessing nasal and oral mucosa for redness and irritation
  • Placing client in a side-lying position

Question 3

Question
Which is the appropriate method to use when a client is suffering respiratory difficulty and in need of suctioning?
Answer
  • Dextrose-and-water solution
  • Goggles or face shield not needed
  • Nasal cannula
  • Portable or wall suction machine with tubing and collection receptacle

Question 4

Question
Appropriate follow-up evaluation of a client after suctioning does not include which of the following assessments?
Answer
  • Assessment of vital signs
  • Only document findings abnormal in the client record; the doctor will see the results when rounds on the client are done
  • Compare findings to previous assessment data
  • Chart appearance if secretions

Question 5

Question
While suctioning a client in ICU, the nurse notices that the activity brings about deep breathing and coughing maneuvers by the client. This is considered a good action because:
Answer
  • Deep breathing oxygenates the lungs, and coughing loosens and moves secretions in the lungs.
  • Deep breathing has no effect on the lungs or the ability of the client to cough.
  • Deep breathing is impossible to perform when one has a respiratory disease, and coughing is a reflex action.
  • Deep breathing allows secretions to build up in the lungs, and coughing helps to determine their location.

Question 6

Question
An appropriate nursing responsibility in caring for clients with chest drainage systems would be:
Answer
  • Evaluating respiratory rate every four hours after the tube is inserted
  • Not filling the water seal area of the unit
  • Never using clamps with the drainage tubing
  • Monitoring the patency and integrity of the drainage system

Question 7

Question
Which client is most at risk for developing an upper respiratory infection?
Answer
  • A 20-year-old healthy adult
  • A 3-year-old in preschool
  • A 50-year-old non-smoker
  • A 13-year-old with a broken leg

Question 8

Question
The nurse is providing wellness teaching to a group of seniors in the community. Which action is not appropriate to follow in promoting healthy breathing?
Answer
  • Making sure furnaces, ovens, and wood stoves are correctly ventilated
  • Eliminating or reduce the use of household pesticides and irritating chemical substances
  • Providing for rest periods during the day
  • Sitting straight and standing erect to permit full lung expansion

Question 9

Question
Which clinical signs are indicative of hypoxia? Select all that apply.
Answer
  • rapid pulse
  • cyanosis
  • deep, rapid breaths
  • flaring of nostrils
  • mouth breathing
  • substernal or intercostal retractions
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