Oxygenation

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Author:
Mego0125
ID:
290312
Filename:
Oxygenation
Updated:
2014-11-30 22:29:05
Tags:
Oxygen
Folders:
Nursing 1
Description:
Fundamentals
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  1. The nurse teaches a patient how to use an incentive
    spirometer. What patient outcome will support the conclusion that the use of
    the incentive spirometer was effective?
    A. Supplemental oxygen use will be reduced
    B. Inspiratory volume will be increased
    C. Sputum will be expectorated
    D. Coughing will be stimulated
    B
  2. A nurse is applying a warm compress. What should the nurse
    explain to the patient is the primary reason why heat is used instead of cold?

    A. Minimizes muscle spasms
    B. Prevents hemorrhage
    C. Increases circulation
    D. Reduces discomfort
    C
  3. A practitioner orders chest physiotherapy with percussion
    and vibration for a newly admitted patient. Which information obtained by the nurse
    during the health history should alert the nurse to question the practitioner’s
    order?

    A. Emphysema
    B. Osteoporosis
    C. Cystic fibrosis
    D. Chronic bronchitis
    B
  4. A nurse teaches a patient about pursed-lip breathing. The
    nurse identifies that the teaching is effective when the patient says its
    purpose is to:

    A. Precipitate coughing
    B. Help maintain open airways
    C. Decrease intrathoracic pressure
    D. Facilitate expectoration of mucus
    B
  5. What should the nurse do first if a patient is choking on
    food?

    A. Apply sharp upward thrusts over the patient’s xiphoid process
    B. Determine if the patient can make any verbal sounds
    C. Hit the middle of the patient’s back firmly
    D.Sweep the patient’s mouth with a finger
    B
  6. A patient has thick tenacious respiratory secretions. What
    should the nurse do to best help liquefy the patient’s respiratory secretions?  

    A. Change the patient’s position every two hours
    B. Obtain a prescription for an antitussive agent
    C. Encourage the patient to drink more fluid
    D. Teach effective deep breathing
    C
  7. Which action is most effective in meeting the needs of a
    patient experiencing laryngospasm after extubation?

    A. Instituting cardiopulmonary resuscitation
    B. Ensuring hyperextension of the head
    C. Providing positive-pressure ventilation
    D. Administering oxygen by using a face mask
    C.
    (this multiple choice question has been scrambled)
  8. A patient’s hemoglobin saturation via pulse oximetry
    indicates inadequate oxygenation. What should the nurse do first?

    A. Administer oxygen
    B. Notify the practitioner
    C. Encourage deep breathing
    D. Raise the head of the bed
    D.
    (this multiple choice question has been scrambled)
  9. A nurse is reviewing the laboratory results of a patient with
    the preliminary diagnosis of anemia. Which diagnostic test reflects a response
    to iron deficiency anemia?

    A. Hemoglobin
    B. Platelet count
    C. Serum albumin
    D. Blood urea nitrogen
    A
  10. A nurse in the operative suite is preparing an older adult
    for surgery. Which physiological factor places the older adult at the greatest
    risk during surgery?

    A. Skin elasticity
    B. Tolerance for pain
    C. Bladder emptying
    D. Respiratory excursion
    D.
    (this multiple choice question has been scrambled)
  11. A patient is admitted with the diagnosis of lower extremity
    arterial disease (LEAD). Which is a specific desirable outcome for a patient
    with this diagnosis?

    A. Prolonged capillary refill
    B. Oriented to the environment
    C. Respiration's within the expected range
    D. Palpable peripheral pulses
    D.
    (this multiple choice question has been scrambled)
  12. A practitioner orders bed rest for a patient. What should
    the nurse explain to the patient is the primary purpose of bed rest?

    A. Maintain strength
    B. Conserve energy
    C. Reduce peristalsis
    D. Enhance protein synthesis
    B.
    (this multiple choice question has been scrambled)
  13. A nurse is planning to teach one patient pursed-lip
    breathing and another patient diaphragmatic breathing. What technique
    associated with diaphragmatic breathing is different form pursed-lip breathing
    that the nurse should include in the teaching plan?

    A. Inhales through mouth
    B. Raises both shoulders while breathing deeply
    C. Exhales through pursed lips
    D. Tightens the abdominal muscles while exhaling
    D.
    (this multiple choice question has been scrambled)
  14. A meal tray arrives for a patient who is receiving 24%
    oxygen via a Venturi mask. What should the nurse do to meet this patient’s
    needs?

    A. Arrange for liquid supplements that can be administered via a straw through a valve in the mask
    B. Obtain an order to change the mask to a nonbreather mask during meals.
    C. Request an order to use a nasal cannula during meals
    D. Discontinue the oxygen when patient is eating meals
    C.
    (this multiple choice question has been scrambled)
  15. Which nursing assessment best indicates a patient’s ability
    to tolerate activity?

    A. Reports of weakness
    B. Adventitious breath sounds on auscultation
    C. Flexibility of muscles and joints
    D. Vital signs take three minutes to return to preactivity level
    D.
    (this multiple choice question has been scrambled)
  16. A nurse is caring for a patient who has a chest tube after
    thoracic surgery. What should the nurse do when caring for this patient?

    A. Empty chest tube drainage every shift
    B. Position the collection device at the same level as the chest
    C. Maintain an airtight dressing over the puncture wound
    D. Clamp the tube when providing for activities of daily living
    C.
    (this multiple choice question has been scrambled)
  17. A nurse is concerned about the risk for thrombophlebitis when
    caring for a patient with impaired mobility. For which clinical manifestation
    associated with thrombophlebitis should the nurse monitor the patient?

    A. Dependent edema
    B. Acute chest pain
    C. Postural hypotension
    D. Blanchable erythema
    B.
    (this multiple choice question has been scrambled)
  18. An unconscious patient who had oral surgery is admitted to
    the postaesthesia care unit. In which position should the nurse place the
    patient?

    A. Fowler
    B. Lateral
    C. Supine
    D. Prone
    B.
    (this multiple choice question has been scrambled)
  19. A practitioner orders chest physiotherapy with percussion
    and vibration for a patient. After the practitioner leaves, the patient says, “I
    still don’t understand the purpose of this therapy. The nurse’s best reply is, “It:

    A. Limits the production of bronchial mucus.”
    B. Promotes the flow of secretions to the base of the lungs.”
    C. Eliminates the need to cough.”
    D. Helps clear the airways of excessive secretions.”
    D.
    (this multiple choice question has been scrambled)
  20. The nurse raises the head of the bed for a patient who has
    difficulty breathing. Which science includes the principle that explains how
    this intervention facilitates respiration?

    A. Anatomy
    B. Physics
    C. Chemistry
    D. Biology
    B.
    (this multiple choice question has been scrambled)
  21. Which clinical manifestation is of most concern when the
    nurse assesses a patient who has impaired mobility?

    A. Decreased chest well expansion
    B. Increased oxygen saturation
    C. Gurgling sounds when breathing
    D. Shallow respirations
    C.
    (this multiple choice question has been scrambled)
  22. A nurse teaches a patient to make a series of short,
    forceful exhalations just before actually coughing (huffing). What is the
    purpose of this action?

    A. Conserve the patient’s energy
    B. Raise the sputum to a level where it can be
    C. Limit the pain precipitated by coughing
    D. Liquefy the respiratory secretions
    expectorated
    B.
    (this multiple choice question has been scrambled)
  23. Which are the most effective leg exercises the nurse should
    encourage a patient to perform to prevent circulatory complications during the
    postoperative period?

    A. Passive range of motion
    B. Dorsiflexion exercises
    C. Flexing the knees
    D. Isometric exercises
    B.
    (this multiple choice question has been scrambled)
  24. Which outcome best reflects achievement of the goal, “The
    patient will expectorate lung secretions with no sign of respiratory
    complications”?

    A. Drinking 3000 mL of fluid in the last 24 hours
    B. Deep breathing and coughing nonproductively
    C. Absence of adventitious breathing sounds
    D. Expectorating sputum three times between 3 PM
    and 11 PM
    C.
    (this multiple choice question has been scrambled)
  25. What should the nurse do first when caring for a nonverbal
    patient who is restless, agitated, and irritable?

    A. Suction the oropharynx
    B. Determine patency of the airway
    C. Administer oxygen
    D. Reduce environmental stimuli
    B.
    (this multiple choice question has been scrambled)
  26. A nurse is caring for a patient recieivng oxygen via a nasal
    cannula. What should the nurse do?

    A. Alternate the position of the prongs curving upward verses downward every 2 hours
    B. Loop the tubing over the patient’s ears and adjust it firmly under the chin
    C. Ensure physical hygiene includes applying oil-based lubricant to the patient’s nares
    D. Reassess nares, cheeks, and ears for signs of pressure every 2 hours
    D.
    (this multiple choice question has been scrambled)
  27. What is the most important thing the nurse should do to increase both the respiratory and the circulatory function of a patient in a coma?

    A. Encourage the patient to cough
    B. Massage the patient's bony areas
    C. Assist the patient with breathing exercises
    D. Change the patient's position every 2 hours.
    D.
    (this multiple choice question has been scrambled)
  28. A patient sucking on a hard candy inhales while laughing and develops a total airway obstruction. What is the nurse attempting to do when implementing an abdominal thrust?

    A. Pump the heart
    B. Put pressure on the stomach
    C. Produce a burp
    D. Push air out of the lungs
    D.
    (this multiple choice question has been scrambled)
  29. A nurse is assessing a patient with a respiratory problem. Which clinical manifestation is most reflective of an early response to hypoxia?

    A. Restlessness
    B. Cyanosis
    C. Dysrhythmias
    D. Apnea
    A.
    (this multiple choice question has been scrambled)
  30. A nurse in the postanesthesia care unit is monitoring several patients who received general anesthesia. Which patient response causes the most concern?

    A. Pain
    B. Stidor
    C. Lethargy
    D. Diaphoresis
    B.
    (this multiple choice question has been scrambled)
  31. The practitioner orders oxygen for a patient be delivered at a high flow rate. Which additional nursing action is necessary when implementing a high-liter flow as opposed to a low liter flow?

    A. Using an oil-based lubricant when caring for the nares
    B. Providing oral hygiene whenever necessary
    C. Attaching a flowmeter to the wall outlet
    D. Humidifying oxygen before it is delivered to the patient
    D.
    (this multiple choice question has been scrambled)
  32. A nurse is teaching a patient how to use an incentive spirometer. Which position should the nurse insist the patient to assume during this procedure?

    A. Orthopneic
    B. Low-fowler
    C. Side-lying
    D. Sitting
    D.
    (this multiple choice question has been scrambled)
  33. Which is the most important action by the nurse after a patient has a thoracotomy?

    A. Provide the patient with adequate medication for pain relief
    B. Reposition the patient every 2 hours
    C. Ensure the patient's intake is at least 3000 mL of fluid per 24 hours
    D. Maintain the integrity of the patient's chest tube
    D.
    (this multiple choice question has been scrambled)
  34. A nurse is assessing a postoperative patient. Which complication has most likely occurred when the patient experiences purulent sputum, dyspnea, and chest pain?

    A. Pneumothorax
    B. Hypovolemic shock
    C. hypostatic pneumonia
    D. Thrombophlebitis
    C.
    (this multiple choice question has been scrambled)
  35. An obese patient has limited mobility after an open reduction and internal fixation of a fractured hip. For which serious complication of increased blood coagulability should the nurse monitor the patient?

    A. Hypotension
    B. Muscle atrophy
    C. Pain in the calf
    D. Bradypnea
    C.
    (this multiple choice question has been scrambled)
  36. A nurse is assessing a patient. Which clinical manifestation indicates respiratory distress?

    A. Productive cough
    B. Sore throat
    C. Eupnea
    D. Orthopnea
    D.
    (this multiple choice question has been scrambled)
  37. The nurse identifies that a patient's hands are edematous when attempting to apply a pulse oximetry probe. What is the nurse's priority action?

    A. Wash the patient's hand before attaching the probe to the finger
    B. Connect the probe to one of the patient's earlobe
    C. Encourage the patient to perform active range-of-motion exercises of the hand
    D. Attach the probe to one of the patient's toes
    B.
    (this multiple choice question has been scrambled)
  38. The practitioner' order reads, "6 L Oxygen Via Face Mask." The patient, who has been extremely confused since being in the unfamiliar environment of the hospital, becomes agitates and repeatedly pulls of the mask. What should the nurse do?

    A. Provide an explanation of why the oxygen is necessary
    B. Request that the order for oxygen be changed to a nasal cannula
    C. Reapply the mask every time the patient pulls it off
    D. Tighten the strap around the head
    B.
    (this multiple choice question has been scrambled)
  39. A nurse is caring for a male patient. Which laboratory results place this patient at risk for an impaired ability to tolerate activity?

    A. Hct of 45%
    B. Hgb of 14 g/dL
    C. O2 saturation of 90%
    D. RBC count of 3.8x10mm3
    E. WBC count of 7.5x10mm3
    C,D

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