Chapter 38: Oxygenation and
Perfusion Study Guide Questions
Solved Correct.
Upon evaluation of a client's medical history, the nurse recognizes that which condition may
lead to an inadequate supply of oxygen to the tissues of the body? - Answer Chronic anemia
A client returns to the telemetry unit after an operative procedure. Which diagnostic test will
the nurse perform to monitor the effectiveness of the oxygen therapy ordered for the client? -
Answer Pulse oximetry
The nurse is conducting a respiratory assessment of a client age 71 years who has been recently
admitted to the hospital unit. Which assessment finding should the nurse interpret as
abnormal? - Answer fine crackles to the bases of the lungs bilaterally
A client's primary care provider has informed the nurse that the client will require
thoracentesis. The nurse should suspect that the client has developed which disorder of lung
function? - Answer Pleural effusion
What is the action of codeine when used to treat a cough? - Answer Suppressant
The nurse is caring for a client who is diagnosed with impaired gas exchange. While performing
a physical assessment of the client, which data is the nurse likely to find, keeping in mind the
client's diagnosis? - Answer high respiratory rate
To determine the quality of oxygenation, the nurse performs the physical assessment, the
arterial blood gas test, and pulse oximetry. What is the purpose of the pulse oximetry test? -
Answer Monitor the amount of oxygen saturation in the blood.
A client has been put on oxygen therapy because of low oxygen saturation levels in the blood.
What should the nurse use to regulate the amount of oxygen delivered to the client? - Answer
Flow meter
A nurse is volunteering at a day camp. A child is stung by a bee and develops wheezing in the
upper airways. The child is experiencing: - Answer a bronchospasm
The client demonstrates soft, high-pitched, discontinuous sounds in the left lower lobe of the
lung. How will the nurse accurately document this finding? - Answer Crackles
, A nurse assessing a client's respiratory effort notes that the client's breaths are shallow and 8
per minute. Shortly after, the client's respirations cease. Which form of oxygen delivery should
the nurse use for this client? - Answer Ambu bag
The newly hired nurse is caring for a client who had a tracheostomy four hours ago. Which
action by the nurse would cause the charge nurse to intervene? - Answer The newly hired
nurse delegates care of the tracheostomy to a licensed practical/vocational nurse (LPN/LVN).
The nurse is demonstrating oxygen administration to a client. Which teaching will the nurse
include the humidifier? - Answer "Small water droplets come from this, thus preventing dry
mucous membranes."
The nurse is caring for a client who was had a percutaneous tracheostomy (PCT) following a
motor vehicle accident, and has been prescribed oxygen. What delivery device will the nurse
select that is most appropriate for this client? - Answer tracheostomy collar
Upon entering a client's room, the nurse notes the client's pulse oximetry to be 86%. What is
the priority nursing action? - Answer Perform a respiratory assessment.
The nurse is preparing to provide hygiene care to a client with hypoxia. Into what position will
the nurse place the client? - Answer high Fowlers
A client who uses portable home oxygen states, "I still like to smoke cigarettes every now and
then." What is the appropriate nursing response? - Answer "You should never smoke when
oxygen is in use."
A client who was prescribed CPAP several months ago reports non-adherence to treatment.
What is the appropriate priority nursing intervention? - Answer Inquire about factors that
contribute to non-adherence.
The nurse is caring for an older adult client on home oxygen who has dentures, but has quit
wearing them stating that the dentures irritate the gums. What nursing action is appropriate? -
Answer Check fit of oxygen mask.
The nurse is caring for a client who has been prescribed humidified oxygen at 6 L/minute. Which
type of liquid will the nurse gather to set up the humidifier? - Answer distilled water
It is a red air-quality day in the city. This means the air is stagnant, with high pollution levels and
high humidity. Which client is most likely to experience shortness of breath? - Answer Child
with asthma
Perfusion Study Guide Questions
Solved Correct.
Upon evaluation of a client's medical history, the nurse recognizes that which condition may
lead to an inadequate supply of oxygen to the tissues of the body? - Answer Chronic anemia
A client returns to the telemetry unit after an operative procedure. Which diagnostic test will
the nurse perform to monitor the effectiveness of the oxygen therapy ordered for the client? -
Answer Pulse oximetry
The nurse is conducting a respiratory assessment of a client age 71 years who has been recently
admitted to the hospital unit. Which assessment finding should the nurse interpret as
abnormal? - Answer fine crackles to the bases of the lungs bilaterally
A client's primary care provider has informed the nurse that the client will require
thoracentesis. The nurse should suspect that the client has developed which disorder of lung
function? - Answer Pleural effusion
What is the action of codeine when used to treat a cough? - Answer Suppressant
The nurse is caring for a client who is diagnosed with impaired gas exchange. While performing
a physical assessment of the client, which data is the nurse likely to find, keeping in mind the
client's diagnosis? - Answer high respiratory rate
To determine the quality of oxygenation, the nurse performs the physical assessment, the
arterial blood gas test, and pulse oximetry. What is the purpose of the pulse oximetry test? -
Answer Monitor the amount of oxygen saturation in the blood.
A client has been put on oxygen therapy because of low oxygen saturation levels in the blood.
What should the nurse use to regulate the amount of oxygen delivered to the client? - Answer
Flow meter
A nurse is volunteering at a day camp. A child is stung by a bee and develops wheezing in the
upper airways. The child is experiencing: - Answer a bronchospasm
The client demonstrates soft, high-pitched, discontinuous sounds in the left lower lobe of the
lung. How will the nurse accurately document this finding? - Answer Crackles
, A nurse assessing a client's respiratory effort notes that the client's breaths are shallow and 8
per minute. Shortly after, the client's respirations cease. Which form of oxygen delivery should
the nurse use for this client? - Answer Ambu bag
The newly hired nurse is caring for a client who had a tracheostomy four hours ago. Which
action by the nurse would cause the charge nurse to intervene? - Answer The newly hired
nurse delegates care of the tracheostomy to a licensed practical/vocational nurse (LPN/LVN).
The nurse is demonstrating oxygen administration to a client. Which teaching will the nurse
include the humidifier? - Answer "Small water droplets come from this, thus preventing dry
mucous membranes."
The nurse is caring for a client who was had a percutaneous tracheostomy (PCT) following a
motor vehicle accident, and has been prescribed oxygen. What delivery device will the nurse
select that is most appropriate for this client? - Answer tracheostomy collar
Upon entering a client's room, the nurse notes the client's pulse oximetry to be 86%. What is
the priority nursing action? - Answer Perform a respiratory assessment.
The nurse is preparing to provide hygiene care to a client with hypoxia. Into what position will
the nurse place the client? - Answer high Fowlers
A client who uses portable home oxygen states, "I still like to smoke cigarettes every now and
then." What is the appropriate nursing response? - Answer "You should never smoke when
oxygen is in use."
A client who was prescribed CPAP several months ago reports non-adherence to treatment.
What is the appropriate priority nursing intervention? - Answer Inquire about factors that
contribute to non-adherence.
The nurse is caring for an older adult client on home oxygen who has dentures, but has quit
wearing them stating that the dentures irritate the gums. What nursing action is appropriate? -
Answer Check fit of oxygen mask.
The nurse is caring for a client who has been prescribed humidified oxygen at 6 L/minute. Which
type of liquid will the nurse gather to set up the humidifier? - Answer distilled water
It is a red air-quality day in the city. This means the air is stagnant, with high pollution levels and
high humidity. Which client is most likely to experience shortness of breath? - Answer Child
with asthma
