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ATI: Oxygen Therapy Questions and Correct Answers

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a nurse preparing a sterile field knows that the field has been contaminated when ~ 1. a cotton ball dampened with normal saline touches the field 2. the nurse turns to answer the clients question 3. the procedure is post poned for 30min when opening a sterile pack, which of the following would compromise sterility ~ holding the sterile contents below the waist when opening ~ In both the hospital and home settings, display an "oxygen in use" sign on the patient's door or the front door of the home to notify visitors and other family members that oxygen is in use and they must take extreme caution. ~ Depending on the setting, oxygen is supplied in different ways. In inpatient settings, oxygen is usually stored in large holding tanks outside of the building and piped in to patient rooms via outlets on the wall that are located behind the patient's bed. In home care, oxygen is usually supplied in small portable tanks. ~ Always handle oxygen tanks with caution. Keep them upright and secured with a chain or in an appropriate holder to keep them from falling and the valve rupturing. Store empty oxygen tanks upright as well and secure them appropriately. ~ Before initiating oxygen therapy, make sure all equipment is checked. The oxygen should be turned on and the flow meter and regulator checked to make sure they are functioning properly. The gauge indicating the level of oxygen in the tank should also be checked to make sure there is an adequate amount remaining. ~ The degree of hypoxia the patient is experiencing usually determines what signs and symptoms he or she will exhibit. The patient's age, general health, current disease process, and history of chronic illness also play a role in how the patient responds to hypoxia. ~ In the early stages of hypoxia, the patient is often restless and confused and might report feeling anxious. The patient's vital signs might also vary from baseline, with heart rate, respiratory rate, and blood pressure elevated. ~ In the late stages of hypoxia, the patient is likely to develop hypotension, bradycardia, and metabolic acidosis. The patient may also develop cyanosis, a bluish discoloration of the skin and mucous membranes. ~ For patients who have chronic hypoxia, the manifestations differ. These patients often have clubbing of their fingers and toes, peripheral edema, right-sided heart failure, and an oxygen saturation below 87%. ~ It is important to recognize the signs and symptoms of hypoxia and begin oxygen therapy as soon as possible. If hypoxia is left untreated, the patient's condition can deteriorate, resulting in a decrease in activity level, an increase in confusion, a decrease in level of consciousness, and possibly coma. ~ gloving: wash hands using correct technique, dry hands completely (do not air shake hands), apply gloves, dispose of gloves after use, wash hands. ~ masking: standard surgical masks need to be used when appropriately; n95 respriators to be used when a client has TB and the air needs to be filtered from secretions ~ goggles: direct or indirect venting; must fit snug and secure ~ face shields: sometimes used as an alternative to goggles; gives protection to other facial areas ~ safety glasses: used for IMPACT protection but DO NOT protect against splashes and sprays

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ATI: Oxygen Therapy Questions
and Correct Answers

atelectasis

✓✓~ airlessness or collapse of a lung, usually as a result of hypoventilation or obstruction




bi-level positive airway pressure (BiPAP)

✓✓~ a noninvasive, ventilation-assistance modality that provides higher airway pressure during
inspiration and lower pressure during expiration, usually delivered by a face mask




continuous positive airway pressure (CPAP)

✓✓~ a noninvasive, ventilation-assistance modality that provides a set positive airway pressure
throughout the patient's respiratory cycle




cyanosis

✓✓~ a bluish discoloration, especially of the skin and mucous membranes, due to excessive
concentration of deoxyhemoglobin (hemoglobin not combined with oxygen) in the blood




dyspnea

✓✓~ difficult or labored breathing




face tent

, ✓✓~ a soft, oxygen-delivery mask that fits under the patient's chin, loosely covers the mouth and
nose, and is held in place by an adjustable elastic strap




flow meter

✓✓~ a device used to control the rate of oxygen being delivered in liters per minute




flow rate

✓✓~ the quantity of oxygen delivered in liters per minute




fraction of inspired oxygen (FiO2)

✓✓~ the oxygen level inhaled by or delivered to the patient, expressed in a percentage of
atmospheric air




hypercapnia

✓✓~ an excess of carbon dioxide in the blood




hypoxemia

✓✓~ a diminished amount (reduced saturation) of oxygen in arterial blood




hypoxia

✓✓~ a reduced supply of oxygen to tissues below physiological levels despite adequate perfusion
of the tissue by blood




incentive spirometer

, ✓✓~ a resistive breathing device that helps patients exercise their breathing muscles, provides
visual reference for deep breathing; educate patient:
1. exhale normally

2. place spirometer in mouth

3. inhale as deeply as possible through mouth & hold breath to count of 3

4. remove mouth from spirometer and exhale normally

5. perform 10x/ hour




manual resuscitation bag

✓✓~ a hand-held device consisting of a flexible air chamber attached to a face mask via a shutter
valve and used to provide ventilation to a patient who is not breathing or who is breathing
inadequately; often referred to by the common brand name, Ambu bag




mechanical ventilator

✓✓~ breathing assistance provided by a ventilator, one of various types of devices that support
and maintain respiratory function




naris

✓✓~ one of the two external orifices of the nose; nostril (plural: nares)




noninvasive ventilation

✓✓~ a type of breathing assistance used to maintain positive airway pressure and improve
alveolar ventilation without the need for an artificial airway

, oxygen

✓✓~ a tasteless, odorless gas that comprises 21% of atmospheric air and is used by the body to
maintain adequate cellular function




oxygen mask

✓✓~ a device that fits over the patient's nose and mouth and delivers oxygen, humidity, and/or
heated humidity




oxygen tent

✓✓~ a canopy that surrounds the patient, providing oxygen, humidification, and a cool
environment to help control body temperature




oxygen therapy

✓✓~ the delivery of oxygen for therapeutic purposes




partial nonrebreather mask

✓✓~ an oxygen-delivery apparatus similar to a nonrebreather mask, but with a two-way valve
allowing the patient to rebreathe exhaled air




positive-pressure ventilation

✓✓~ a technique that uses a mechanism such as a mechanical ventilator to force air into the
lungs to provide breathing assistance




pulse oximeter

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