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Test Bank for Oxygenation Questions with Verified Answers (Already Passed)

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Test Bank for Oxygenation Questions with Verified Answers (Already Passed) Which instruction would the nurse include in a teaching session about lifestyle practices to promote heart health? - Answers Eat foods rich in fiber Participate in aerobic exercises Exercise for at least 150 minutes a week Which goal is the primary motive for why a nurse would perform pulse oximetry on a patient who is cyanotic? - Answers To assess the oxygenation level Which intervention would the nurse perform for a patient with a nursing diagnosis of impaired airway clearance? - Answers Perform chest physiotherapy Administer expectorants Provide supplemental oxygen Which intervention is a simple and cost-effective method for reducing pulmonary secretions stasis and reduced chest wall expansion in a patient who has decreased mobility? - Answers Frequent change of position Which condition would a patient with a respiratory rate of 25 breaths/min have? - Answers Tachypnea Which abnormality is caused by chronic hypoxemia? - Answers Clubbing Which topic discussed by the nurse with the patient is about orthopnea? - Answers Feeling of comfort when sleeping in a reclining chair Which diagnostic test does the nurse anticipate will be used to rule out a pulmonary blood clot in a patient - Answers Lung scan Which diagnostic test provides instant feedback about a patient's oxygenation status? - Answers Pulse oximetry Which information is true regarding chest percussion? - Answers Involves rhythmically clapping on the chest wall Which assessment finding would indicate the patient needs airway suctioning? - Answers Decreased independent ability to cough Which action would the nurse take when performing tracheal suctioning in a patient who has a history of respiratory distress? - Answers Maintain the suction pressure between 80 and 120 mm Hg while withdrawing the catheter Which assessment finding would alert the nurse to stop suctioning a patient? - Answers Heart rate of 40 beats per minute Which nursing action is appropriate during suctioning? - Answers Applying clean gloves to both hands for oropharyngeal suctioning Which nursing intervention, if performed before suctioning, minimizes hypoxemia after suctioning? - Answers Hyperoxygenating the patient before suctioning Which tracheostomy complication is the most serious? - Answers Airway obstruction Which amount is the maximum time for the nurse to apply suction when performing endotracheal suctioning of a patient? - Answers 10 seconds Which type of suctioning can the nurse delegate to assistive personnel (AP)? - Answers Oral suctioning The nurse identifies that which event indicates the need to perform oropharyngeal suctioning? - Answers The patient is able to cough effectively but is unable to clear secretions by expectorating While performing oropharyngeal suctioning, which intervention performed by the nurse helps move secretions from the lower to the upper airway and then into the mouth? - Answers Encouraging the patient to cough Which nursing action is likely responsible for the patient's blood pressure being low and finding that the patient has hypoxemia and arrhythmias? - Answers Performing too-frequent suctioning Which statement made by the caregiver indicates successful teaching about safety measures for oxygen? - Answers I should check the oxygen level of portable tanks before transporting Which device provides high-flow oxygen delivery? - Answers Venturi mask Which nursing process involves clamping the chest tubes under specific circumstances as per the health care provider's prescription? - Answers Implementation Which position is appropriate in a patient who has a chest tube drainage system to drain fluid from the chest? - Answers High-Fowler's Which statement is true regarding oxygen concentrators? - Answers They provide large sources of oxygen Which statement is true regarding an oxygen mask? - Answers It is a device that fits snugly over the mouth and nose and is secured in place with a strap Which statement is true regarding chest tubes? - Answers Chest tubes are used in the treatment of pneumothorax While caring for a patient who has a chest tube, the nurse monitors the vital signs and pulse oximetry as prescribed by the health care provider. Which nursing skill does this demonstrate? - Answers Evaluation Which intervention would the nurse perform to ensure that the correct amount of oxygen is delivered to the patient receiving 35% oxygen via a Venturi mask? - Answers Place the mask over the patient's mouth and nose to form a tight seal Which statement about home oxygen storage systems indicates a need for correction? - Answers Compressed gas cylinder systems are the choice for high-volume users Which disorder is treated by using chest tubes? - Answers Hemothorax Pneumothorax Pulmonary embolism How far would the nurse insert a nasopharyngeal suction catheter into a young child? - Answers 4 to 7.5 cm (1.5 to 3 inches) Which risk is associated with suctioning when performed in an appropriate time interval on a patient who has a head injury? - Answers Increased intracranial pressure Which action would the nurse take to perform suctioning in a patient who has chronic obstructive pulmonary disorder (COPD) and is spontaneously breathing? - Answers Administer oxygen at a rate of no more than 3 L/min The nurse is reviewing the medical records of a patient with decreased oxygenation due to increased secretions. Which finding would prevent the nurse from performing nasotracheal suctioning for the patient? - Answers Croup Which purpose does asking the patient to say "ahh" while performing suctioning accomplish? - Answers Assists in opening the glottis While performing tracheal suctioning, which nursing action is appropriate in removing secretions adhered to the sides of the endotracheal (ET) tube? - Answers Rotating the catheter A patient requires endotracheal suctioning due to increased secretions. Which rationale supports the use of a closed system for suctioning? - Answers Decreased infection risk Why is clamping a chest tube contraindicated while ambulating a patient? - Answers It causes tension pneumothorax Which action would the nurse take for a patient 2 hours after surgery for insertion of a chest tube who has 100 mL of dark-red drainage in the chest tube? - Answers Record the amount and continue to monitor drainage Which type of oxygen mask is contraindicated for patients who have carbon dioxide retention? - Answers Simple face mask While caring for a patient who has a nasal cannula, the nurse loosens the elastic strap. Which unexpected patient outcome is responsible for the nurse's action? - Answers Skin irritation For which reason would the water-seal chamber have continuous bubbling? - Answers There is a leak between the patient and the chamber Which information does the nurse document after performing endotracheal suctioning for a patient with cystic fibrosis? - Answers Color of secretions Amount of secretions Respiratory assessments before and after suctioning Consistency of secretions Pulse oximetry values Which oxygen delivery system is indicated for long-term oxygen use at home? - Answers Oxygen-conserving cannula

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Uploaded on
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Test Bank for Oxygenation Questions with Verified Answers (Already Passed)

Which instruction would the nurse include in a teaching session about lifestyle practices to promote
heart health? - Answers Eat foods rich in fiber



Participate in aerobic exercises



Exercise for at least 150 minutes a week

Which goal is the primary motive for why a nurse would perform pulse oximetry on a patient who is
cyanotic? - Answers To assess the oxygenation level

Which intervention would the nurse perform for a patient with a nursing diagnosis of impaired airway
clearance? - Answers Perform chest physiotherapy



Administer expectorants



Provide supplemental oxygen

Which intervention is a simple and cost-effective method for reducing pulmonary secretions stasis and
reduced chest wall expansion in a patient who has decreased mobility? - Answers Frequent change of
position

Which condition would a patient with a respiratory rate of 25 breaths/min have? - Answers Tachypnea

Which abnormality is caused by chronic hypoxemia? - Answers Clubbing

Which topic discussed by the nurse with the patient is about orthopnea? - Answers Feeling of comfort
when sleeping in a reclining chair

Which diagnostic test does the nurse anticipate will be used to rule out a pulmonary blood clot in a
patient - Answers Lung scan

Which diagnostic test provides instant feedback about a patient's oxygenation status? - Answers Pulse
oximetry

Which information is true regarding chest percussion? - Answers Involves rhythmically clapping on the
chest wall

, Which assessment finding would indicate the patient needs airway suctioning? - Answers Decreased
independent ability to cough

Which action would the nurse take when performing tracheal suctioning in a patient who has a history
of respiratory distress? - Answers Maintain the suction pressure between 80 and 120 mm Hg while
withdrawing the catheter

Which assessment finding would alert the nurse to stop suctioning a patient? - Answers Heart rate of 40
beats per minute

Which nursing action is appropriate during suctioning? - Answers Applying clean gloves to both hands
for oropharyngeal suctioning

Which nursing intervention, if performed before suctioning, minimizes hypoxemia after suctioning? -
Answers Hyperoxygenating the patient before suctioning

Which tracheostomy complication is the most serious? - Answers Airway obstruction

Which amount is the maximum time for the nurse to apply suction when performing endotracheal
suctioning of a patient? - Answers 10 seconds

Which type of suctioning can the nurse delegate to assistive personnel (AP)? - Answers Oral suctioning

The nurse identifies that which event indicates the need to perform oropharyngeal suctioning? -
Answers The patient is able to cough effectively but is unable to clear secretions by expectorating

While performing oropharyngeal suctioning, which intervention performed by the nurse helps move
secretions from the lower to the upper airway and then into the mouth? - Answers Encouraging the
patient to cough

Which nursing action is likely responsible for the patient's blood pressure being low and finding that the
patient has hypoxemia and arrhythmias? - Answers Performing too-frequent suctioning

Which statement made by the caregiver indicates successful teaching about safety measures for
oxygen? - Answers I should check the oxygen level of portable tanks before transporting

Which device provides high-flow oxygen delivery? - Answers Venturi mask

Which nursing process involves clamping the chest tubes under specific circumstances as per the health
care provider's prescription? - Answers Implementation

Which position is appropriate in a patient who has a chest tube drainage system to drain fluid from the
chest? - Answers High-Fowler's

Which statement is true regarding oxygen concentrators? - Answers They provide large sources of
oxygen

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