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