NUR 321 VCE #3 Lesson 12- Oxygenation

Reading Assignment in Potter, P., Perry, A., Stockert, P., & Hall, A. (2013). Fundamentals of nursing (8th ed.). St. Louis, MO: Elsevier Mosby. • Oxygenation (Chapter 40) Patients: • Jacquline Catanazaro, Medical-Surgical Floor, Room 402 • Patricia Newman, Medical-Surgical Floor, Room 406 Objectives: • Describe cardiac output, stroke volume, preload, and afterload. • Review the impact of a patient's level of health, age, lifestyle, and environment on oxygenation. • Review the assessment and nursing care for a patient with impaired oxygenation. Exercise 1 Writing This exercise will take approximately 15 minutes to complete. 1. The term is used to refer to inadequate tissue oxygenation at the cellular level. Ans: 2. The process of adding water to a gas is known as . Ans: 3. While reviewing a patient's medical record, a nurse notes a history of atelectasis. Based on your understanding, you recognize that this condition results when there is: 4. While auscultating the patient's lung fields, the nurse notes the presence of a high- pitched musical sound. Which of the following sounds has the nurse likely heard? Ans: Indicate whether the following statement is true or false. 5. Forgetfulness and irritability are often the first signs of respiratory problems. Exercise 2 Online This exercise will take approximately 45 minutes to complete. Sign in to work at Pacific View Regional Hospital on the Medical-Surgical Floor for Period of Care 1. (Note: If you are already in the virtual hospital from a previous exercise, click on Leave the Floor and then on Restart the Program to get to the sign-in window). From the Patient List, select Patricia Newman (Room 406). Click on Get Report and then click on Go to Nurses' Station. Click on Chart and then on 406. Click on and review the Nursing Admission, Physician's Notes, History and Physical and the Laboratory Reports. 6. What is Patricia Newman's admitting diagnosis? Ans: 7. What are the significant findings in Patricia Newman's medical history? 8. Which of the following physiologic changes in oxygenation have resulted from Patricia Newman's admitting diagnosis? A. Ans: 9. How will the physician determine which medication is best to treat Patricia Newman's pneumonia? 10. The physician has ordered oxygen at 2 L per nasal cannula. Which of the following statements about this method of delivery is correct? A. Oxygen per nasal cannula is drying to mucous membranes. B. The use of the nasal cannula interferes with eating and talking. C. The use of the nasal cannula is an expensive means of oxygen delivery. D. The nasal cannula is an effective way to provide humidified oxygen. Ans: Click on Return to Nurses' Station. Click on 406 at the bottom of the screen. Review the Initial Observations. Click on Take Vital Signs and review. Click on Patient Care and then on Physical Assessment. Review the assessments for Head & Neck, Chest, and Back & Spine. 11. What are Patricia Newman's vital signs? 12. Patricia Newman's oxygen saturation is what? 13. The pulse oximeter reading is the: Ans: 14. The physician has ordered oxygen therapy via nasal cannula at 2 L. What are the implications of increasing the oxygen to Patricia Newman? 15. What findings on the respiratory assessment provide support for the admitting diagnosis? 16. True or False: Patricia Newman's use of accessory muscles for breathing will ultimately increase her pulmonary capacity. ............................................continued.........................................................