NUR215 Az College of Nursing Exam 4/
Modules 8-10 Oxygenation rest and sleep
stress/ Q & A/ 2024-2025
What are S&S of early/late hypoxia? - Answer: Early: Tachypnea, Tachycardia,
Restlessness, anxiety, confusion, Pale skin, high blood pressure use of accessory
muscles, nasal flaring, adventitious lung sounds.
Late: Stupor, Cyanotic, Bradypnea, Bradycardia, Hypotension, Cardiac
dysrhythmias.
Chronic: Clubbing of the finger and toes, peripheral edema, right sided heart
failure, respiratory acidosis, oxygen saturation less than 87%
How often should oral care be done on patients on oxygen therapy minimum? -
Answer: Give oral care BID minimum
, 5. What are some nursing diagnoses for pneumonia? Nursing interventions? -
Answer: Diagnosis: Ineffective Airway clearance r/t inflammation and presence of
secretions. Interventions: Position the client to fowlers position to optimize
respiration.
6. How would you educate a patient on safe home oxygen therapy? - Answer: No
smoking while oxygen in use, do not use volatile, flammable material such as
alcohol or acetone near oxygen or while receiving oxygen. Tank must sit up.
7. What should you do first if you notice a patient's oxygen level is low? How do
you - Answer: Place the patient in semi-fowlers or Fowler's position to promote
chest expansion and maximize ventilation. Encourage deep breathing.
8. What are the different adventitious breath sounds? - Answer: Wheezing,
crackles, rhonchi, stridor, Pleural friction rub.
9. What are the different breathing patterns? - Answer: Eupnea—Normal
breathing
Tachypnea—Fast, shallow breathing; more than 24 breaths/minute. draw limited
air into the alveoli and may result in hypoventilation.
Bradypnea—Slow respirations (fewer than 10 breaths/minute). cause poor gas
exchange.
Kussmaul's respirations—Regular but increased in rate and abnormally deep
respirations. form of hyperventilation caused by fear, anxiety, or panic.
Modules 8-10 Oxygenation rest and sleep
stress/ Q & A/ 2024-2025
What are S&S of early/late hypoxia? - Answer: Early: Tachypnea, Tachycardia,
Restlessness, anxiety, confusion, Pale skin, high blood pressure use of accessory
muscles, nasal flaring, adventitious lung sounds.
Late: Stupor, Cyanotic, Bradypnea, Bradycardia, Hypotension, Cardiac
dysrhythmias.
Chronic: Clubbing of the finger and toes, peripheral edema, right sided heart
failure, respiratory acidosis, oxygen saturation less than 87%
How often should oral care be done on patients on oxygen therapy minimum? -
Answer: Give oral care BID minimum
, 5. What are some nursing diagnoses for pneumonia? Nursing interventions? -
Answer: Diagnosis: Ineffective Airway clearance r/t inflammation and presence of
secretions. Interventions: Position the client to fowlers position to optimize
respiration.
6. How would you educate a patient on safe home oxygen therapy? - Answer: No
smoking while oxygen in use, do not use volatile, flammable material such as
alcohol or acetone near oxygen or while receiving oxygen. Tank must sit up.
7. What should you do first if you notice a patient's oxygen level is low? How do
you - Answer: Place the patient in semi-fowlers or Fowler's position to promote
chest expansion and maximize ventilation. Encourage deep breathing.
8. What are the different adventitious breath sounds? - Answer: Wheezing,
crackles, rhonchi, stridor, Pleural friction rub.
9. What are the different breathing patterns? - Answer: Eupnea—Normal
breathing
Tachypnea—Fast, shallow breathing; more than 24 breaths/minute. draw limited
air into the alveoli and may result in hypoventilation.
Bradypnea—Slow respirations (fewer than 10 breaths/minute). cause poor gas
exchange.
Kussmaul's respirations—Regular but increased in rate and abnormally deep
respirations. form of hyperventilation caused by fear, anxiety, or panic.
