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Exam (elaborations)

Medical Surgical Nursing Test 2 Questions and Correct Answers the Latest Update and Recommended Version

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Hypoxemia low levels of oxygen in the blood Hypoxia decreased tissue oxygenation Indications of Hypoxia Dyspnea Nasal flaring Use of accessory muscles Purse lipped or diaphragmatic breathing Decreased endurance Skin, mucous membrane changes (pallor, cyanosis) ABG analysis best way to determine oxygen needs O2 Hazards TestTrackers: Unlock Your Exam Potential! | Quality Practice Materials | Boost Your Confidence Today! | Thank You for Choosing Us! © 2024 TestTrackers Customer Support: [] Resources & Updates: [Testtrackers - Stuvia US] Your Success is Our Mission! Combustion Oxygen-induced hypoventilation Hypercarbia—retention of CO2 CO2 narcosis—loss of sensitivity to high levels of CO2 Oxygen toxicity Absorption atelectasis—new onset of crackles/decreased breath sounds Drying of mucous membranes Infection Hypercarbia retention of CO2 CO2 narcosis loss of sensitivity to high levels of CO2 Absorption atelectasis new onset of crackles/decreased breath sounds Home oxygen requirements Importance of accuracy and control of oxygen concentration-compressed gas tank, liquid O2 in reservoir, O2 concentrator Home oxygen needs Patient comfort Importance of humidity Patient mobility Low flow O2 delivery methods TestTrackers: Unlock Your Exam Potential! | Quality Practice Materials | Boost Your Confidence Today! | Thank You for Choosing Us! © 2024 TestTrackers Customer Support: [] Resources & Updates: [Testtrackers - Stuvia US] Your Success is Our Mission! nasal cannula, face mask, simple and nonrebreather Nasal cannula Flow rates of 1-6 L/min O2 concentration of 24%-44% (1-6 L/min) Flow rate >6 L/min does not increase O2 because anatomical dead space is full Assess patency of nostrils Assess for changes in respiratory rate and depth May need humidification for >3L/min flow rate Face mask Delivers O2 up to 40%-60% Minimum of 5 L/min Monitor closely for risk of aspiration Partial nonrebreather Provides 60%-75% with flow rate of 6-11 L/min One-third exhaled tidal volume with each breath Adjust flow rate to keep reservoir bag inflated Nonrebreather mask Highest O2 level Can deliver FIO2 greater than 90% Used for unstable patients requiring intubation Ensure valves are patent and functional Priority problems with oxygenation TestTrackers: Unlock Your Exam Potential! | Quality Practice Materials | Boost Your Confidence Today! | Thank You for Choosing Us! © 2024 TestTrackers Customer Support: [] Resources & Updates: [Testtrackers - Stuvia US] Your Success is Our Mission! • Reduced oxygenation • Inadequate communication • Inadequate nutrition • Potential for infection Tracheostomy types Cuffed or non-cuffed, fenestrated Tracheostomy complications Tube obstruction/disl

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Uploaded on
October 24, 2024
Number of pages
34
Written in
2024/2025
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Exam (elaborations)
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Medical Surgical Nursing Test 2
Questions and Correct Answers the
Latest Update and Recommended
Version
Hypoxemia

✓ low levels of oxygen in the blood


Hypoxia

✓ decreased tissue oxygenation


Indications of Hypoxia

✓ Dyspnea
✓ Nasal flaring
✓ Use of accessory muscles
✓ Purse lipped or diaphragmatic breathing
✓ Decreased endurance
✓ Skin, mucous membrane changes (pallor, cyanosis)


ABG analysis

✓ best way to determine oxygen needs


O2 Hazards




|
✓ Thank You for Choosing Us! ✓ Resources & Updates: [Testtrackers - Stuvia US]
✓ © 2024 TestTrackers ✓ Your Success is Our Mission!
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✓ Combustion
✓ Oxygen-induced hypoventilation
✓ Hypercarbia—retention of CO2
✓ CO2 narcosis—loss of sensitivity to high levels of CO2
✓ Oxygen toxicity
✓ Absorption atelectasis—new onset of crackles/decreased breath sounds
✓ Drying of mucous membranes
✓ Infection


Hypercarbia

✓ retention of CO2


CO2 narcosis

✓ loss of sensitivity to high levels of CO2


Absorption atelectasis

✓ new onset of crackles/decreased breath sounds


Home oxygen requirements

✓ Importance of accuracy and control of oxygen concentration-compressed gas tank, liquid
O2 in reservoir, O2 concentrator


Home oxygen needs

✓ Patient comfort
✓ Importance of humidity
✓ Patient mobility


Low flow O2 delivery methods

|
✓ Thank You for Choosing Us! ✓ Resources & Updates: [Testtrackers - Stuvia US]
✓ © 2024 TestTrackers ✓ Your Success is Our Mission!
✓ Customer Support: [+254707240657]

, TestTrackers: Unlock Your Exam Potential! | Quality Practice Materials | Boost Your Confidence Today!


✓ nasal cannula, face mask, simple and nonrebreather


Nasal cannula

✓ Flow rates of 1-6 L/min
✓ O2 concentration of 24%-44% (1-6 L/min)
✓ Flow rate >6 L/min does not increase O2 because anatomical dead space is full
✓ Assess patency of nostrils
✓ Assess for changes in respiratory rate and depth
✓ May need humidification for >3L/min flow rate


Face mask

✓ Delivers O2 up to 40%-60%
✓ Minimum of 5 L/min
✓ Monitor closely for risk of aspiration


Partial nonrebreather

✓ Provides 60%-75% with flow rate of 6-11 L/min
✓ One-third exhaled tidal volume with each breath
✓ Adjust flow rate to keep reservoir bag inflated


Nonrebreather mask

✓ Highest O2 level
✓ Can deliver FIO2 greater than 90%
✓ Used for unstable patients requiring intubation
✓ Ensure valves are patent and functional


Priority problems with oxygenation




|
✓ Thank You for Choosing Us! ✓ Resources & Updates: [Testtrackers - Stuvia US]
✓ © 2024 TestTrackers ✓ Your Success is Our Mission!
✓ Customer Support: [+254707240657]

, TestTrackers: Unlock Your Exam Potential! | Quality Practice Materials | Boost Your Confidence Today!


✓ • Reduced oxygenation
✓ • Inadequate communication
✓ • Inadequate nutrition
✓ • Potential for infection


Tracheostomy types

✓ Cuffed or non-cuffed, fenestrated


Tracheostomy complications

✓ Tube obstruction/dislodgement
✓ Pneumothorax, Subcutaneous emphysema, bleeding, infection


Complications of suctioning

✓ Hypoxia, tissue trauma, infection, vagal stimulation, bronchospasm, Cardiac dysrhythmias
from induced hypoxia


Nutrition with Tracheostomy

✓ • Swallowing can be a major problem for patients with tracheostomy tube


Tracheostomy positioning

✓ • Elevate head of bed for at least 30 min after eating to prevent aspiration during
swallowing


Passey Muir

✓ swallowing speaking valves


Tracheostomy tube weaning

|
✓ Thank You for Choosing Us! ✓ Resources & Updates: [Testtrackers - Stuvia US]
✓ © 2024 TestTrackers ✓ Your Success is Our Mission!
✓ Customer Support: [+254707240657]

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