Hallmark STUDY ISB BSN 206 Exam
Questions & Solutions
T/F: Ventilation is the exchange of oxygen for carbon dioxide at the cellular
level. - -False
Diffusion is the exchange of oxygen for carbon dioxide at the cellular level
Ventilation is the process of moving respiratory gases into and out of the
lungs
- T/F: A severely anemic patient may experience tachypnea during routine
daily activities. - -True.
Reduced hemoglobin levels result in reduced oxygen-carrying capacity that
leads to decreased oxygen saturation. The body compensates by increasing
the respiratory rate
- What are signs & symptoms of hypoxia (low cellular and tissue oxygen) - -
restlessness (early sign of hypoxia)
irritability
anxiety
confusion/disorientation
Decreased ability to concentrate
Aletered level of consciousness
Syncope
Altered behavior
increased pulse rate (tachycardia)
increased respiratory rate (tachypnea)
Elevated BP
Cardiac dysrhythmias (irregular/and or premature rhythms)
Pallor
Complaints of dyspnea (breathlessness)
Cyanosis (usually a late sign of hypoxia)
- What causes hypoxia? - -Inadequate tissue oxygen w/ adequate blood
supply
Develops from a deficiency in oxygen delivery or oxygen utilization at the
cellular level
- T/F: A patient with a "normal" respiratory rate cannot become hypoxic - -
False.
An individula can have a normal ventilation rate and be unable to absorb
enough oxygen to sustain normal tissue and organ function
, - T/F: The appearance of cyanosis around the lips and fingertips of the
patient may be the result of chronic respiratory impairment. - -True.
Cyanosis, a bluish discoloration of the skin or mucous membranes, is caused
by inadequate oxygenation of the bloodstream. Patients with chronic lung
diseases (COPD) may exhibit cyanosis.
- T/F: An elevated pulse rate is the body's attempt to increase oxygen
delivery to the tissues. - -True.
An increase in pulse rate is an adaptive response to meet the body's oxygen
demand. The increased pulse rate may occur in conjunction with an
increased respiratory rate that attempts to increase oxygen supply.
- What are the 3 cough types? - -Huff; Cascade; Quad
- Which type of cough stimulates the natural cough reflex and is helpful in
clearing the large central airways such as the tracheobronchial tree.? - -Huff
cough
- T/F: A patient with an acute onset of pneumonia is coughing copious
amounts of secretions. The best coughing technique to teach a patient is the
huff cough - -False
The best coughing technique for large volumes of sputum is the cascade
cough.
- T/F: Coughing maintains patency of the airway by removing secretions
and/or foreign body materials. - -True.
Coughing is a protective mechanism that assists in maintaining airway
patency.
- Assisting a patient, a paraplegic patient w/ bronchitis, by supporting his
abdominal muscles during forced expiration and coughing is an example of
huff coughing. - -False.
this is an example of quad coughing.
The quad cough is used w/ patients who lack control of their abdominal
muscles (patients w/ spinal cord injuries and patienst w/ recent abdominal
surgery)
- T/F: Patients at risk for airway obstruction should be encountered to
breathe deeply and cough at least once every 4 hours. - -False.
Patients at risk for airway obstruction should be encouraged to cough at
least every hour.
, - T/F: Huff coughing is usually effective only for clearing the central airways.
- -True.
It mimic the natural cough reflex
- T/F: Cascade coughing requires that the patient take a deep breath and
hold it for 2 seconds before performing a series of forceful coughs. - -True.
Cascade couging is more effective at removing sputum than huff coughing
- T/F: Excessive airway secretions can cause airway occlusion. - -True
The most common cause of airway obstruction in the adult is excessive
secretions.
- T/F: A key assessment technique to determine whether a patient's airways
are occluded is auscultation of the lungs. - -True.
Auscultation determines whether secretions are present in the airways
- A patient is able to cough and expectorate but complains of mucus in the
back of the throat. You should:
a. Perform orotracheal suctioning
b. Perform oropharyngeal suctioning
c. Perform endotracheal suctioning - -b. Perform oropharyngeal suctioning.
Oropharyngeal and nasopharyngeal suctioning are performed for those
patients who are able to cough but are unable to clear their airway
secretions effectively
- A patient with an enotracheal tube is unable to cough effectively and is
acting irritable, and his oxygen saturation is decreasing. What is the correct
suctioning technique for this patient?
a. Perform oropharyngeal suctioning
b. Perform orotracheal suctioning
c. Perform endotracheal suctioning - -c. Perform endotracheal suctioning
This patient has an artificial airway and requires sucitioning.
- You are reviewing the signs, symptoms, and prevention of hypoxia with the
family of a patient who requires frequent suctioning at home. Choose the
information that you should cover (select all that apply
a. restless and anxiety are indications of hypoxia
Questions & Solutions
T/F: Ventilation is the exchange of oxygen for carbon dioxide at the cellular
level. - -False
Diffusion is the exchange of oxygen for carbon dioxide at the cellular level
Ventilation is the process of moving respiratory gases into and out of the
lungs
- T/F: A severely anemic patient may experience tachypnea during routine
daily activities. - -True.
Reduced hemoglobin levels result in reduced oxygen-carrying capacity that
leads to decreased oxygen saturation. The body compensates by increasing
the respiratory rate
- What are signs & symptoms of hypoxia (low cellular and tissue oxygen) - -
restlessness (early sign of hypoxia)
irritability
anxiety
confusion/disorientation
Decreased ability to concentrate
Aletered level of consciousness
Syncope
Altered behavior
increased pulse rate (tachycardia)
increased respiratory rate (tachypnea)
Elevated BP
Cardiac dysrhythmias (irregular/and or premature rhythms)
Pallor
Complaints of dyspnea (breathlessness)
Cyanosis (usually a late sign of hypoxia)
- What causes hypoxia? - -Inadequate tissue oxygen w/ adequate blood
supply
Develops from a deficiency in oxygen delivery or oxygen utilization at the
cellular level
- T/F: A patient with a "normal" respiratory rate cannot become hypoxic - -
False.
An individula can have a normal ventilation rate and be unable to absorb
enough oxygen to sustain normal tissue and organ function
, - T/F: The appearance of cyanosis around the lips and fingertips of the
patient may be the result of chronic respiratory impairment. - -True.
Cyanosis, a bluish discoloration of the skin or mucous membranes, is caused
by inadequate oxygenation of the bloodstream. Patients with chronic lung
diseases (COPD) may exhibit cyanosis.
- T/F: An elevated pulse rate is the body's attempt to increase oxygen
delivery to the tissues. - -True.
An increase in pulse rate is an adaptive response to meet the body's oxygen
demand. The increased pulse rate may occur in conjunction with an
increased respiratory rate that attempts to increase oxygen supply.
- What are the 3 cough types? - -Huff; Cascade; Quad
- Which type of cough stimulates the natural cough reflex and is helpful in
clearing the large central airways such as the tracheobronchial tree.? - -Huff
cough
- T/F: A patient with an acute onset of pneumonia is coughing copious
amounts of secretions. The best coughing technique to teach a patient is the
huff cough - -False
The best coughing technique for large volumes of sputum is the cascade
cough.
- T/F: Coughing maintains patency of the airway by removing secretions
and/or foreign body materials. - -True.
Coughing is a protective mechanism that assists in maintaining airway
patency.
- Assisting a patient, a paraplegic patient w/ bronchitis, by supporting his
abdominal muscles during forced expiration and coughing is an example of
huff coughing. - -False.
this is an example of quad coughing.
The quad cough is used w/ patients who lack control of their abdominal
muscles (patients w/ spinal cord injuries and patienst w/ recent abdominal
surgery)
- T/F: Patients at risk for airway obstruction should be encountered to
breathe deeply and cough at least once every 4 hours. - -False.
Patients at risk for airway obstruction should be encouraged to cough at
least every hour.
, - T/F: Huff coughing is usually effective only for clearing the central airways.
- -True.
It mimic the natural cough reflex
- T/F: Cascade coughing requires that the patient take a deep breath and
hold it for 2 seconds before performing a series of forceful coughs. - -True.
Cascade couging is more effective at removing sputum than huff coughing
- T/F: Excessive airway secretions can cause airway occlusion. - -True
The most common cause of airway obstruction in the adult is excessive
secretions.
- T/F: A key assessment technique to determine whether a patient's airways
are occluded is auscultation of the lungs. - -True.
Auscultation determines whether secretions are present in the airways
- A patient is able to cough and expectorate but complains of mucus in the
back of the throat. You should:
a. Perform orotracheal suctioning
b. Perform oropharyngeal suctioning
c. Perform endotracheal suctioning - -b. Perform oropharyngeal suctioning.
Oropharyngeal and nasopharyngeal suctioning are performed for those
patients who are able to cough but are unable to clear their airway
secretions effectively
- A patient with an enotracheal tube is unable to cough effectively and is
acting irritable, and his oxygen saturation is decreasing. What is the correct
suctioning technique for this patient?
a. Perform oropharyngeal suctioning
b. Perform orotracheal suctioning
c. Perform endotracheal suctioning - -c. Perform endotracheal suctioning
This patient has an artificial airway and requires sucitioning.
- You are reviewing the signs, symptoms, and prevention of hypoxia with the
family of a patient who requires frequent suctioning at home. Choose the
information that you should cover (select all that apply
a. restless and anxiety are indications of hypoxia
