Guide and All Actual Answers Rated
A+(2025-2026) Updated Edition.
1. dyspnea, rapid shallow respirations
2. flaring of nares
3. retractions
4. sweating
5. wheezing
6. increased bp with small pulse pressure
7. cyanosis - Answer list 4 physiological features an individual may exhibit if having difficulty
breathing:
-labored respirations
-Ineffective cough and fever
-pale skin
-coarse crackles, fatigue
-stating "not getting enough air" - Answer describe the assessment findings you may see with
the ineffective airway clearance:
-increase the supplemental oxygen level or use an ambu bag and deliver 3 breaths
(you do this after removing the o2 delivery device. it helps to prevent suction induced
hypoxemia) - Answer describe the process for hyperinflation of a patient prior to suctioning:
hypoxia - Answer inadequate amount of oxygen available to the cells?
hypoxia - Answer -not getting enough oxygen?
-Insufficient o2 anywhere in the body, from inspired gas to tissue level?
1. rapid pulse
2. rapid, shallow respirations, dyspnea
3. increased restlessness
, hematocrit - Answer what laboratory values tells you the most information about effective gas
exchange?
1. place pt in upright or semi flowers position
2. remove dentures if they fit poorly
3. instruct pt to exhale normally and place lips securely around the mouthpiece
4. instruct the pt to inhale slowly through mouth and as deeply as possible through the
mouthpiece
5. when the pt cant handle anymore, the pt should hold their breath and count to 3. check
position of gauge
6. pt should remove lips from mouthpiece and exhale normally
7. encourage pt to do this 5-10 times every 1-2 hours if possible
if pt gets lightheaded tell them to stop and take a few normal breaths - Answer describe the
teaching steps for instructing a patient on the use of an incentive spirometer:
it overall helps to promote health breathing. coughing helps to remove retained mucus from the
respiratory tract. coughing and deep breathing are most effective together. turning helps
promote ventilation and expand the lungs to move mucus. helps prevent respiratory
complications - Answer describe the purpose of turning, coughing, and deep breathing:
10-15 seconds - Answer when suctioning a patient, how long should you apply intermittent
suction?
RESPIRATORY/DIFFUSION
-change in surface area
-thickening of alveolar-capillary membrane
-partial pressure - Answer what factors influence a patients ability to transport o2 from the
lungs to the body?
-time of suctioning
-reason
-color, odor, consistency and amount of secretions
-clients respiratory status and tolerance of procedure - Answer what information is important