Answers, Step-by-Step Nursing Procedures, and Exam
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A nurse should recognize that which of the following is an indication
for oxygen therapy?
A. Respiratory rate 32/min; anxiety
B. Dyspnea; PaO2 90 mm Hg
C. Chest pain; FiO2 65% for 4 days
D. Tachypnea; SaO2 90% - Answer -D
A patient has been receiving oxygen PRN via nasal cannula for 4 hr.
Which of the following assessment findings helps indicate that
oxygen therapy has been effective?
A. Respiratory rate 14/min
B. SaO2 90%
C. Cardiac output 5.6 L/min
D. PaCO2 68 mm Hg - Answer -A
A nurse is caring for a patient who has a tracheostomy. Which of the
following must the nurse use when administering oxygen to this
patient?
A. Distilled water for humidification
B. A tracheostomy collar
C. An inner tracheostomy cannula
D. An aerosol mask - Answer -B
A nurse is caring for a patient who is dyspneic and slightly cyanotic,
with a respiratory rate of 28/min. The nurse determines that the
patient has impaired gas exchange during which of the following
phases of the nursing process?
A. Assessment
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,B. Diagnosis
C. Planning
D. Evaluation - Answer -B
A home health nurse is instructing a patient who has just started
receiving oxygen therapy via mask. The nurse should emphasize that
the patient must
A. clean the mask with soapy water every other day.
B. reposition the elastic band frequently.
C. apply petroleum jelly around and inside the nares.
D. make sure there is adequate condensation in the tubing. - Answer -
B
Administering oxygen therapy with a nonrebreather mask has which
of the following advantages?
A. Offers the highest oxygen concentration of the low-flow systems
B. Provides oxygen concentrations of 40% to 60%
C. Incorporates a design that requires minimal monitoring of the
patient
D. Is designed for safety once the mask's valves and flaps are sealed -
Answer -A
Oxygen therapy is prescribed for a patient who is brought to an
emergency department in the early stages of hypoxia. When assessing
the patient, the nurse should expect to find which of the following
clinical indicators?
A. Elevated blood pressure
B. Decreased respiratory rate
C. Cyanosis
D. Peripheral edema - Answer -A
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,A patient admitted with community-acquired pneumonia has been
receiving oxygen therapy for several days. Which of the following
assessment findings indicates an adverse effect of oxygen therapy?
A. Poor skin turgor
B. Copious respiratory secretions
C. Cracks in the oral mucosa
D. Elevated heart rate - Answer -C
A nurse is providing a discharge teaching to a patient who will
continue oxygen therapy at home. The nurse should instruct the
patient that turning the knob on the oxygen flow meter al the way to
the right
A. starts the flow of oxygen
B. provides the maximal oxygen flow
C. provides the minimal oxygen flow
D. stops the flow of oxygen - Answer -D
A patient who is prescribed oxygen therapy 24 hr/day is concerned
about being confined to bed. Which of the following should the nurse
do to provide mobility for this patient?
A. Suggest rest periods between activities of daily living
B. Allow the patient to remove the oxygen-delivery device
periodically.
C. Make sure the patient has up to 50 feet of connecting tubing. -
Answer -C
A nurse is caring for a critically ill patient with COPD who requires
delivery of a precise concentration of oxygen. Which of the following
types of oxygen-delivery device is indicated for this patient?
A. Simple face mask
B. Nasal cannula
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, C. Venturi mask
D. Face tent - Answer -C
Apnea - Answer -cessation of respiration
Atelectasis - Answer -airlessness or collapse of a lung, usually as a
result of hypoventilation or obstruction
Bi-level positive airway pressure (BiPAP) - Answer -a noninvasive,
ventilation-assistance modality that provides higher airway pressure
during inspiration and lower pressure during expiration, usually
delivered by a face mask
Bradypnea - Answer -an abnormally slow respiratory rate, usually less
than 12 respirations per minute
Carbon dioxide - Answer -an odorless, colorless gas resulting from
the oxidation of carbon, formed in the tissues and eliminated by the
lungs
Continuous positive airway pressure (CPAP) - Answer -a noninvasive,
ventilation-assistance modality that provides a set positive airway
pressure throughout the patient's respiratory cycle
Cyanosis - Answer -a bluish discoloration, especially of the skin and
mucous membranes, due to excessive concentration of
deoxyhemoglobin in the blood
Dyspnea - Answer -difficult or labored breathing
Face tent - Answer -a soft, oxygen-delivery mask that fits under the
patient's chin, loosely covers the mouth and nose, and is held in place
by an adjustable elastic strap
Flow meter - Answer -a device used to control the rate of oxygen
being delivered in liters per minute
Flow rate - Answer -the quantity of oxygen delivered in liters per
minute
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