Nurs 221 Final Exam Questions with Correct Answers Verified by Experts| Latest Update
red flags in elimination -increase or decrease in urine output (less than 30 ml over 2 hours)
-increase or change of pain, distension
-signs of infection
-bloody stool or urine
-reduced or no bowel sounds
-no bowel movements
-diarrhea
dysuria painful urination
oliguria Decreased urine output
risks associated with deconditioning respiratory, circulatory, integumentary, MSK, GI
strategies to reduce complications from deconditioning -frequent assessments
-ROM
-exercise
-positioning
-nutrition
-skin care
-equipment
atelectasis collapsed lung
ventilation movement of air in and out of the lungs
,dyspnea difficulty breathing
hypoventilation occurs when alveolar ventilation is inadequate to meet the oxygen demand
of the body or eliminate sufficient carbon dioxide
hyperventilation state of ventilation in excess of that required
ways to promote lung expansion -incentive spirometry
-positioning
ways to maintain a patent airway suctioning
ways to mobilize secretions in lungs -chest physiotherapy
-coughing
-nebulizer
most detrimental effect of breathing high concentrations of oxygen oxygen toxicity
safety measures involved in oxygen use -signage and inform people that smoking is not
permitted
-no open flame
-no combustible products
-family and paitient education
Fi02 stands for fraction of inspired oxygen
aim of incentive spirometry promote increased lung expansion and facilitate gas exchange
, patient is on 1-2L via nasal cannula what is the approximate Fi02 24-28%
a non rebreathing reservoir mask ensures what the valve between the reservoir and mask
closes during expiration so that the expired air does not enter reservoir
flow rate of 6-10 L/min via non rebreathing mask Fi02 60-100%
yankauer catheter curved device made of rigid plastic used for oropharyngeal suctioning
(not nasopharyngeal)
S and S associated with upper airway obstruction -gurgling
-drooling
-excessive oral secretions
-vomitus in mouth
-coughing without clearing airway
what is the wall suction pressure that should be applied when suctioning an adults
oropharyngeal airway 100-120 mmHg
hi flow oxygen device venturi mask
Fi02 fraction of inspired oxygen
hypoxemia decrease in oxygen tension in the blood
hypoxia inadequate tissue oxygenation at cellular level
red flags in elimination -increase or decrease in urine output (less than 30 ml over 2 hours)
-increase or change of pain, distension
-signs of infection
-bloody stool or urine
-reduced or no bowel sounds
-no bowel movements
-diarrhea
dysuria painful urination
oliguria Decreased urine output
risks associated with deconditioning respiratory, circulatory, integumentary, MSK, GI
strategies to reduce complications from deconditioning -frequent assessments
-ROM
-exercise
-positioning
-nutrition
-skin care
-equipment
atelectasis collapsed lung
ventilation movement of air in and out of the lungs
,dyspnea difficulty breathing
hypoventilation occurs when alveolar ventilation is inadequate to meet the oxygen demand
of the body or eliminate sufficient carbon dioxide
hyperventilation state of ventilation in excess of that required
ways to promote lung expansion -incentive spirometry
-positioning
ways to maintain a patent airway suctioning
ways to mobilize secretions in lungs -chest physiotherapy
-coughing
-nebulizer
most detrimental effect of breathing high concentrations of oxygen oxygen toxicity
safety measures involved in oxygen use -signage and inform people that smoking is not
permitted
-no open flame
-no combustible products
-family and paitient education
Fi02 stands for fraction of inspired oxygen
aim of incentive spirometry promote increased lung expansion and facilitate gas exchange
, patient is on 1-2L via nasal cannula what is the approximate Fi02 24-28%
a non rebreathing reservoir mask ensures what the valve between the reservoir and mask
closes during expiration so that the expired air does not enter reservoir
flow rate of 6-10 L/min via non rebreathing mask Fi02 60-100%
yankauer catheter curved device made of rigid plastic used for oropharyngeal suctioning
(not nasopharyngeal)
S and S associated with upper airway obstruction -gurgling
-drooling
-excessive oral secretions
-vomitus in mouth
-coughing without clearing airway
what is the wall suction pressure that should be applied when suctioning an adults
oropharyngeal airway 100-120 mmHg
hi flow oxygen device venturi mask
Fi02 fraction of inspired oxygen
hypoxemia decrease in oxygen tension in the blood
hypoxia inadequate tissue oxygenation at cellular level
