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ATI - Medical Surgical - Unit 3 Nursing Care of Clients with Respiratory Disorders Exam Questions With 100- Verified Answers.docx

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ATI - Medical Surgical - Unit 3 Nursing Care of Clients with Respiratory Disorders Exam Questions With 100- Verified A

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ATI - Medical Surgical - Unit 3 Nursing
Care of Clients with Respiratory
Disorders Exam Questions With 100%
Verified Answers
Respiratory Diagnostic and Therapeutic Procedures: Overview -
correct answer ✅Respiratory diagnostic procedures are used to
evaluate a client's respiratory status by checking indicators such as
the oxygenation of the blood, lung functioning, and the integrity of
the airway.


Respiratory Diagnostic and Therapeutic Procedures: Respiratory
diagnostic procedures -
correct answer ✅Respiratory diagnostic procedures that nurses
should be knowledgeable about include:
o Pulse oximetry
o ABGs
o Bronchoscopy
o Thoracentesis


Respiratory Diagnostic and Therapeutic Procedures: CHEST TUBES -
correct answer ✅• Chest tubes are a type of therapeutic
procedure inserted into the pleural space to drain fluid, blood, or
air; reestablish a negative pressure; facilitate lung expansion; and
restore normal intrapleural pressure.

,ATI - Medical Surgical - Unit 3 Nursing
Care of Clients with Respiratory
Disorders Exam Questions With 100%
Verified Answers
• Chest tubes can be inserted in the emergency department, at the
client's bedside, or in the operating room through a thoracotomy
incision.
• Chest tubes are removed when the lungs have reexpanded and/or
there is no more fluid drainage.


Respiratory Diagnostic and Therapeutic Procedures: PULSE
OXIMETRY -
correct answer ✅• Pulse Oximetry is a noninvasive measurement
of the oxygen saturation of the blood, but it is not a replacement
for ABG measurement.
o A pulse oximeter is a battery- or electric-operated device with a
sensor probe that is attached securely onto the client's fingertip,
toe, bridge of nose, earlobe, or forehead with a clip or band.
o Pulse oximetry measures arterial oxygen saturation (SaO2) via a
wave of infrared light that measures light absorption by oxygenated
and deoxygenated Hgb in arterial blood. SaO2 and SpO2 are used
interchangeably.


Respiratory Diagnostic and Therapeutic Procedures: PULSE
OXIMETRY - Indications -

,ATI - Medical Surgical - Unit 3 Nursing
Care of Clients with Respiratory
Disorders Exam Questions With 100%
Verified Answers
correct answer ✅o Pulse oximetry is indicated for conditions or
situations in which a client's respiratory status should be
monitored, such as during a continuous opioid epidural infusion.
o Client presentation
• The following signs and symptoms indicate that oxygen saturation
should be monitored in a client o Increased work of breathing
o Wheezing
o Coughing
o Cyanosis


Respiratory Diagnostic and Therapeutic Procedures: PULSE
OXIMETRY - Interpretation of Findings -
correct answer ✅o The expected reference range for SaO2 is 95%
to 100%. Acceptable levels may range from 91% to 100%. Some
illness states may even allow for an SaO2 of 85% to 89%.
o Values may be slightly lower in the older adult client and those
with dark skin.
o Additional reasons for low readings include hypothermia, poor
peripheral blood flow, too much light (sun or infrared lamps), low
Hgb levels, client movement, edema, and nail polish.

, ATI - Medical Surgical - Unit 3 Nursing
Care of Clients with Respiratory
Disorders Exam Questions With 100%
Verified Answers
o An SaO2 below 91 % requires interventions to help the client
regain acceptable SaO2 levels. An SaOz below 86% is an emergency.
An SaOz below 80% is life-threatening.
The lower the SaOz level, the less accurate the value.
o Values obtained by pulse oximetry are unreliable in cardiac arrest,
shock, and other states of low perfusion.


Respiratory Diagnostic and Therapeutic Procedures: PULSE
OXIMETRY - Preprocedure -
correct answer ✅Nursing actions
• Perform hand hygiene and provide privacy.
• Find an appropriate probe site. It must be dry and have adequate
circulation.
• Be sure the client is in a comfortable position, supporting the arm
if a finger is
used as a probe site.


Respiratory Diagnostic and Therapeutic Procedures: PULSE
OXIMETRY - Intraprocedure -
correct answer ✅Nursing actions

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