Chapter 14: Oxygenation
Cooper: Foundation of Nursing
MULTIPLE CHOICE
1. When an older adult patient with chronic emphysema comes to the emergency department in
respiratory distress, at what rate should the nurse begin oxygen per nasal cannula?
a. 2 L/min
b. 3 L/min
c. 4 L/min
d. 5 L/min
ANS: A
Administering O2 at more than 2 L/min to a person with chronic pulmonary disease may cause
respiratory failure.
DIF: Cognitive Level: Application REF: p. 340 OBJ: 1
TOP: O2 administration KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
2. The nurse instructs a patient receiving home O2 therapy to drink plenty of fluids to help keep
bronchial secretions liquefied. What is the recommended fluid?
a. Milk
b. Water
c. Tea with artificial sweetener
d. Coffee
ANS: B
Water is the best option. Drinks with caffeine, sugar, or dairy products are not helpful to
liquefy secretions.
DIF: Cognitive Level: Application REF: p. 345 OBJ: 1
TOP: Fluids KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
3. The wife of a patient with a cuffed tracheostomy asks why the cuff is inflated intermittently.
What is the purpose of the inflated cuff?
a.Prevent regurgitation after meals.
b.Hold the trachea open until it is completely healed.
c.Dilate the tracheal opening for passage of secretions.
d.Prevent aspiration when eating.
ANS: D
The cuff is inflated to prevent aspiration while eating or when cleaning the tracheostomy tube.
DIF: Cognitive Level: Analysis REF: p. 346 OBJ: 7
TOP: Cuffed tracheostomy tubes KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment
4. Which of the following is an appropriate nursing measure when performing tracheostomy
care?
Cooper: Foundation of Nursing
MULTIPLE CHOICE
1. When an older adult patient with chronic emphysema comes to the emergency department in
respiratory distress, at what rate should the nurse begin oxygen per nasal cannula?
a. 2 L/min
b. 3 L/min
c. 4 L/min
d. 5 L/min
ANS: A
Administering O2 at more than 2 L/min to a person with chronic pulmonary disease may cause
respiratory failure.
DIF: Cognitive Level: Application REF: p. 340 OBJ: 1
TOP: O2 administration KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
2. The nurse instructs a patient receiving home O2 therapy to drink plenty of fluids to help keep
bronchial secretions liquefied. What is the recommended fluid?
a. Milk
b. Water
c. Tea with artificial sweetener
d. Coffee
ANS: B
Water is the best option. Drinks with caffeine, sugar, or dairy products are not helpful to
liquefy secretions.
DIF: Cognitive Level: Application REF: p. 345 OBJ: 1
TOP: Fluids KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
3. The wife of a patient with a cuffed tracheostomy asks why the cuff is inflated intermittently.
What is the purpose of the inflated cuff?
a.Prevent regurgitation after meals.
b.Hold the trachea open until it is completely healed.
c.Dilate the tracheal opening for passage of secretions.
d.Prevent aspiration when eating.
ANS: D
The cuff is inflated to prevent aspiration while eating or when cleaning the tracheostomy tube.
DIF: Cognitive Level: Analysis REF: p. 346 OBJ: 7
TOP: Cuffed tracheostomy tubes KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment
4. Which of the following is an appropriate nursing measure when performing tracheostomy
care?
