NSG 3130 Oxygenation

A client diagnosed with chronic obstructive lung disesae who is receiving oxygen at 1.5 liters per minute via nasal cannula is complaining of shortness of breath. What action should the nurse take?

• increase the oxgen to 3 liters/minute

• lower the head of the bed to semi-Fowler position

• have the client breathe through pursed lips

• encourage the client to breathe more rapidly

The client is experiencicng severe shortness of breath, but is not cyanotic. What lab value chsould the nurse review in an attempt to understand this penomenon?

• blood glucose

• hemoglobin & hematocrit

• cardiac enzymes

• serum electrolytes

A client has a medical condition that often results in the development of metabolic acidosis. The nurse should observe this client for the development of which breathing pattern as a result of this condition?

• Cheyne-Stokes

• biots

• cluster

• Kussmauls

The nurse has just initiated oxygen by nasal cannula for a client with the medical diagnosis of COPD. What is the nurse's next action?

• fill the humidifier with normal saline

• pad the tubing where it contacts the client's ears

• set the oxygen delivery to 5 liters/minute

• secure the cannula with ties around the client's head

The nurse who is performing care for a client with a new tracheostomy needs to change the ties. What is the best method for changing these ties?

• remove the old ties, client the area well, and then put on new ties

• attach the new tape & tie with a square knot behind the client's neck

• have an assistant hold the traceostomy tube in place, remove the soiled ties, and replace the ties

• remove the outer cannula, replaced the soiled ties, and reinsert

The nurse is planning the care of a client who has a need for frequent suctioning. What should the nurse delegate to the UAP?

• both oral & tracheal suctioning

• only oral suctioning

• only tracheal suctioning

• neither oral nor tracheal suctioning

A client is experiencing atelectasis. The nurse anticipates that this client will have an alteration in:

• ventilation

• alveolar gas exchange

• transportation of oxygen and carbon dioxide

• systemic diffusion

A client is demonstrating signs of hypoxia. What lab value will help the nurse determine the client's degree of effective gas exchange?

• blood glucose

• serum potassium

• serum sodium

• artieral blood gas (ABG)

The nurse is documenting the completion of tracheostomy suctioning and tracheostomy care in a client's medical record. What should the documentation include? Select All That Apply.

• lungs sounds before & after suctioning

• characteristics of sputum

• integrity of skin around the stoma

• flow rate of oxygen