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Oxygenation

Total questions: 10

Worksheet time: 10mins

Name
Class
Date
1.
The patient with acute bronchitis asks if antibiotics will be ordered for the condition. Which response is best for the nurse to make?
a)
“Antibiotics are the best treatment option.”
b)
“Antibiotics will not help a viral condition.”
c)
“Antibiotics will be given if the sputum culture indicates your bronchitis is caused by bacteria.”
d)
“Antibiotics will inhibit the inflammatory response of your body to the invasion of this infection.”
2.
The nurse is assessing a patient with chronic obstructive pulmonary disease (COPD). Which assessment finding indicates a potential complication and requires the nurse’s immediate attention?
a)
Distended neck veins
b)
Left lower quadrant tenderness
c)
Urinary output of 40 mL/hr
d)
Excessive coughing
3.
The patient with asthma is prescribed a leukotriene modifier drug, montelukast (Singulair). Which statement describes an advantage of this medication?
a)
Limited gastrointestinal (GI) side effects
b)
Bronchodilation and anti-inflammatory effects
c)
Stringent control of acute episodes of asthma
d)
Ability to replace all other asthma remedies
4.
The nurse is caring for a patient with a closed-chest drainage system with chest tubes. Which observation confirms that the system is intact and working?
a)
The water level in the water-seal chamber fluctuates.
b)
The level of fluid in the collection chamber rises.
c)
There are constant bubbles in the water-seal chamber.
d)
The suction has been attached.
5.
The nurse is caring for a first-day postoperative thoracotomy patient. The nurse assesses that the level of drainage has not increased over the last 3 hours. After assessing the patient’s respiratory status, what should the nurse do next?
a)
Raise the system above the patient’s heart.
b)
Check the tubing for kinks. 
c)
Reposition the patient.
d)
Notify the physician.
6.
The nurse is educating a patient who requires daily postural drainage treatments. Which statement indicates that the patient understands when and why treatments will be scheduled?
a)
“I will have treatments first thing in the morning to get rid of fluids that have built up over night.”
b)
“I will have my treatments an hour after breakfast to make sure that I am fully alert.”
c)
“I will have treatments after lunch to prevent an unsafe drop in my blood sugar.”
d)
 “I will have treatments right before bed to ensure that I breathe more easily at night.”
7.
The patient with sleep apnea is fitted with a continuous positive airway pressure (CPAP) mask and asks the nurse how this device will help. How should the nurse respond?
a)
“The device delivers constant positive pressure to keep your airway open.” 
b)
“The device will require you to be intubated to open your airway.”
c)
 “The device delivers oxygen only when you are apneic.”
d)
“The device delivers negative pressure to stimulate your respirations.”
8.
The nurse explains that the mechanism that triggers rate and depth of respiration is based on which factor?
a)
Ease of respiration.
b)
Alveolar pressure.
c)
Patency of bronchi.
d)
Blood pH
9.
Which substance decreases the surface tension of the alveolar walls? 
a)
Plasma
b)
Surfactant
c)
Cilia
d)
Mucus
10.
While performing an assessment, the nurse auscultates a coarse low-pitched sonorous rattling in the left lower lobe. Based on the presence of this adventitious lung sound, which action should the nurse take next?
a)
Instruct the patient to turn, cough, and deep-breathe. 
b)
 Administer the diuretic as ordered.
c)
Administer the bronchodilator as ordered.
d)
Instruct the patient to blow into the incentive spirometer.