WorksheetsNUR 111 Oxygenation
Total questions: 45
Worksheet time: 31mins
For nasal prongs or cannula oxygen delivery should be higher than 6 liters
True
False
Up to 60 % oxygen can be supplied through the oxygen port at 6-10 LPM for a face mask
True
False
What is the primary reason to teach pursed-lip breathing to clients with chronic obstructive pulmonary disease?
To promote carbon dioxide elimination
To promote oxygen intake
To strengthen the diaphragm
To strengthen the intercostal muscles
Which physical assessment finding would the nurse expect to find in a client with advanced chronic obstructive pulmonary disease?
Underdeveloped neck muscles
Collapsed neck veins
Increased anteroposterior chest diameter
Increased chest excursions with respirations
An order is written for oxygen for a client with respiratory distress. Which diagnostic test most accurately evaluates the effectiveness of oxygen therapy?
Pulmonary function tests
Peak flow reading
Ventilation perfusion scan
Arterial blood gases
The nurse is providing care to a patient with COPD. Which is the appropriate intervention when the patient complains of a frequent need to cough?
Monitor I/O and decrease oral fluid intake
Administer an antihistamine as needed
Instruct on effective coughing techniques
Request a cough suppressant be ordered
Which nursing action is appropriate for the client with a history of chronic obstructive pulmonary disease (COPD) who presents with bilateral crackles in the lower lung fields?
Encourage deep breathing and coughing
Encourage client to consume 5-6 high carbohydrate meals per day
Administer oxygen as ordered
Encourage client to maintain bedrest
Which oxygen delivery device has an attached reservoir to administer 60-80% of high concentrations of oxygen?
Simple face mask
Venturi mask
nasal cannula
Non rebreather mask
Nurse Grim knows that which of the following results warrant a nursing intervention? Select all that apply
SpO2 reading of 90%
SpO2 reading of 92%
SpO2 reading of 95%
SpO2 reading of 99%
Which of the following Oxygenation therapy provides accurate percentage of Oxygen to the patient?
Nasal cannula
Venturi mask
Non-rebreather mask
Partial-rebreather mask
Define Hypoxemia
Decreased tissue oxygenation
Low levels of oxygen in the blood
Increased tissue oxygenation
High levels of oxygen in the blood
Hyperventilation is the state of ventilation in which the lungs remove carbon dioxide faster than it is produced by cellular metabolism
True
False
Which oxygen delivery system would you use for the LOWEST flow of oxygen?
Simple face mask
Nasal cannula
Non-rebreather
Partial non-rebreather
What is the nursing role in patient education? (Select all that apply)
Teach the importance and rationale for oxygen therapy
Make the patient a "going away" kit
Demonstrate the use of oxygen delivery device
Provide safety precautions for oxygen use
Pulmonary Ventilation is described as
The movement of air into and out of the lungs
Gas exchange between the alveoli and the blood
The process by which oxygenated blood passes through the bodies tissues
Respiration is described as
Process by which oxygenated blood passes through the body's tissues
Movement of air into and out of the lungs
Gas exchange between the alveoli and blood
Perfusion is described as
Movement of air into and out of the lungs
The process by which oxygenated blood passes through the body's tissues
Gas exchange between the alveoli and blood
Hypoxia can occur when problems exit in which of the following (Select all that apply)
Ventilation
Respiration
Perfusion
Signs and symptoms of hypoxia include (Select all that apply)
Dyspnea
Decreased BP
Increased Pulse
Decreased Respiratory Rate
Confusion
True or False: Hypoxia is often caused by hypoventilation
True
False
Signs and Symptoms of chronic hypoxia include (Select all that apply)
Angina
Clubbed fingers
Cyanosis
Decreased pulse
Urinary Retention
What disorders would you expect patients to have compromised respiratory functioning (Select all that apply)
Cardiac Disorders
Hepatic Disorders
GI disorders
Renal disorders
What disorder impaired respiratory functioning due to a decreased number of RBC's
COPD
Anemia
Hypokalemia
Angina
What are potential considerations when assessing an infants respiratory functioning (Select all that apply)
Small chest size
Increased risk for aspiration
Respiratory rate is rapid
Respiratory rate is slower
Shorter airway
When an infant is exposed to second hand smoke, they are more likely to develop what type of diseases (Select all that apply)
COPD
Asthma
Upper respiratory infections
Lower respiratory infections
What considerations does the nurse need to take when assessing the respiratory function of an older patient's (Select all that apply)
The tissues and the airway become less elastic
The power of the respiratory and abdominal muscles is reduced
There is an increase in the maximum inspiration and expiration due to the chest being able to stretch
The airway is more prone to collapse
Increased risk for disease such as pneumonia and lower respiratory tract infections.
What type of medication causes the rate and depth of respirations to decrease
NSAIDS
Sympathomimetics
Opioids
Expectorants
True or False: People who exercise regularly respond better to stressors to respiratory health
True
False
Smoking is a risk factor for the development of which of the following diseases (Select all that apply)
Lung Disease
Respiratory distress
Heart Disease
Lung Cancer
What is the most important risk factor for the development of COPD
Age
Activity
Genetics
Smoking
Which of the following are nursing interventions for respiratory disorders (Select all that apply)
Promote bed rest
Reduce anxiety
Encourage vaccination
Maintain balanced nutrition
Patients with dyspnea and orthopnea are most comfortable in which bed position?
High Fowlers
Semi Fowlers
Prone
Supine
A patient comes into the clinic complaining of a persistent cough. The nurse recommends that the patient increase their fluid intake. What is the best explanation as to why the nurse recommended this?
increased fluid intake reduces the risk of pulmonary edema
increased fluid intake reduces inflammation
Increased fluid intake reduces the viscosity of lung secretions
Increased fluid intake increases productive cough
What breathing exercises would the nurse implement to a patient with a respiratory disorder (Select all that apply)
Deep breathing exercises
Incentive spirometry
Pursed lip breathing
Diaphragmatic breathing
Costal breathing
A patient comes into the clinic with the chief complaint of a non-productive cough and complaints of excess mucous What medication would the nurse administer to make their cough more productive?
Expectorants
Cough suppressants
Decongestant
Lozenges
True or False: Oxygen is considered a medication and must be ordered by the provider
True
False
Oxygen can use used without an order in the following situations (Select all that apply)
Emergency situations (Code blue)
Decreased O2 Sat
Tachypnea
Bradypnea
True or False: The flow rate reflects the oxygen concentration actually being inspired by the patient
True
False
Which of the following is the BEST way to control SOB
Diaphragmatic breathing
Pursed lip breathing
Deep breathing exercises
Costal breathing exercises
What are some of the major risk factors for children and infants for the development of respiratory disorders (Select all that apply)
Upper respiratory tract infections
Lower respiratory tract infections
Increased secretions
Obstruction of foreign objects
