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WorksheetsRespiratory Devices
Total questions: 10
Worksheet time: 20mins
Philly Mona is a 2 ppd smoker with a history of COPD who arrives to the ED with complaints of shortness of breath. He recently was on a steroid for a respiratory virus and states he has completed his medication regimen. His o2 sat on arrival is fluctuating between 87-89%. What respiratory device does Philly need?
high flow nasal cannula
simple mask
nasal cannula
no oxygen device
Philly is now complaining that his nose is dry and itchy. He keeps pulling at the oxygen device you applied and removing it from his nose. What can you do to make Philly more comfortable and keep his respiratory device in his nose?
Let Philly remove the device
Get an order for a sitter to ensure Philly keeps it in his nose
Yell at Philly to keep the device in his nose
Apply a low flow bubbler for humidification
Upon further workup, Philly was diagnosed with community acquired pneumonia. Philly has required oxygen titration throughout his time in the ED. He was transferred from the ED to 4 East for IV antibiotics and oxygen therapy. He is now on 6L and has an Spo2 of 86%. What intervention should you do for Philly?
Titrate his nasal cannula o2 up to 8L
Switch him to a high flow nasal cannula and titrate his o2 up to 8L
Continue to monitor him
Switch him to a simple mask and titrate his o2 up to 8L
What else should you do for Philly when switching him over to a high flow nasal cannula?
Switch the low flow bubbler to the high flow bubbler and fill with sterile water
Make sure the low flow bubbler is full
Switch the low flow bubbler to the high flow bubbler and fill with normal saline
Hook up the sterile inhalation solution
Alba Wheezy is being recovered in PACU after having a cholecystectomy. She has a history of ESRD, asthma, copd, and hyperlipidemia. The PACU nurse transfers Alba to 5 east. You are the receiving nurse. In report, you are told that Alba is drowsy but easily arousable and oriented, NSR, on 5L simple mask with an Spo2 of 99%, with minimal pain. What should you do for Alba Wheezy?
apply a nasal cannula and titrate O2 down
decrease the simple mask to 2L
monitor Alba on room air
remove the simple mask
It's been 20 minutes since you changed out Alba’s respiratory device. She has been sleeping comfortably, but her Spo2 is 87% on 5L. What intervention can you try to help Alba?
Apply humidification to her nasal cannula
Call a MET
Switch her to an oxymask
increase her nasal cannula to 8L
It is now night shift, and you go in to do your shift assessment on Alba. The Day shift nurse said she gave Alba 3 doses of pain medication post-surgery and after her last dose she has been resting well. Upon assessment you are having difficulty arousing Alba Wheezy. Her Spo2 is 81% on 6L via oxymask. What should you do?
Call Rapid Response Nurse or MET
Use adult emergency protocol to order an ABG
Increase Oxygen to 15L
Use adult emergency protocol to order a troponin
The stat ABG drawn on Alba showed: pH- 7.25, Hco3- 19, Pao2- 65, PaCo2- 65. Subsequently she was placed on a Bipap for 2 hours. A repeat ABG was drawn after 2 hours and showed: pH- 7.30, Hco3- 20, Pao2- 69, PaCo2- 52. What is the best nursing intervention for Alba?
Remove the Bipap and place on a high flow nasal cannula
Remove the Bipap and place on a nasal cannula
Remove the Bipap and place on an oxymask
Continue the Bipap
Flo Nasolot is a lung cancer patient that came into the ED with moderate respiratory distress. She is a DNR/DNI but has been continuing full cancer treatment. Flo’s Spo2 is 74% on 15L oxymask and she has not been able to tolerate a Bipap. What should we do for Flo?
Apply the high flow nasal interface
Intubate Flo
Encourage Flo to pursue comfort measures
Apply the Bipap and put Flo in restraints so she can't pull it off
Trey Kia is a chronic trach patient admitted to your floor for influenza A. Trey has been coughing up thick tan sputum throughout the day and is requiring 4L oxygen via trach collar. Trey's Spo2 decreases from 94% to 86% after a coughing fit. What are our priorities that we should we do for Trey?
Hyperoxygenate Trey Kia
Use a 14 Fr catheter to suction Trey to assist in clearing his secretions
Call a Code Blue
Call respiratory to let them know of changes to Trey
