Esmeralda Espitia
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Adult health test 3 Quiz on Oxygen delivery , created by Esmeralda Espitia on 04/03/2020.

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Esmeralda Espitia
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Oxygen delivery

Question 1 of 32

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1. The nurse uses a diagram to show that when the diaphragm moves:

Select one of the following:

  • up, the increased negative pressure in the thoracic space forces air into the lungs.

  • down, the intercostal muscles retract, forcing air out of the lungs.

  • down, the negative pressure in the thoracic space pulls air into the lungs.

  • up, the decreased negative pressure allows air to enter the lungs.

Explanation

Question 2 of 32

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2. The nurse clarifies that the condition in which there is a decreased amount of oxygen in the blood is:

Select one of the following:

  • hypoxia.

  • hypercapnia.

  • dyspnea.

  • hypoxemia.

Explanation

Question 3 of 32

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3. The nurse monitoring patients eating in the dining room of a skilled nursing facility notes that a patient begins choking. As the nurse prepares to deliver the Heimlich maneuver, the fist should be positioned:

Select one of the following:

  • halfway between the xiphoid process and the umbilicus.

  • directly over the sternum.

  • between the umbilicus and the symphysis pubis.

  • directly over the umbilicus.

Explanation

Question 4 of 32

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4. A patient has collapsed and cannot be aroused by asking loudly, Are you okay? The next action should be to:

Select one of the following:

  • position the fingers over the carotid artery to feel for a pulse.

  • tilt the head by placing one hand on the forehead and lift the chin.

  • call for help or, if there is assistance, have that person get help.

  • deliver two quick short breaths into the patients airway.

Explanation

Question 5 of 32

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5. The nurse instructing the patient to perform forceful exhalation coughing would teach the patient to take in:

Select one of the following:

  • one deep breath and quickly exhale.

  • two breaths and force the air out quickly.

  • two deep breaths, then inhale deeply again and force out the air quickly.

  • one breath, hold it for 3 seconds, then forcefully exhale three times with mouth open.

Explanation

Question 6 of 32

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6. The nurse is aware that the best time to schedule a postural drainage treatment is:

Select one of the following:

  • shortly after the patient arises in the morning, before breakfast.

  • in the morning immediately after breakfast.

  • 30 minutes after lunch.

  • 1 hour after supper.

Explanation

Question 7 of 32

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7. A patient who will begin oxygen therapy has a history of sinus disorders. This patient would benefit most from which oxygen setup?

Select one of the following:

  • High oxygen flow rate

  • A humidifier

  • A Venturi mask

  • A nasal cannula

Explanation

Question 8 of 32

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8. A patient has a history of chronic obstructive pulmonary disease. The patients oxygen flow rate should be set to no more than _____ L/min.

Select one of the following:

  • 5 to 10

  • 4 to 5

  • 2 to 3

  • 1 to 2

Explanation

Question 9 of 32

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9. The nurse loosens mucus plugs by using percussion on a patient over the area of the:

Select one of the following:

  • sternum.

  • thorax.

  • spine between the scapulae.

  • midaxillary line on the rib cage.

Explanation

Question 10 of 32

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10. A patient requires a precise concentration of 40% oxygen. Which of the following devices would best allow for this?

Select one of the following:

  • A simple face mask

  • A non-rebreather mask

  • A partial rebreathing mask

  • A Venturi mask

Explanation

Question 11 of 32

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11. The nurse recognizes that a post-operative patient who can breathe independently but has trouble maintaining an airway because of the tongue falling back into the throat would be best benefited by a(n):

Select one of the following:

  • pharyngeal airway.

  • endotracheal tube.

  • tracheostomy

  • partial rebreather oxygen mask.

Explanation

Question 12 of 32

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12. A nurse performing oral suctioning on an adult patient should set the wall suction machine so that the suction pressure is between _____ mm Hg.

Select one of the following:

  • 25 and 50

  • 50 and 75

  • 80 and 120

  • 120 and 180

Explanation

Question 13 of 32

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13. A nurse caring for a patient with a tracheostomy should determine whether the patient needs suctioning by:

Select one of the following:

  • monitoring the rate of respirations.

  • determining the last time the patient was suctioned.

  • examining the character of the sputum.

  • auscultating the breath sounds.

Explanation

Question 14 of 32

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14. A patient requires suctioning via the nasotracheal route. In order to perform this procedure safely, the nurse should:

Select one of the following:

  • apply suction while advancing the catheter into the airway.

  • suction the nasotracheal passage after suctioning the mouth.

  • hold the catheter with the dominant hand after donning sterile gloves.

  • insert the non-lubricated catheter into the nasal passage.

Explanation

Question 15 of 32

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15. The nurse recognizes that, immediately before a tracheotomy cuff deflation, the patient should:

Select one of the following:

  • be administered extra oxygen.

  • have the pharynx suctioned.

  • have the cuff pressure checked.

  • be monitored for respiratory rate.

Explanation

Question 16 of 32

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16. The nurse takes into consideration that while caring for a patient on oxygen therapy, safety precautions should be observed, which include:

Select one of the following:

  • using clothing of synthetic cloth for the patient.

  • removing any adhesive from the patients skin with acetone.

  • assessing equipment in room for frayed cords.

  • reducing humidification on the oxygen delivery device.

Explanation

Question 17 of 32

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17. A nurse caring for a patient with a water seal type chest drainage that is on low suction assesses that there is constant bubbling in the suction container. The nurse should:

Select one of the following:

  • immediately turn the patient to the side of the insertion site.

  • check for air leaks in drainage system.

  • include findings in documentation.

  • clamp the chest tube and place the patient in high Fowlers position.

Explanation

Question 18 of 32

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18. A nurse is aware that adequate hydration is necessary to mobilize respiratory secretions. To thin respiratory secretions for easier expectoration, the patient should consume at least _____ mL/day.

Select one of the following:

  • 500 to 1000

  • 1000 to 1500

  • 1500 to 2000

  • 2500 to 3000

Explanation

Question 19 of 32

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19. The nurse would determine that this patient is aware of how to use the incentive spirometer device properly when the patient:

Select one of the following:

  • took 10 slow, deep breaths every hour.

  • took five quick huffs and then coughed vigorously.

  • exhaled deeply and then inhaled quickly and forcefully three times.

  • took five deep breaths slowly every 4 hours.

Explanation

Question 20 of 32

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20. The nurse assists the patient with emphysema into the most beneficial position to facilitate respiration, which is:

Select one of the following:

  • semi-Fowlers position with a single pillow behind the head.

  • high Fowlers position without a pillow behind the head.

  • right lateral with the head of the bed elevated 45 degrees.

  • sitting upright and forward with arms supported on an over-the-bed table.

Explanation

Question 21 of 32

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21. The nurse performing tracheotomy care will:

Select one of the following:

  • raise the head of the bed to high Fowlers position.

  • remove the inner cannula with the ungloved hand.

  • suction tracheotomy before beginning care.

  • clean cannula with gauze and replace and lock.

Explanation

Question 22 of 32

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22. The nurse caring for a patient with a disposable chest drainage system can promote effective tube function and patient safety by:

Select one of the following:

  • taping all connections within the system.

  • keeping the system at the level of the patients chest.

  • turning on suction to 35 cm.

  • looping the tubing between the mattress and the bed rail to minimize length.

Explanation

Question 23 of 32

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23. The nurse takes into consideration that a pulse oximeter may not give an accurate reading if the patient is:

Select one of the following:

  • dark skinned.

  • jaundiced.

  • obese.

  • febrile.

Explanation

Question 24 of 32

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24. The nurse clarifies that the cough mechanism is stimulated when:

Select one of the following:

  • foreign substances are propelled by the cilia toward the respiratory tract.

  • dehumidified air enters the upper airway passages.

  • more than 250 mL of air moves in and out of the lungs with each breath.

  • the blood transports carbon dioxide to the lungs.

Explanation

Question 25 of 32

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25. When assessing the lungs of a patient, the nurse assesses a wheezing sound on inspiration. This finding is documented as:

Select one of the following:

  • apnea.

  • dyspnea.

  • stridor

  • retractions

Explanation

Question 26 of 32

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Fill the blank spaces to complete the text.

26. A sputum specimen is best obtained just after the patient or after a treatment because this is when there is more mucus available or when it is easier to cough up.

Explanation

Question 27 of 32

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Fill the blank space to complete the text.

27. When obtaining a sputum specimen, the nurse should provide the patient with a sterile sputum cup and teach the patient to rinse her mouth with

Explanation

Question 28 of 32

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Fill the blank space to complete the text.

28. The nurse explains that the rate of respiration is triggered when the medulla senses a change in the level of ions in the blood.

Explanation

Question 29 of 32

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Fill the blank space to complete the text.

29. The nurse administering cardiopulmonary resuscitation (CPR) would administer chest compressions at the rate of compressions/minute.

Explanation

Question 30 of 32

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30. When a patient with a tracheostomy tube is taken care of at home by family, tracheostomy care instructions from the nurse include: (Select all that apply.)

Select one or more of the following:

  • use sterile gloves during suctioning.

  • avoid going to crowded theaters and malls.

  • change catheters every 8 hours.

  • keep the home environment free of dust.

  • use bleach to clean suction equipment.

Explanation

Question 31 of 32

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31. The nurse is aware that changes occur in the respiratory system after the age of 70 that put the elderly more at risk for respiratory problems. These changes include: (Select all that apply.)

Select one or more of the following:

  • decreased oxygen saturation.

  • increased elasticity in thorax and respiratory tissues.

  • incomplete expirations.

  • thinning of alveolar membrane.

  • impaired cilia.

Explanation

Question 32 of 32

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32. The multiple causes for hypoxia include: (Select all that apply.)

Select one or more of the following:

  • extreme fright.

  • aspirated vomit.

  • pulmonary fibrosis.

  • hiccoughs.

  • high altitude.

Explanation

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