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College-Level Nursing (2nd Half) Block 3 Test sobre Airway Management/ Oxygenation and Perfusion, creado por cpeters el 03/03/2015.

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Airway Management/ Oxygenation and Perfusion

Airway Management/ Oxygenation and Perfusion

Pregunta 1 de 21

1

A nurse is assessing a client who has an acute respiratory infection that puts her at risk for hypoxemia. Which of the following findings are early indications that should alert the nurse that the client is developing hypoxemia? (Select all that apply.)

Selecciona una o más de las siguientes respuestas posibles:

  • Restlessness

  • Tachypnea

  • Bradycardia

  • Confusion

  • Pallor

Explicación

Pregunta 2 de 21

1

A nurse is caring for a client who is having difficulty breathing. The client is lying in bed and is already receiving oxygen therapy via nasal cannula. Which of the following interventions is the nurse’s priority?

Selecciona una de las siguientes respuestas posibles:

  • Increase the oxygen flow.

  • Assist the client to Fowler’s position.

  • Promote removal of pulmonary secretions.

  • Obtain a specimen for arterial blood gases.

Explicación

Pregunta 3 de 21

1

A nurse is preparing to perform endotracheal suctioning for a client. Which of the following are appropriate guidelines for the nurse to follow? (Select all that apply.)

Selecciona una o más de las siguientes respuestas posibles:

  • Apply suction while withdrawing the catheter.

  • Perform suctioning on a routine basis, every 2 to 3 hr.

  • Maintain medical asepsis during suctioning.

  • Use a new catheter for each suctioning attempt.

  • Limit suctioning to two to three attempts.

Explicación

Pregunta 4 de 21

1

A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse take each time he provides tracheostomy care? (Select all that apply.)

Selecciona una o más de las siguientes respuestas posibles:

  • Apply the oxygen source loosely if the SpO2 decreases during the procedure.

  • Use surgical asepsis to remove and clean the inner cannula.

  • Clean the outer surfaces in a circular motion from the stoma site outward.

  • Replace the tracheostomy ties with new ties.

  • Cut a slit in gauze squares to place beneath the tube holder.

Explicación

Pregunta 5 de 21

1

A provider is discharging a client with a prescription for home oxygen therapy via nasal cannula. Client and family teaching by the nurse should include which of the following instructions? (Select all that apply.)

Selecciona una o más de las siguientes respuestas posibles:

  • Apply petroleum jelly around and inside the nares.

  • Remove the nasal cannula during mealtimes.

  • Check the position of the cannula frequently.

  • Report any nasal stuffiness, nausea, or fatigue.

  • Post “no smoking” signs in a prominent location.

Explicación

Pregunta 6 de 21

1

You are an ER nurse treating a 3-year-old trauma patient. When assessing the patient's respirations, you note that the rate is 28 per minute. According to this finding, you should

Selecciona una de las siguientes respuestas posibles:

  • move on to your next area of assessment. The patient's respirations are normal.

  • call the respiratory therapist. The patient is hyperventilating.

  • call the physician to see if he would like to order a bronchodilator.

  • try to distract the patient and make them relax. They are tachypneic.

Explicación

Pregunta 7 de 21

1

What does a pulmonary toilet do?

Selecciona una de las siguientes respuestas posibles:

  • Prevents atelectasis and removes respiratory secretions

  • Prevents bronchospasm

  • Thins and cleans blood to help prevent pulmonary emoblism.

  • Dilates bronchioles and improves gas exchange.

Explicación

Pregunta 8 de 21

1

Which of the following is NOT a technique to thin respiratory secretions?

Selecciona una de las siguientes respuestas posibles:

  • Drinking fluid

  • Dosing mucolytic medication

  • Controlled coughing

  • Moderate activity

  • Blowing nose regularly

Explicación

Pregunta 9 de 21

1

Which of the following is a high-flow oxygen delivery system?

Selecciona una de las siguientes respuestas posibles:

  • Non-rebreather mask

  • Nasal cannula

  • Venturi mask

  • Simple face mask.

Explicación

Pregunta 10 de 21

1

How would you instruct patients to use an incentive spirometer and peak flow meter?

Selecciona una de las siguientes respuestas posibles:

  • Incentive= inhale; Peak flow= exhale

  • Incentive= exhale, Peak flow= inhale

  • Both require inhalation

  • Both require exhalation.

Explicación

Pregunta 11 de 21

1

Pursed lip breathing works well with what types of patients?

Selecciona una de las siguientes respuestas posibles:

  • COPD

  • Pneumonia

  • Lung cancer

  • Cystic fibrosis

Explicación

Pregunta 12 de 21

1

Which of the following is NOT a sign of anemia?

Selecciona una de las siguientes respuestas posibles:

  • Skin pallor

  • Tachypnea and/or dyspnea

  • Decreased hemoglobin

  • Decreased hematocrit

  • Bradycardia

Explicación

Pregunta 13 de 21

1

Which of the following reflects the normal ranges for RBC count, hemoglobin, and hematocrit (respectively)?

Selecciona una de las siguientes respuestas posibles:

  • 4.2-5.14 x 10(6) cells/ mm(3); 11.7-17.4 g/dL; 38- 44%

  • 3.1- 5.14 x 10(6) cells/ mm(3); 11.0- 17.0 g/dL; 38- 54%

  • 5.6- 7.9 x 10(6) cells/ mm(3); 12.3- 19.7 g/dL; 42- 51%

  • 3.6- 5.14 x 10(6) cells/mm(3); 11.7- 17.4 g/dL; 40- 48%

Explicación

Pregunta 14 de 21

1

The amount of blood circulating and entering the right atrium is the

Selecciona una de las siguientes respuestas posibles:

  • Preload

  • Afterload

  • Stroke volume

  • Cardiac output

Explicación

Pregunta 15 de 21

1

Heart rate X Stroke volume=

Selecciona una de las siguientes respuestas posibles:

  • Preload

  • Afterload

  • Rate of perfusion

  • Cardiac ouput

Explicación

Pregunta 16 de 21

1

The pressure the heart must pump against is the

Selecciona una de las siguientes respuestas posibles:

  • Preload

  • Afterload

  • Stroke volume

  • Cardiac ouput

Explicación

Pregunta 17 de 21

1

Which of the following symptoms can indicate decreased cardiac output?

Selecciona una de las siguientes respuestas posibles:

  • Low hematocrit

  • Low hemoglobin

  • Low urine output

  • Dyspnea

Explicación

Pregunta 18 de 21

1

The SA node is found

Selecciona una de las siguientes respuestas posibles:

  • At the top of the right atrium

  • At the top of the left atrium

  • At the bottom of the right ventricle.

  • Next to the tricuspid valve.

Explicación

Pregunta 19 de 21

1

Which of the following correctly identifies the path of an electrical impulse through the heart?

Selecciona una de las siguientes respuestas posibles:

  • SA node --> AV junction --> HIS bundle --> bundle branches --> purkinjie fibers --> ventricular muscle

  • AV junction --> SA node --> bundle branches --> HIS bundle --> purkinjie fibers --> ventricular muscle

  • SA node --> HIS bundle --> AV junction --> purkinjie fibers --> bundle branches --> ventricular muscle

  • SA node --> AV junction --> bundle branches --> HIS bundle --> purkinjie fibers --> ventricular muscle

Explicación

Pregunta 20 de 21

1

The stroke volume of the heart increases in response to an increase in the volume of blood filling the heart (the end diastolic volume) when all other factors remain constant is also know as

Selecciona una de las siguientes respuestas posibles:

  • Cardiac output

  • Frank Starling Law of the Heart

  • Afterload

  • Preload

Explicación

Pregunta 21 de 21

1

Which of the following is NOT a sign or symptom of heart failure?

Selecciona una de las siguientes respuestas posibles:

  • Weakness, fatigue

  • Decreased exercise tolerance

  • Dizziness, syncope

  • Weight gain

  • Dyspnea

Explicación

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