Exam 23: Oxygen Therapy

The patient is on mechanical ventilation.Which actions by the nurse are appropriate? (Select all that apply.)

The nurse is reviewing lab results for a patient with hypoxemia.The nurse is aware that which of the following results may worsen the patient's hypoxemia? (Select all that apply.)

A patient will be using a nasal cannula continuously to deliver oxygen at home, and the nurse is instructing the patient and family about important safety guidelines.Which of the following should be included in the teaching plan? (Select all that apply.)

A patient in respiratory distress enters the emergency department.The patient denies a history of COPD.The nurse anticipates an order for oxygen delivered by which method to achieve the highest possible concentration of oxygen?

The nurse is caring for a patient on a mechanical ventilator and the low-pressure alarm sounds.Which action by the nurse is most appropriate?

The nurse is teaching a patient how to use a flow-oriented incentive spirometer (IS) the night before abdominal surgery.Which statement by the patient indicates an understanding of the procedure?

In noninvasive ventilation, ________________ keeps the terminal airways (alveoli) partially inflated, reducing the risk for atelectasis.

The nurse is caring for a patient on mechanical ventilation.The nurse determines that the endotracheal tube is properly placed by which assessment?

The nurse is caring for several patients who require oxygen therapy.The nurse anticipates an order for noninvasive positive-pressure ventilation (NIPPV) for the patients with which diagnoses? (Select all that apply.)

The nurse is caring for several patients receiving oxygen by various delivery systems.Which assessment finding by the nurse indicates proper use of the oxygen device?

A patient on mechanical ventilation has an FiO₂ setting of 38%.The nurse is reviewing arterial blood gas results and pulse oximetry readings.The nurse is aware that the desired level of oxygen is which of the following?

A patient has been using continuous positive airway pressure (CPAP), and now the health care provider is recommending bi-level positive airway pressure (BiPAP).The patient is asking the nurse to explain the difference again.Which response is appropriate?

A patient diagnosed with chronic obstructive pulmonary disease ( COPD ) is on oxygen therapy at 3 L per nasal cannula.Which assessment finding should alert the nurse to a potential problem with this patient?

A patient with a nasal cannula at 5 L/min has skin irritation around the nares and complains of a dry mouth and nose.Which action by the student nurse should be questioned by the nursing instructor?

The nurse is checking the oxygen flow rate on several patients.All flow meters are set at 2 L/min.The nurse should question this flow rate for which delivery system(s)? (Select all that apply.)

The nurse is teaching a patient with asthma how to measure peak expiratory flow rate (PEFR).What should be included in the teaching plan? (Select all that apply.)

A curved oxygen delivery device with an adjustable strap that fits around the patient's neck is known as a _______________.

A patient with a tracheostomy tube has an order for oxygen.Which action by the nurse is appropriate?

A patient with COPD has carbon dioxide retention and is ordered oxygen therapy.The nurse anticipates the use of which oxygen delivery system?

A patient is planning to perform incentive spirometry after abdominal surgery.The nurse should encourage the patient to do which of the following?