Exam 62: Oxygenation

The nurse is preparing to perform tracheostomy care on an alert, cooperative adult client and should request an assistant prior to which step?

The nurse is caring for a client who had a chest tube inserted 48 hours ago. During the first AM assessment, the nurse noted there was intermittent bubbling of the water in the water-seal chamber. When assessing the client 2 hours later, the nurse notes that the water is now continuously bubbling. Which is the nurse's priority action at this time?

The nurse is caring for a client with pneumonia and should be most concerned about which assessment?

The nurse is caring for a group of clients with respiratory disorders and should know that which client should not be placed on continuous positive airway pressure (CPAP)to assist with respiratory distress?

The nurse is preparing to assist a client in obtaining a sputum specimen and should place the client in which position?

The nurse is caring for a client who was just placed on supplemental oxygen per nasal cannula and should contact the healthcare provider if which assessment data are noted at the next assessment? Select all that apply.

The nurse should encourage the client to use incentive spirometry prior to which procedure?

The nurse has been asked to obtain a sputum specimen from a client who is in the first postoperative day after a surgical gastric resection for stomach cancer. The nurse will ensure that which item is provided to the client to ensure an effective sputum collection?

The nurse is preparing to insert an oropharyngeal airway in an unresponsive client and should do which to ensure the airway is inserted correctly?

The nurse is caring for a client who has a chest tube. Upon assessment, the nurse notes that there is continuous bubbling of water in the suction container of the chest tube but very little if any bubbling in the water seal chamber. Which is the nurse's best action at this time?

The nurse is caring for a client with chronic obstructive pulmonary disease (COPD)who is receiving supplemental oxygen and should intervene if which delivery device is being used by the client?

The nurse is preparing to provide tracheostomy care to a 6-month-old infant and should know that which takes priority when performing this procedure?

The nurse is caring for a client with a respiratory disorder and should alert the healthcare provider if the client displays which signs or symptoms that indicate early hypoxia? Select all that apply.

The nurse is caring for an older adult client who had a tracheostomy placed 3 days ago and should know that which issue will take priority when caring for this client?

The nurse is observing a new mother use a bulb syringe to suction her newborn's nose and mouth and should provide further instruction if the mother performs which action?

The nurse is preparing to do tracheostomy care for a client and should know that which must be present at the bedside before beginning this procedure?

The nurse should know that which takes priority in assisting the client to effectively use a volume-oriented incentive spirometer?

The nurse is caring for a client with chronic obstructive pulmonary disease (COPD)who is experiencing increasing respiratory difficulty. The client has refused being placed on a mechanical ventilator and the nurse is aware that which would provide possible respiratory assistance to this client?

The nurse has just completed insertion of a nasal trumpet to assist in protecting a responsive client's airway and should place the client in which position to maintain the airway?

The nurse observes a client using the incentive spirometer and s that further instruction is required when the client performs which action?