Exam 23: Oxygen Therapy

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

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

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 is admitted to the emergency department following a motor vehicle accident.The patient is unconscious and has a broken jaw,a broken nose,and facial lacerations.The patient's breath sounds are diminished,and the health care provider suspects atelectasis.Frequent suctioning is required to clear the airway.Oxygen saturation levels range from 70% to 75%.The nurse recognizes that this patient most likely will have which type of ventilatory device ordered?

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

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?

A patient in respiratory distress enters the emergency department.The patient denies a history of chronic obstructive pulmonary disease (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 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. )

The ________,also called a Briggs adaptor,connects an oxygen source to an artificial airway such as an endotracheal tube.

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

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

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 pneumonia is receiving supplemental oxygen.Which assessment finding(s)by the nurse should be reported as an early indication of hypoxia?

The amount of air inspired and expired with each breath while a patient is on mechanical ventilation is known as the ________________.

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

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?

The nurse is assessing a patient for hypoxia and observes a bluish discoloration in the following areas.Which areas indicate hypoxia? (Select all that apply. )

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?