Deck 14: Oxygenation

Question 1

An 80-year-old male patient has been admitted to the acute care facility with the diagnosis of pneumonia.He is receiving oxygen via nasal cannula at 2 L/min.The nurse assesses respirations at 24/min,PaO₂ level 88 mm Hg,and pink skin tone.What action should the nurse implement?

A) Notify thehealth care provider.
B) Increase oxygen to 4 L/min.
C) Record PaO₂ level.
D) Administer nebulizer treatment.

Answer 1

Record PaO₂ level.

Question 2

The wife of a patient with a cuffed tracheostomy asks why the cuff is inflated intermittently.What is the purpose of the inflated cuff?

A) Prevent regurgitation after meals.
B) Hold the trachea open until it is completely healed.
C) Dilate the tracheal opening for passage of secretions.
D) Prevent aspiration when eating.

Answer 2

Prevent aspiration when eating.

Question 3

A _____________ cannula is a device consisting of small tubes inserted into the nares and is the most common way to administer oxygen.

Answer 3

nasal

Question 4

When an older adult patient with chronic emphysema comes to the emergency department in respiratory distress,at what rate should the nurse begin oxygen per nasal cannula?

A) 2 L/min
B) 3 L/min
C) 4 L/min
D) 5 L/min

Question 5

What is the appropriate value for the venturi mask? Oxygen delivery devices with percent of oxygen delivered
$$\begin{array} { l l } \text { Delvery device } & \text { Amount of delivered } \mathrm { FiO } _ { 2 } \\\text { Nasal carrula } & 1 - 6 \mathrm { I } / \mathrm { min } = 24 \% - 44 \% \mathrm { O } _ { 2 } \\\text { simple face mask } & 5 - 8 \mathrm { I } / \mathrm { min } = 35 \% - 55 \% \mathrm { O } _ { 2 } \\\text { Venturi mask } & \\\text { Partial rebreather mask } & 6 - 12 \mathrm { I } / \mathrm { min } = 60 \% - 90 \% \mathrm { O } _ { 2 } \\\text { Nerrebreather mask } & 6 - 15 \mathrm { I } / \mathrm { min } = 70 \% - 100 \% \mathrm { O } _ { 2 }\end{array}$$

A) 1-6 L/min = 24%-44% O₂
B) 5-8 L/min = 35%-55% O₂
C) 4-10 L/min = 24%-55% O₂
D) 6-12 L/min = 60%-90% O₂
E) 6-15 L/min = 70%-100% O₂

Question 6

A patient has a new health care provider's order for oxygen administration at 2 L via nasal cannula.Who can initiate implementation of this order? (Select all that apply. )

A) RN
B) UAP
C) Respiratory therapist
D) EMT
E) Nutritional specialist

Question 7

The nurse instructs a patient receiving home O₂ therapy to drink plenty of fluids to help keep bronchial secretions liquefied.What is the recommended fluid?

A) Milk
B) Water
C) Tea with artificial sweetener
D) Coffee

Question 8

Which of the following is an appropriate nursing measure when performing tracheostomy care?

A) Wear clean gloves.
B) Insert the catheter without suction.
C) Suction for 1 minute before removing the catheter.
D) Place the used catheter in a plastic shield for later use.

Question 9

The nurse is caring for a patient with an endotracheal tube.What interventions will the nurse implement? (Select all that apply. )

A) Change or clean all respiratory therapy equipment every 24 hours.
B) Turn and reposition the patient every 2 hours.
C) Provide constant airway humidification.
D) Encourage intake of fruits and vegetables.
E) Elevate the head of the bed.

Question 10

When suctioning a tracheostomy suction may be applied for a maximum of __ seconds at a time never longer.