Deck 87: Digestive Disorders

Question 1

What is the most important safety issue related to oxygen administration, that the nurse should consider?

A) Oxygen allows common flammable materials to burn faster and hotter.
B) Oxygen should be given to all clients postoperatively to prevent nosocomial infections.
C) Oxygen can increase the heart's work of pumping blood.
D) Decreased oxygen concentration weakens the stimulus to breathe.

Answer 1

Oxygen allows common flammable materials to burn faster and hotter.

Question 2

The nurse is explaining to a client diagnosed with cystic fibrosis the goals of the oxygen therapy being prescribed. Which is a therapeutic effect of oxygen administration?

A) It reverses high and low oxygen concentrations in the blood.
B) It increases the work of the respiratory system, allowing it to work more efficiently.
C) It decreases the heart's work in pumping blood and eases the heart's load.
D) It affects ventilatory drive control mechanisms and increases the stimulus to breathe.

Answer 2

It decreases the heart's work in pumping blood and eases the heart's load.

Question 3

The nurse administering oxygen to clients with respiratory disorders is careful to monitor concentrations to prevent oxygen toxicity. How does this adverse reaction manifest itself?

A) Changes in heart rate
B) Changes in level of consciousness
C) Changes in blood pressure
D) Changes in lung tissue

Answer 3

Changes in lung tissue

Question 4

A nurse is caring for a newborn receiving 100% oxygen for resuscitation through an oxygen mask. What potential complication is of most concern for in this client?

A) Thermal burns
B) Decreased pulse
C) Dry and irritated nares
D) Vision difficulties

Question 5

A client after cardiac arrest is receiving oxygen therapy via a mask. What unit should the nurse use to document the amount of oxygen delivered?

A) Liters per minute
B) Milliliters per minute
C) Pounds per square inch
D) Liters per square inch

Question 6

A nurse is caring for a client receiving oxygen from a large oxygen cylinder. What measure should the nurse implement to minimize the risk of injury?

A) Ensure that the cylinder is always kept away from heat.
B) Connect the cylinder to the client without changing the pressure.
C) Roll the cylinder in a horizontal position when moving it.
D) Remember to keep the valve of the cylinder turned on at all times.

Question 7

A nurse is caring for a client receiving oxygen through a portable liquid-oxygen stroller. What measure should the nurse implement when operating the stroller?

A) Refill the stroller using small oxygen cylinders.
B) Reduce the pressure in the stroller before connecting it to the client.
C) Take measures to keep the stroller upright at all times.
D) Connect the tubing of the stroller to an electric plug.

Question 8

The nurse is preparing to discharge a client who is on supplemental oxygen to his home. Which oxygen delivery system is widely used in home care settings for its safety and convenience?

A) Hyperbaric chamber
B) Large oxygen cylinder
C) Wall outlet unit
D) Concentrator

Question 9

The nurse knows that when administering oxygen to an individual who is having difficulty breathing, the type of device that is used is critically important. What is the primary concern when delivering oxygen to a client?

A) Ease of oxygen delivery
B) Delivery of desired concentration
C) Monitoring of ABGs
D) Comfort of the client

Question 10

A nurse is caring for a client who has been ordered oxygen using a nasal cannula. What care should the nurse take to ensure client comfort?

A) Clean the cannula and examine the client's nares every hour.
B) Set the oxygen flow rate to not less than 6 liters per minute (LPM).
C) Guide the elastic strap over the top of the client's head.
D) Attach the humidifier to the flow meter.

Question 11

The nurse is using a simple mask on a client prescribed supplemental oxygen. What is the minimum oxygen flow rate for oxygen delivery using a simple mask to prevent carbon dioxide buildup?

A) 6 LPM
B) 8 LPM
C) 10 LPM
D) 12 LPM

Question 12

The nurse is selecting an oxygen mask for a client diagnosed with pneumonia who requires an oxygen concentration of 75% with a flow rate around 10 LPM. Which mask would be a good choice for this client?

A) Simple mask
B) Partial-rebreathing mask
C) "Non-rebreathing" mask
D) Venturi mask

Question 13

A nurse is caring for a client receiving oxygen through a non-rebreathing mask (NRM). What measure should the nurse employ when caring for the client?

A) Avoid leaving a client alone while they are wearing an NRM.
B) Set a flow rate that keeps the bag completely inflated.
C) Allow the client to turn and reposition every 1 to 2 hours.
D) Keep an emergency manual breathing bag readily available.

Question 14

A nurse is caring for a client diagnosed with chronic obstructive pulmonary disease (COPD) receiving supplemental oxygen through a Venturi mask. What measure should the nurse employ when caring for this client?

A) Connect a humidifier at one end of the mask adapter.
B) Ensure that the windows of the mask remain exposed to room air.
C) Set flow rate required to keep the bag inflated one third full.
D) Place a folded towel behind the client's neck to hyperextend it.

Question 15

A nurse is applying an oxygen mask for a client diagnosed with chronic obstructive pulmonary disease (COPD) that provides the most reliable and consistent oxygen enrichment. Which mask has the nurse chosen?

A) Partial-rebreathing mask
B) Nonrebreathing mask
C) Venturi mask
D) Simple mask

Question 16

Intermittent positive pressure breathing (IPPB) treatments are prescribed for a young client diagnosed with cystic fibrosis. What is the goal of IPPB?

A) Liquefy mucus
B) Hydrate sputum
C) Relax bronchioles
D) Fight infection

Question 17

The nurse caring for clients in the ICU notices that a client is not breathing. What should be the immediate nursing intervention for this client?

A) Initiate chest compressions
B) Initiate respirations
C) Stabilize the neck
D) Call for assistance

Question 18

The nurse has assisted with the intubation of a client diagnosed with status asthmaticus. What should the nurse do to verify proper placement of the endotracheal tube (ET)?

A) Palpate the neck.
B) Slightly pull on the tubing.
C) Obtain a chest x-ray.
D) Obtain a MRI.

Question 19

What condition might occur if an endotracheal tube (ET) is incorrectly placed?

A) Hyperventilation
B) Gastric distention
C) Pneumothorax
D) Anergy

Question 20

The nurse is caring for a client who is intubated following trauma to the chest. Which nursing measures should the nurse perform while the client is intubated? Select all that apply.

A) Provide oral care every 4 hours.
B) Monitor placement of the endotracheal tube.
C) Keep the client lying flat to prevent tube slippage.
D) Monitoring respiratory status.
E) Reposition client frequently to minimize the risk of developing pneumonia.

Question 21

The nurse is teaching a student nurse the use of mechanical ventilators for clients in ventilatory failure. Which teaching point regarding this procedure is accurate?

A) A mechanical ventilator is a machine that can be connected to the client via an endotracheal tube (ET).
B) Mechanical ventilation is used if a client can achieve adequate tissue oxygenation.
C) A mechanical ventilator is a machine that forces carbon dioxide into the lungs.
D) In all settings, the nurse is responsible for adjusting the settings on the ventilator.

Question 22

The respiratory therapist explains to the nurse that the positive pressure ventilator pushes air into the lungs of a client through a circuit that joins the machine and the client. Which mode of operation breathes for the client, forcing a breath at set time intervals?

A) Volume ventilation
B) Pressure ventilation
C) Assisted-breath ventilation
D) Controlled-breath ventilation

Question 23

Which client would most likely require chronic mechanical ventilation?

A) A client who has a spinal cord injury
B) A client who has had extensive surgery
C) A client who experienced a drug overdose
D) A client who has pneumonia in both lungs

Question 24

A nurse is caring for an unconscious client who has undergone a tracheostomy. What measure should the nurse take while suctioning this client?

A) Place the client in a semi- or high Fowler position.
B) Insert the suction catheter about an inch into the trachea.
C) Avoid applying suction when inserting the suction catheter.
D) Suction the tube continuously for at least 30 seconds.

Question 25

A nurse is caring for a client receiving mechanical ventilation through a tracheostomy tube. What measure should the nurse employ with this client?

A) Ask the client to avoid turning in bed.
B) Perform tracheal suctioning, as needed.
C) Hyperextend the client's neck sufficiently.
D) Secure the tube in place using a sterile dressing.

Question 26

A nurse is caring for a client who underwent a tracheostomy following throat surgery. What is the rationale for swabbing the area around the outside of the tracheostomy tube with hydrogen peroxide?

A) To relieve bronchospasm
B) To hydrate thick sputum
C) To reduce inflammation
D) To remove encrusted secretions