Deck 36: Oxygen Needs
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Deck 36: Oxygen Needs
1
Difficult,labored,or painful breathing is
A)Apnea
B)Bradypnea
C)Dyspnea
D)Orthopnea
A)Apnea
B)Bradypnea
C)Dyspnea
D)Orthopnea
Dyspnea
2
Respirations are less than 12 per minute.This is
A)Apnea
B)Bradypnea
C)Orthopnea
D)Tachypnea
A)Apnea
B)Bradypnea
C)Orthopnea
D)Tachypnea
Bradypnea
3
Respirations gradually increase in rate and depth and then become shallow and slow.Breathing may stop for 10 to 20 seconds.This is
A)Biot's respirations
B)Cheyne-Stokes respirations
C)Kussmaul respirations
D)Hypoventilation
A)Biot's respirations
B)Cheyne-Stokes respirations
C)Kussmaul respirations
D)Hypoventilation
Cheyne-Stokes respirations
4
Breathing is slow,shallow,and sometimes irregular.This is
A)Bradypnea
B)Tachypnea
C)Hypoventilation
D)Hyperventilation
A)Bradypnea
B)Tachypnea
C)Hypoventilation
D)Hyperventilation
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5
Breathing is rapid and deeper than normal.This is
A)Bradypnea
B)Tachypnea
C)Hypoventilation
D)Hyperventilation
A)Bradypnea
B)Tachypnea
C)Hypoventilation
D)Hyperventilation
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6
Sitting up in bed and leaning over a table to breathe is
A)Fowler's position
B)Semi-Fowler's position
C)Orthopneic position
D)Hypoxic position
A)Fowler's position
B)Semi-Fowler's position
C)Orthopneic position
D)Hypoxic position
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7
You are not responsible for oxygen therapy because
A)Oxygen is a fire hazard
B)Nursing assistants do not give drugs
C)A doctor's order is needed
D)It is not part of your training
A)Oxygen is a fire hazard
B)Nursing assistants do not give drugs
C)A doctor's order is needed
D)It is not part of your training
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8
A person can breathe deeply and comfortably only when sitting.This is
A)Apnea
B)Bradypnea
C)Dyspnea
D)Orthopnea
A)Apnea
B)Bradypnea
C)Dyspnea
D)Orthopnea
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9
Bloody sputum is
A)Hemothorax
B)Hemoptysis
C)Pleural effusion
D)Pneumothorax
A)Hemothorax
B)Hemoptysis
C)Pleural effusion
D)Pneumothorax
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10
Respirations are greater than 20 per minute.This is
A)Apnea
B)Bradypnea
C)Dyspnea
D)Tachypnea
A)Apnea
B)Bradypnea
C)Dyspnea
D)Tachypnea
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11
Rapid and deep respirations followed by 10 to 30 seconds of apnea is
A)Biot's respirations
B)Bradypnea
C)Cheyne-Stokes respirations
D)Orthopnea
A)Biot's respirations
B)Bradypnea
C)Cheyne-Stokes respirations
D)Orthopnea
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12
The amount of hemoglobin containing oxygen is
A)Hypoxia
B)Hypoxemia
C)Oxygen concentration
D)Alveolar-capillary exchange
A)Hypoxia
B)Hypoxemia
C)Oxygen concentration
D)Alveolar-capillary exchange
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13
A resident is sensitive to a substance.The person's body reacts with signs and symptoms.This is
A)A pollutant
B)An allergy
C)Hypoxia
D)Hypoxemia
A)A pollutant
B)An allergy
C)Hypoxia
D)Hypoxemia
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14
Respiratory arrest is when
A)Breathing has stopped
B)The heart has stopped
C)Respirations are very rapid
D)Breathing and heart action have stopped
A)Breathing has stopped
B)The heart has stopped
C)Respirations are very rapid
D)Breathing and heart action have stopped
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15
Hypoxia means
A)Respiratory depression
B)Cells do not have enough oxygen
C)Breathing stops
D)Slow and weak respirations
A)Respiratory depression
B)Cells do not have enough oxygen
C)Breathing stops
D)Slow and weak respirations
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16
The lack of or absence of breathing is
A)Apnea
B)Kussmaul respirations
C)Bradypnea
D)Hypoxia
A)Apnea
B)Kussmaul respirations
C)Bradypnea
D)Hypoxia
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17
Respirations are very deep and rapid.They are
A)Biot's respirations
B)Cheyne-Stokes respirations
C)Kussmaul respirations
D)Hypoventilation
A)Biot's respirations
B)Cheyne-Stokes respirations
C)Kussmaul respirations
D)Hypoventilation
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18
A reduced amount of oxygen in the blood is
A)Hypoxemia
B)Hypoxia
C)Oxygen concentration
D)Respiratory depression
A)Hypoxemia
B)Hypoxia
C)Oxygen concentration
D)Respiratory depression
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19
Respirations are slow and weak.They are not deep enough to bring air into the lungs.This is
A)Respiratory arrest
B)Respiratory depression
C)Bradypnea
D)Biot's respirations
A)Respiratory arrest
B)Respiratory depression
C)Bradypnea
D)Biot's respirations
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20
A harmful chemical or substance in the air or water is
A)An allergy
B)An irritant
C)A pollutant
D)An allergen
A)An allergy
B)An irritant
C)A pollutant
D)An allergen
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21
Aging affects oxygen needs in the following ways except
A)Respiratory muscles weaken
B)Lung tissue is less elastic
C)Coughing strength decreases
D)Body temperature increases
A)Respiratory muscles weaken
B)Lung tissue is less elastic
C)Coughing strength decreases
D)Body temperature increases
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22
Alcohol use causes what effect on the brain?
A)Depression
B)Excitement
C)Pain and fever
D)Decreases aspiration risk
A)Depression
B)Excitement
C)Pain and fever
D)Decreases aspiration risk
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23
A productive cough produces
A)Sputum
B)Cyanosis
C)Chest pain
D)Shortness of breath
A)Sputum
B)Cyanosis
C)Chest pain
D)Shortness of breath
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24
You find a person leaning forward over a table.What should you do?
A)Tell the nurse.
B)Remind the person to sit straight.
C)Give oxygen.
D)Provide a postural support.
A)Tell the nurse.
B)Remind the person to sit straight.
C)Give oxygen.
D)Provide a postural support.
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25
The earliest signs of hypoxia are
A)Cyanosis,dyspnea,and increased pulse rate
B)Sitting and leaning forward
C)Restlessness,dizziness,and disorientation
D)Fatigue and agitation
A)Cyanosis,dyspnea,and increased pulse rate
B)Sitting and leaning forward
C)Restlessness,dizziness,and disorientation
D)Fatigue and agitation
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26
Oxygen needs increase with the following except
A)Exercise
B)Fever
C)Rest
D)Pain
A)Exercise
B)Fever
C)Rest
D)Pain
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27
The following are reported to the nurse except
A)Respirations that are quiet,effortless,and regular
B)Noisy respirations
C)The color,odor,and consistency of sputum
D)Changes in vital signs
A)Respirations that are quiet,effortless,and regular
B)Noisy respirations
C)The color,odor,and consistency of sputum
D)Changes in vital signs
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28
Oxygen and carbon dioxide are exchanged
A)In the upper airway
B)In lung tissue
C)At the alveoli
D)In the lower airway
A)In the upper airway
B)In lung tissue
C)At the alveoli
D)In the lower airway
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29
Persons who are in cardiac arrest or respiratory arrest have
A)Apnea
B)Bradypnea
C)Biot's respirations
D)Hypoventilation
A)Apnea
B)Bradypnea
C)Biot's respirations
D)Hypoventilation
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30
Which statement about hypoxia is incorrect?
A)The brain is very sensitive to inadequate oxygen.
B)Hypoxia threatens life.
C)Anything affecting respiratory function can cause hypoxia.
D)Hyperventilation is needed.
A)The brain is very sensitive to inadequate oxygen.
B)Hypoxia threatens life.
C)Anything affecting respiratory function can cause hypoxia.
D)Hyperventilation is needed.
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31
Excessive amounts of alcohol intake
A)Cause pneumonia
B)Reduce the cough reflex
C)Decrease the risk of aspiration
D)Obstruct the airway
A)Cause pneumonia
B)Reduce the cough reflex
C)Decrease the risk of aspiration
D)Obstruct the airway
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32
To produce red blood cells,the body needs
A)Protein
B)Fats
C)Carbohydrates
D)Iron and vitamins
A)Protein
B)Fats
C)Carbohydrates
D)Iron and vitamins
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33
Brain damage can affect
A)Respiratory rate,rhythm,and depth
B)Bone marrow function
C)Allergies and pollutant exposure
D)Lung tissue elasticity
A)Respiratory rate,rhythm,and depth
B)Bone marrow function
C)Allergies and pollutant exposure
D)Lung tissue elasticity
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34
Which statement about the respiratory system and oxygen needs is incorrect?
A)To meet oxygen needs,respiratory structures must be intact.
B)To meet oxygen needs,alveoli must exchange O2 and CO2.
C)To meet oxygen needs,the airway must be open.
D)To meet oxygen needs,oxygen therapy is needed.
A)To meet oxygen needs,respiratory structures must be intact.
B)To meet oxygen needs,alveoli must exchange O2 and CO2.
C)To meet oxygen needs,the airway must be open.
D)To meet oxygen needs,oxygen therapy is needed.
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35
The following can cause tachypnea except
A)Fever and exercise
B)Pain
C)Narcotic overdose
D)Airway obstruction
A)Fever and exercise
B)Pain
C)Narcotic overdose
D)Airway obstruction
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36
A person has cardiovascular disease.The person has narrowed blood vessels.Why are oxygen needs affected?
A)The person does not have enough blood cells.
B)The person's heart cannot pump blood well because of pressure around the heart.
C)Blood flow to and from the heart is affected.
D)Blood loss occurs with cardiovascular disease.
A)The person does not have enough blood cells.
B)The person's heart cannot pump blood well because of pressure around the heart.
C)Blood flow to and from the heart is affected.
D)Blood loss occurs with cardiovascular disease.
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37
Cyanosis can be observed in the following except
A)Skin
B)Lips and mucous membranes
C)Nail beds
D)Eyes
A)Skin
B)Lips and mucous membranes
C)Nail beds
D)Eyes
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38
Which part of the blood carries oxygen?
A)Red blood cells
B)White blood cells
C)Platelets
D)Plasma
A)Red blood cells
B)White blood cells
C)Platelets
D)Plasma
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39
Mucus from the respiratory tract that is expectorated through the mouth is
A)Saliva
B)Sputum
C)Hemoptysis
D)Hypoxia
A)Saliva
B)Sputum
C)Hemoptysis
D)Hypoxia
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40
Narcotics affect oxygen needs because they
A)Cause brain damage
B)Depress the respiratory center in the brain
C)Decrease heart rate and blood flow
D)Cause swelling of the mucous membranes in the upper airway
A)Cause brain damage
B)Depress the respiratory center in the brain
C)Decrease heart rate and blood flow
D)Cause swelling of the mucous membranes in the upper airway
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41
A person has a pulse oximetry sensor on a left finger.When measuring blood pressure,you should
A)Remove the sensor and re-apply it after measuring blood pressure
B)Use the right arm
C)Use a larger cuff
D)Change the sensor site
A)Remove the sensor and re-apply it after measuring blood pressure
B)Use the right arm
C)Use a larger cuff
D)Change the sensor site
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42
The following affect pulse oximetry measurements except
A)Dark light
B)Nail polish
C)Fake nails
D)Movement
A)Dark light
B)Nail polish
C)Fake nails
D)Movement
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43
Lying on one side for too long
A)Leads to the need for suctioning
B)Leads to deep breathing and coughing
C)Prevents the use of pulse oximetry
D)Allows secretions to pool
A)Leads to the need for suctioning
B)Leads to deep breathing and coughing
C)Prevents the use of pulse oximetry
D)Allows secretions to pool
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44
Which involves inserting a needle into the chest wall?
A)Chest x-ray
B)Lung scan
C)Bronchoscopy
D)Thoracentesis
A)Chest x-ray
B)Lung scan
C)Bronchoscopy
D)Thoracentesis
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45
Pulse oximetry monitors display
A)SpO2 and the respiratory rate
B)The respiratory rate and pulse rate
C)SpO2 and pulse rate
D)Vital signs
A)SpO2 and the respiratory rate
B)The respiratory rate and pulse rate
C)SpO2 and pulse rate
D)Vital signs
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46
Which test measures the amount of air moving into and out of the lungs?
A)Pulse oximetry
B)Incentive spirometry
C)Pulmonary function tests
D)Arterial blood gases
A)Pulse oximetry
B)Incentive spirometry
C)Pulmonary function tests
D)Arterial blood gases
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47
A radioisotope is given for a
A)Chest x-ray
B)Lung scan
C)Bronchoscopy
D)Thoracentesis
A)Chest x-ray
B)Lung scan
C)Bronchoscopy
D)Thoracentesis
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48
On children,the pulse oximetry sensor is attached to the sole of a foot,palm of a hand,a toe,or an earlobe.
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49
Pulse oximetry is ordered.Which is not a sensor site?
A)Chest
B)Finger
C)Nose
D)Earlobe
A)Chest
B)Finger
C)Nose
D)Earlobe
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50
Which can cause part of a lung to collapse?
A)Deep breathing and coughing
B)Mucus collecting in the airway
C)Mechanical ventilation
D)Suctioning
A)Deep breathing and coughing
B)Mucus collecting in the airway
C)Mechanical ventilation
D)Suctioning
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51
Respiratory secretions do the following except
A)Promote coughing and deep breathing
B)Interfere with air movement
C)Interfere with lung function
D)Provide an environment for microbes to grow
A)Promote coughing and deep breathing
B)Interfere with air movement
C)Interfere with lung function
D)Provide an environment for microbes to grow
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52
A pulse oximeter has an alarm.The alarm sounds when
A)The respiratory rate is too high
B)The respiratory rate is too low
C)The SpO2 is low
D)Temperature is elevated
A)The respiratory rate is too high
B)The respiratory rate is too low
C)The SpO2 is low
D)Temperature is elevated
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53
A resident is on bedrest.The person will require
A)Deep-breathing and coughing exercises
B)Suctioning
C)Pulse oximetry
D)Incentive spirometry and oxygen therapy
A)Deep-breathing and coughing exercises
B)Suctioning
C)Pulse oximetry
D)Incentive spirometry and oxygen therapy
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54
Which SpO2 is abnormal?
A)93%
B)95%
C)97%
D)99%
A)93%
B)95%
C)97%
D)99%
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55
Which removes mucus?
A)Coughing
B)Deep breathing
C)Incentive spirometry
D)Surgery
A)Coughing
B)Deep breathing
C)Incentive spirometry
D)Surgery
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56
To prevent respiratory complications,the person is re-positioned at least every
A)Hour
B)2 hours
C)4 hours
D)Shift
A)Hour
B)2 hours
C)4 hours
D)Shift
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57
A resident is in the orthopneic position.How can you increase the person's comfort?
A)Place a pillow under the person's head and shoulders.
B)Place a pillow on the table.
C)Raise the head of the bed.
D)Lower the head of the bed.
A)Place a pillow under the person's head and shoulders.
B)Place a pillow on the table.
C)Raise the head of the bed.
D)Lower the head of the bed.
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58
Lying on one side for too long
A)Prevents lung expansion on that side
B)Causes coughing
C)Causes pneumothorax
D)Prevents a patent airway
A)Prevents lung expansion on that side
B)Causes coughing
C)Causes pneumothorax
D)Prevents a patent airway
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59
A part of a person's lung has collapsed.This is
A)Dehiscence
B)An evisceration
C)Hypoxemia
D)Atelectasis
A)Dehiscence
B)An evisceration
C)Hypoxemia
D)Atelectasis
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60
A person has continuous pulse oximetry monitoring.Which is incorrect?
A)An alarm sounds when the person has hypoxia.Observations are not necessary.
B)The nurse tells you how often to check the sensor site.
C)The nurse tells you what sensor and what type of tape to use.
D)The person's apical or radial pulse rate should equal the pulse rate displayed.
A)An alarm sounds when the person has hypoxia.Observations are not necessary.
B)The nurse tells you how often to check the sensor site.
C)The nurse tells you what sensor and what type of tape to use.
D)The person's apical or radial pulse rate should equal the pulse rate displayed.
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61
You are assisting a patient with deep-breathing and coughing exercises.For these exercises the person can be positioned in the following ways except
A)Fowler's position
B)Semi-Fowler's position
C)In a chair or dangling at the bedside
D)Orthopneic position
A)Fowler's position
B)Semi-Fowler's position
C)In a chair or dangling at the bedside
D)Orthopneic position
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62
A resident uses incentive spirometry.How many breaths does the person need to take with the device?
A)2
B)4
C)6
D)As many as the nurse directs
A)2
B)4
C)6
D)As many as the nurse directs
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63
Incentive spirometry also is called
A)Pulse oximetry
B)Arterial blood gases
C)Deep breathing and coughing
D)Sustained maximal inspiration
A)Pulse oximetry
B)Arterial blood gases
C)Deep breathing and coughing
D)Sustained maximal inspiration
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64
The deep breaths taken using incentive spirometry are like
A)Bradypnea
B)Yawning or sighing
C)Coughing and sneezing
D)Inhalation and exhalation
A)Bradypnea
B)Yawning or sighing
C)Coughing and sneezing
D)Inhalation and exhalation
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65
You are assisting a resident with incentive spirometry.Which is incorrect?
A)The person inhales through a mouthpiece.
B)The person takes a slow,deep breath until the balls rise to the desired height.
C)The person holds his breath for 3 to 6 seconds.
D)The person exhales through the mouthpiece.
A)The person inhales through a mouthpiece.
B)The person takes a slow,deep breath until the balls rise to the desired height.
C)The person holds his breath for 3 to 6 seconds.
D)The person exhales through the mouthpiece.
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66
What is the danger of liquid oxygen systems?
A)Liquid oxygen can freeze the skin.
B)Liquid oxygen can burn the skin.
C)Liquid oxygen can cause pressure on the skin.
D)Liquid oxygen can cause atelectasis.
A)Liquid oxygen can freeze the skin.
B)Liquid oxygen can burn the skin.
C)Liquid oxygen can cause pressure on the skin.
D)Liquid oxygen can cause atelectasis.
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67
Incentive spirometry improves lung function because it
A)Promotes coughing
B)Moves air deep into the lungs
C)Prevents aspiration
D)Prevents the need for oxygen therapy
A)Promotes coughing
B)Moves air deep into the lungs
C)Prevents aspiration
D)Prevents the need for oxygen therapy
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68
Which health team member decides how much oxygen to give?
A)The person
B)The doctor
C)The nurse
D)The respiratory therapist
A)The person
B)The doctor
C)The nurse
D)The respiratory therapist
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69
You are assisting a patient with deep-breathing and coughing exercises.The person needs to inhale
A)Through pursed lips
B)Though the mouth
C)Through the nose
D)Through a mouthpiece
A)Through pursed lips
B)Though the mouth
C)Through the nose
D)Through a mouthpiece
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70
You are assisting a patient with deep-breathing and coughing exercises.The person needs to exhale
A)Through pursed lips
B)Though the mouth
C)Through the nose
D)Through a mouthpiece
A)Through pursed lips
B)Though the mouth
C)Through the nose
D)Through a mouthpiece
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71
You are assisting with deep-breathing and coughing exercises.The person needs to
A)Cough once with the mouth open
B)Cough twice with the mouth open
C)Cough once through pursed lips
D)Cough twice through pursed lips
A)Cough once with the mouth open
B)Cough twice with the mouth open
C)Cough once through pursed lips
D)Cough twice through pursed lips
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72
Deep-breathing and coughing exercises are done
A)Every hour
B)Every 1 to 2 hours
C)Every 4 hours
D)As often as directed by the nurse and care plan
A)Every hour
B)Every 1 to 2 hours
C)Every 4 hours
D)As often as directed by the nurse and care plan
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73
A patient had abdominal surgery.You are assisting the person with deep-breathing and coughing exercises.Which will promote the person's comfort during coughing?
A)Placing a pillow on the table
B)Holding a pillow over the person's incision
C)Being suctioned
D)Using incentive spirometry
A)Placing a pillow on the table
B)Holding a pillow over the person's incision
C)Being suctioned
D)Using incentive spirometry
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74
Which is not a risk factor for atelectasis?
A)Bedrest
B)Lung disease
C)Deep breathing
D)Paralysis
A)Bedrest
B)Lung disease
C)Deep breathing
D)Paralysis
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75
Which health team members start and maintain oxygen therapy?
A)The doctor and nurse
B)The doctor and respiratory therapist
C)The nurse and respiratory therapist
D)The nurse and nursing assistant
A)The doctor and nurse
B)The doctor and respiratory therapist
C)The nurse and respiratory therapist
D)The nurse and nursing assistant
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76
Which health team member decides when to give oxygen?
A)The person
B)The doctor
C)The nurse
D)The respiratory therapist
A)The person
B)The doctor
C)The nurse
D)The respiratory therapist
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77
What is measured during incentive spirometry?
A)The amount of oxygen in the blood
B)The amount of oxygen in hemoglobin
C)The amount of air inhaled
D)The amount of air exhaled
A)The amount of oxygen in the blood
B)The amount of oxygen in hemoglobin
C)The amount of air inhaled
D)The amount of air exhaled
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78
A person has a productive cough.Respiratory hygiene involves the following except
A)Covering the mouth and nose when coughing or sneezing
B)Using tissues to dispose of respiratory secretions
C)Disposing of tissues in the nearest waste container after use
D)Washing hands at least once per day
A)Covering the mouth and nose when coughing or sneezing
B)Using tissues to dispose of respiratory secretions
C)Disposing of tissues in the nearest waste container after use
D)Washing hands at least once per day
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79
Which oxygen sources are used when the person is ambulatory or uses a wheelchair?
A)Wall outlet or oxygen tank
B)Oxygen tank or oxygen concentrator
C)Oxygen concentrator or liquid oxygen unit
D)Small oxygen tank or portable liquid oxygen unit
A)Wall outlet or oxygen tank
B)Oxygen tank or oxygen concentrator
C)Oxygen concentrator or liquid oxygen unit
D)Small oxygen tank or portable liquid oxygen unit
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80
Which health team member decides which oxygen device to use?
A)The person
B)The doctor
C)The nurse
D)The respiratory therapist
A)The person
B)The doctor
C)The nurse
D)The respiratory therapist
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