ADN210 OXYGENATION DEVICES NCLEX PRACTICE QUESTIONS

ADN210 OXYGENATION DEVICES NCLEX PRACTICE QUESTIONS

ScienceMedicineNursing adnanabecirovic Save NURS 2160 Oxygen therapy NCLEX ...15 terms Gunveen_dureja Preview Oxygenation NCLEX Practice questi...49 terms lizzyrose6Preview

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Teacher 50 terms theKarma67Preview NCLEX 20 terms ma 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-Respirator rate of 26 B-Low carbon dioxide levels C-Arterial oxygen saturation level of 99% D-Lower oxygen saturation level sat night than during the day A A patient with pneumonia is receiving supplemental oxygen. Which assessment finding(s) by the nurse should be reported as an early indication of hypoxia?A-Cyanosis around the lips and oral mucosa B-Anxiety and restlessness C-Decrease in the level of consciousness D-Decreased blood pressure and respiratory rate B A patient with COPD has carbon dioxide retention and is ordered oxygen therapy. The nurse anticipates the use of which oxygen delivery system?A-Face tent B-Face mask C-Nasal cannula D-Nonrebreathing mask.C

The nurse is caring for several patients receiving oxygen by various delivery systems. Which assessment finding by the nurse indicates proper use for the oxygen devices?A-No mist is noted in the face tent.B-The reservoir of the rebreathing mask collapse on inhalation.C-The flow rate is between 1 and 6 L/min for a nasal cannula.D-The flow rate for an oxygen hood is set at 3 L/min.C A patient in respiratory distress enters the emergency department. The patient denies a history of COPD. The nurse anticipates an order for oxygen delivered by which method to achieve the highest possible concentration of oxygen?A-Simple face mask at 15 L/min B-Nonbreathing face mask at 15 L/min C-Venturi mask at 15 L/min D-Oxygen tent at 15 L/min B A patient with a nasal canula 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-Using humidification B-Applying petroleum-based gel to the nares C-Providing frequent oral care D-Asking the physic8ian for an order for sterile nasal saline B A patient with a tracheostomy tube has an order for oxygen. Which action by the nurse is appropriate?A-Apply sterile gloves to connect the oxygen to the tracheostomy tube.B-Check the oxygen tubing frequently to make sure water is present in the tubing.C-Attach the T tube to a humidified oxygen source.D-Monitor the response to oxygen with hourly arterial blood gas levels.C The nurse is caring for several patients postoperatively following abdominal surgery. Which patient will benefit the last form the use of incentive spirometry?A-Middle-aged male with a history of smoking since high school B-Elderly female with type 2 diabetes C-Middle-aged female with a history of chronic respiratory disease D-Adolescent female with atelectasis B

The nurse is teaching a patient how to use a flow-oriented incentive spirometer (IS) the night before abdominal surgery. Which stamen by the patient indicates an understanding of the procedure?A-"I need to get the balls to the top as quickly as possible." B-"Quick rapid breaths are the most effective when the incentive spirometer is sued." C-"I need to keep the balls elevated as long as possible." D-"The balls must be elevated to be effective." C A patient is planning to perform incentive spirometry after abdominal surgery. The nurse should encourage the patient to do which of the following?A-Get comfortable in a semi-reclined position.B-Inhale as deeply as possible and then exhale into the incentive spirometry device.C-Hold the breath for at least 3 seconds before exhaling.D-Exhale as quickly as possible.C A patient has been using continuous positive airway pressure (CPAP), and now the health care provider is recommending bi-level positive pressure (BiPAP). The patient is asking the nurse to explain the difference again. Which response is appropriate?A-"CPAP maintains a set positive airway pressure during inspiration only." B-"CPAP opens the airways during inspiration and allows them to close during expiration." C-"BiPAP maintains a set pressure that is the same for inspiration and expiration.D-"BiPAP delivers sufficient expiratory pressure to keep the airways open." D 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% - 75%. The nurse recognizes that this patient most likely will have which type of ventilator device ordered?

A-CPAP

B-BiPAP C-Nasal cannula D-Mechanical ventilation D A patient is admitted with a diagnosis of COPD and the health care provider orders BiPAP. Which action by the nurse is appropriate?A-Set the initial BiPAP setting at 4 to 8 cm H2 O for inspiration and expiration.B-Draw arterial blood gas (ABG) level after the first hour.C-Make sure the mask does not have quick-release straps.D-Set the initial BiPAP settings at 4 to 10 cm H2 O for inspiration and at 10 to 15 cm H2 O for expiration.B

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?A-Assess for secretions in the airway and suction the patient.B-Administer a sedative to the patient to prevent coughing.C-Assess the endotracheal tube cuff to make sure it is deflated.D-Check the ventilator tubing and reconnect if disconnected. Correct.D The nurse is caring for patient on a mechanical ventilation. The nurse determines that the endotracheal tube is properly placed by which assessment.A-Auscultating both lungs and watching the rise and fall of both sides of the chest B-Monitoring and comparing the blood pressure in both arms C-Observing and measuring inspiratory and expiratory rates D-Checking the settings on the ventilator and the low-pressure and high-pressure alarm settings A 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?A-PaO2 greater than 90 mm Hg B-SpO2 greater than 60% C-PaO2 greater than 60 mmHg D-SpO2 greater than 95% C 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.) A-Low sodium levels B-Low hemoglobin levels C-Increased blood pH D-Decreased blood pH B,C 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.) A-Oral mucosa B-Conjunctiva of the eye C-Around the lips D-On the nail beds A,B,C