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FINAL EXAM: Oxygenation NCLEX
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- hyperactivity
- decreased blood pressure
- confusion
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- parkinson's disease
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- chronic anemia
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- chronic anemia
- adventitious
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marrerosharonda_l Preview Oxyge 49 terms lizz The nurse is informed while receiving a nursing report that the client has been hypoxic during the evening shift. Which assessment finding is consistent with hypoxia?
Upon evaluation of a client's medical history, the nurse recognizes that which condition may lead to an inadequate supply of oxygen to the tissues of the body?
Upon auscultation of the client's lungs, the nurse hears loud, high-pitched sounds over the larynx. What term will the nurse use in documentation to describe this breath sound?
A client 57 years of age is recovering in a hospital following a bilateral mastectomy and breast reconstruction 2 days earlier. Since her surgery, the client has been unwilling to mobilize despite the nurse's education on the benefits of early mobilization following surgery. The nurse would
recognize that the client's prolonged immobility creates a risk for:
- pneumothorax
- hemothorax
- tachypnea
- atelactasis
- atelactasis
- opioid analgesics
- antibiotics and antivirals
- diuretics
- proton-pump inhibitors
- opioid analgesics
- resonance on percussion of lung fields
- fine crackles to the bases of the lungs bilaterally
- vesicular breath sounds audible over peripheral lung fields
- respiratory rate of 18 breaths per minute
- fine crackles to the bases of the lungs bilaterally
- educating the client on pursed-lip breathing techniques
- educating the client on the use of incentive spirometry
- oropharyngeal suctioning twice daily
- administration of inhaled corticosteroids
- educating the client on the use of incentive spirometry
- administering nebulizers
- providing oxygen by nasal cannula
- suctioning a tracheostomy
- administering oxygen by face mask
- suctioning a tracheostomy
The nurse should assess for respiratory depression before and after the administration of which drugs?
The nurse is conducting a respiratory assessment of a client age 71 years who has been recently admitted to the hospital unit. Which assessment finding should the nurse interpret as abnormal?
A client who with no prior history of respiratory illness has been admitted to a postoperative unit following foot surgery. What intervention should the nurse prioritize in an effort to prevent postoperative pneumonia and atelactasis during this time of reduced mobility following surgery?
Which nursing skill requires the nurse to use sterile technique?
The nurse is caring for a client who is diagnosed with impaired gas exchange. While performing a physical assessment of the client, which data is the nurse likely to find, keeping in mind the client's diagnosis?
- low blood pressure
- high respiratory rate
- low pulse rate
- high temperature
- high respiratory rate
- inform the client about nasal strips
- teach the client diaphragmatic breathing
- encourage the client to take deep breaths
- instruct the client in the use of pursed-lip breathing technique
- encourage the client to take deep breaths
- increased use of accessory muscles for breathing
- diminished coughing and gag reflexes
- respiratory muscles become weaker
- increased mouth breathing and snoring
- respiratory muscles become weaker
- humidifier
- nasal cannula
- oxygen analyzer
- flow meter
- flow meter
- non-rebreather mask
- face tent
- nasal cannula
- simple mask
- nasal cannula
A nurse is caring for a client who breaths very shallowly and has been reporting severe back pain. What suggestion could the nurse make to help the client breath efficiently?
What structural changes to the respiratory system should a nurse observe when caring for older adults?
During oxygen administration to the client, which pieces of equipment would enable the nurse to regulate the amount of oxygen delivered?
A nurse is caring for an asthmatic client who requires a low concentration of oxygen. Which delivery device should the nurse use in order to administer oxygen to the client?
A nurse uses a nasal cannula to deliver oxygen to a client who is extremely hypoxic and has been diagnosed with chronic lung disease. What is the most important thing to remember when using a nasal cannula?
- it can cause anxiety in clients who are claustrophobic
- it can result in an inconsistent amount of oxygen
- it can create a risk of suffocation
- is can cause the nasal mucosa to dry in case of high flow
- is can cause the nasal mucosa to dry in case of high flow
A nurse is assigned to care for a client admitted to the health care facility with the diagnosis of atelectasis. When interviewing the client, the
nurse would anticipate a history of:
- asthma
- alcohol abuse
- pneumonia
- croup
- pneumonia
- presence of pleural rub
- fluid-filled portions of the lung
- pattern of thoracic expansion
- consolidated portions of the lung
- pattern of thoracic expansion
- proper, frequent use of incentive spirometry can improve pulmonary circulation
- decrease of oxygen saturation is expected during the first few minutes of incentive spirometry
- the client should forcefully exhale into the incentive spirometer and continue to exhale until unable to continue
- incentive spirometry provides visual reinforcement of deep breathing
- incentive spirometry provides visual reinforcement of deep breathing
- nasal cannula
- venturi mask
- non-rebreather mask
- simple mask
- non-rebreather mask
While examining a client, the nurse palpates the client's chest and back. What would the nurse expect to identify with this technique?
The nurse is preparing to educate a client on how to perform incentive spirometry. Which concepts should the nurse include?
The nurse is caring for a client who has spontaneous respirations and needs to have oxygen administered at a FIO2 of 100%. Which oxygen delivery system should the nurse utilize?
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