NCLEX-Style Questions for Oxygenation

NCLEX-Style Questions for Oxygenation ScienceMedicinePulmonology mdjones2020 Save Oxygenation NCLEX Practice questi...49 terms lizzyrose6Preview Reye Syndrome for Peds Nursing

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zunichiPreview Fluid and Electrolytes NCLEX Quest...33 terms Alex_Hassiepen Preview 501 Exa 79 terms Han A 57-year-old patient with a 30 pack-year smoking history has recently received confirmation of a possible malignant tumor in the lower lobe of his right lung. He is scheduled for a tumor resection and a lower-lobe lobectomy in the morning. This patient was also diagnosed a year ago with mild chronic bronchitis, but has never used oxygen therapy. While assessing this patient, you decide to educate the patient about his diagnosis and the likely effects of the planned surgery. How should you describe the effects of the planned surgery on your patient's oxygen demand?A."You will be short of breath for the rest of your life and will need to greatly decrease your daily activities." B."Your left lung will compensate after the surgery and you will breathe much easier." C."Removing a section of your right lung will decrease the oxygen your body receives, but we can provide extra oxygen if you need it." C."Removing a section of your right lung will decrease the oxygen your body receives, but we can provide extra oxygen if you need it." This statement both identifies and discusses the appropriate intervention for a situation that is likely to affect the patient's oxygen demand.You discuss the effects of the surgery on the patient's ability to take in sufficient amounts of oxygen and help him identify the signs and symptoms that warrant the administration of supplemental oxygen. Which of the following statements indicates that the patient understands how to identify when he needs supplemental oxygen therapy?A."When I feel anxious and have to work at breathing, I will know I need oxygen." B."I will use my oxygen when I know I'll be walking for any long distances." C."When I can't sleep at night, I'll put on my oxygen." A."When I feel anxious and have to work at breathing, I will know I need oxygen." This statement shows an understanding of the physical and psychological effects of hypoxemia.

You provide the patient with appropriate information about the safe storage and appropriate self-administration of oxygen. Which of the following observations indicates that the patient is at risk for physical injury related to his oxygen-therapy needs?A.A pulse oximetry reading of 94% on 2 liters of oxygen per minute B.The patient's report of dizziness for a few days before hospitalization C.The patient's request to leave the unit to smoke a cigarette C.The patient's request to leave the unit to smoke a cigarette This alerts you that the patient is continuing to smoke, which poses a serious risk for injury due to the extreme combustibility of oxygen.The patient asks, "How will you tell if I need oxygen at home after discharge?" Which of the following responses by the nurse is appropriate?A."If you feel short of breath while exercising, you will be prescribed oxygen therapy at home." B."If your oxygen saturation when you are resting is below a certain point without oxygen, your provider will know you need home oxygen therapy." C."If your pulse rate and respirations remain higher than normal after walking, oxygen therapy will be required." B."If your oxygen saturation when you are resting is below a certain point without oxygen, your provider will know you need home oxygen therapy." An oxygen saturation of 88% or less at rest is the usual criterion for prescribing home oxygen therapy.Your 57-year-old patient is back on the unit after a right lower lobe lobectomy performed to remove a malignant tumor. Your patient is transferred from the post anesthesia care unit. Which of the following is the most appropriate action for the nurse to take in determining his postsurgical respiratory needs?A.Turn him and encourage him to cough and deep breathe hourly.B.Assess his vital signs, including oxygen saturation, at least every 2 hours.C.Evaluate his ability to identify and report signs of hypoxemia.B.Assess his vital signs, including oxygen saturation, at least every 2 hours.You have selected the correct response. Assessment is the basis of the nursing care interventions you must plan for managing your patient's postoperative respiratory needs.

To help prevent any decline in the patient's respiratory function, you should:

A.initiate postural drainage to help mobilize secretions.B.encourage the patient to rest in bed until healing is well underway.C.elevate the head of the patient's bed 30 to 45 degrees.C.elevate the head of the patient's bed 30 to 45 degrees.This statement reflects an understanding of nursing interventions that have a positive impact on preventing or minimizing the risk of respiratory distress. A semi-Fowler's position employs gravity to assist with lung expansion and reduce pressure from the abdomen on the diaphragm.The patient returns to the unit with orders for supplemental oxygen, an opioid pain medication, ambulation with help as tolerated, up in a chair as tolerated, and progression to a regular diet. After several days, the client is nearing discharge from the hospital and is able to ambulate in the hall. Immediately after he ambulates, the nurse finds the patient lying in bed. He states, "I'm having trouble catching my breath." Your priority

nursing action is to:

A.administer supplemental oxygen as prescribed.B.assess the patient's vital signs, including oxygen saturation.C.raise the head of the bed to a semi-Fowler's position.C.raise the head of the bed to a semi-Fowler's position.This intervention can help facilitate the patient's breathing, and is the priority action in this situation.

To manage your client's risk for dyspnea, you plan to:

A.have the AP walk the patient around the entire unit several times daily to increase his stamina.B.suggest that the AP ambulate the patient right after his bath.C.have supplemental oxygen available for use if he develops activity-induced dyspnea.C.have supplemental oxygen available for use if he develops activity-induced dyspnea.This reflects proper planning for the possibility of dyspnea triggered by the patient's ambulation.Which of the following observations is the best indicator that your patient does not have an acute need for oxygen therapy after ambulation?A.His pulse oximetry reading was 95% after returning to bed.B.He states, "It really felt good to walk a little." C.His respiratory rate is the same both pre and post ambulation.A.His pulse oximetry reading was 95% after returning to bed.A patient whose pulse oximetry reading is within the normal range (95% to 100%) is not experiencing hypoxemia.

You are now preparing your patient, 6 days postoperative following a right lower lobe lobectomy, for discharge. His wife and son will accompany him to his home, where his wife will be his primary caregiver during his recovery. The patient and his family seem interested in your discharge teaching and show no indications of any diminished ability to understand the information you provide. Which of the following statements made by the patient's wife assures you that she understands her husband's need for supplemental oxygen?A."I'll be sure we always have an extra tank of oxygen on hand so we don't run out." B."The home care nurse will take care of all of the oxygen equipment." C."My husband will not be able to move about the house freely since he will be hooked up to oxygen." A."I'll be sure we always have an extra tank of oxygen on hand so we don't run out." This statement shows an understanding of the long-term effect of the surgery on her husband's ability to take in enough oxygen, especially during times of physical or emotional stress.Which of the following best indicates that your patient will be able to effectively manage his compromised respiratory status?A.Walks around the unit without experiencing any dyspnea.B.Identifies the early signs and symptoms of hypoxemia.C.Verbalizes the importance of keeping his scheduled appointments with his provider.B.Identifies the early signs and symptoms of hypoxemia.This ability will enable him to detect respiratory problems in their early stage, thus making management and resolution of the problem more effective and time-appropriate.Which of the following statements made by the patient's son best indicates that he understands the effect activity has on his father's respiratory function?A."We have a portable oxygen tank in the car just in case the trip home makes you short of breath." B."Dad, we'll need to use a wheelchair whenever you and Mom go shopping in the mall." C."You'll probably get your strength back sooner if you try hard to walk a little further each day." A."We have a portable oxygen tank in the car just in case the trip home makes you short of breath." This statement shows an understanding of the need for immediate treatment to correct hypoxemia.Which of the following statements should prompt you to re-evaluate the family's understanding of the safety issues related to oxygen therapy?A."We'll keep the fire extinguisher near where we store the oxygen tank." B."We'll replace Dad's favorite sweater with one that isn't made of wool." C."I am going out to the store to get cigarettes for my father." C."I am going out to the store to get cigarettes for my father." You must make sure the family understands the extreme danger smoking near an oxygen tank would present.