Question 1

Which direction would be incorrect for the nurse to teach the client when describing the process of measuring peak expiratory flow?

Accepted Answer

A) "Sit upright,with the back and chest free from contact with the bed or chair." 
B) "Reset the marker on the flow meter to zero before beginning." 
C) "Create a tight seal around the mouthpiece with the lips." 
D) "Exhale slowly and deeply." 
A) "Sit upright,with the back and chest free from contact with the bed or chair." 
B) "Reset the marker on the flow meter to zero before beginning." 
C) "Create a tight seal around the mouthpiece with the lips." 
D) "Exhale slowly and deeply." D

Question 2

The client,newly prescribed continuous positive pressure ventilation,complains that the forced air is bothersome.Which interventions could the nurse recommend to reduce the client's discomfort?

Accepted Answer

A) Ramping over 15 minutes 
B) Using heated humidification 
C) Reducing the pressure 
D) Increasing the oxygen concentration 
E) Changing the client's position 
A) Ramping over 15 minutes 
B) Using heated humidification 
C) Reducing the pressure 
D) Increasing the oxygen concentration 
E) Changing the client's position A,B

Question 3

When caring for a client receiving oxygen therapy,which is not a priority documentation for the nurse to complete?

Accepted Answer

A) Percentage of oxygen or flow of oxygen delivered 
B) Method of delivering oxygen 
C) Respiratory status,including respiratory rate,oxygen saturation,and respiratory assessment 
D) Cardiorespiratory monitoring data 
A) Percentage of oxygen or flow of oxygen delivered 
B) Method of delivering oxygen 
C) Respiratory status,including respiratory rate,oxygen saturation,and respiratory assessment 
D) Cardiorespiratory monitoring data D

Question 4

The nurse is caring for a client requiring noninvasive continuous positive pressure ventilation for obstructive sleep apnea.Which less invasive treatments to reduce sleep apnea would the nurse explore prior to initiating this intervention?

Accepted Answer

A) Surgery to remove the uvula 
B) Community support groups 
C) Oral appliances to advance the lower jaw and base of the tongue 
D) Weight loss 
E) Medications 
A) Surgery to remove the uvula 
B) Community support groups 
C) Oral appliances to advance the lower jaw and base of the tongue 
D) Weight loss 
E) Medications

Question 5

When administering oxygen,which step would the nurse perform first?

Accepted Answer

A) Place the mask,cannula,or tent on the client. 
B) Regulate the flow of oxygen. 
C) Pad the nasal cannula behind the client's ears. 
D) Fit the nose bracket on the mask to the contour of the client's face. 
A) Place the mask,cannula,or tent on the client. 
B) Regulate the flow of oxygen. 
C) Pad the nasal cannula behind the client's ears. 
D) Fit the nose bracket on the mask to the contour of the client's face.

Question 6

The client is started on 90% oxygen by nonrebreather mask at 0800.The nurse working the night shift assesses the client,who complains of substernal pain and dyspnea and has rales audible in the lower lung field bilaterally.Based on these assessment findings,what does the nurse suspect?

Accepted Answer

A) Myocardial hypoxia 
B) Pulmonary emboli 
C) Oxygen toxicity 
D) Congestive heart failure 
A) Myocardial hypoxia 
B) Pulmonary emboli 
C) Oxygen toxicity 
D) Congestive heart failure

Question 7

The nurse is caring for a 31-week premature infant requiring oxygen therapy after delivery.Which would be the most effective means of delivering oxygen?

Accepted Answer

A) Partial rebreather mask 
B) Nonrebreather mask 
C) Face mask 
D) Oxygen hood 
A) Partial rebreather mask 
B) Nonrebreather mask 
C) Face mask 
D) Oxygen hood

Question 8

The nurse is participating in an interdisciplinary meeting for a client who requires the use of oxygen.When choosing the oxygen delivery system for the client,which items must the group take into consideration?

Accepted Answer

A) Respiratory needs 
B) Comfort 
C) Stage of development 
D) Heart rate 
E) Tidal volume 
A) Respiratory needs 
B) Comfort 
C) Stage of development 
D) Heart rate 
E) Tidal volume

Question 9

The nurse needs to deliver the highest concentration of oxygen (95% to 100%).Which type of oxygen delivery device would the nurse choose?

Accepted Answer

A) Face mask 
B) Nasal cannula 
C) Partial rebreather mask 
D) Nonrebreather mask 
A) Face mask 
B) Nasal cannula 
C) Partial rebreather mask 
D) Nonrebreather mask

Question 10

The nurse would consider which action by unlicensed assistive personnel (UAP)as appropriate when observing care that is provided?

Accepted Answer

A) Increasing the oxygen flow rate when low oxygen saturation is measured on the client 
B) Initiating oxygen therapy when a client is found to be dyspneic 
C) Changing the oxygen delivery from nasal cannula to face mask when the client complains of nasal discomfort 
D) Measuring oxygen saturation and replacing the client's oxygen mask when it becomes malpositioned while the client sleeps 
A) Increasing the oxygen flow rate when low oxygen saturation is measured on the client 
B) Initiating oxygen therapy when a client is found to be dyspneic 
C) Changing the oxygen delivery from nasal cannula to face mask when the client complains of nasal discomfort 
D) Measuring oxygen saturation and replacing the client's oxygen mask when it becomes malpositioned while the client sleeps

Question 11

The client is being prepared for home oxygen use.The client's spouse smokes two to three packs of cigarettes per day.Which is the nurse's priority instruction to the client and spouse?

Accepted Answer

A) Inform the health care provider that home oxygen use would be dangerous for this client. 
B) Instruct the spouse on the need to smoke outside. 
C) Instruct the spouse on the hazards of smoking in the same room with the client. 
D) Instruct the spouse to quit smoking. 
A) Inform the health care provider that home oxygen use would be dangerous for this client. 
B) Instruct the spouse on the need to smoke outside. 
C) Instruct the spouse on the hazards of smoking in the same room with the client. 
D) Instruct the spouse to quit smoking.

Exam 25: Oxygen Therapy

Which direction would be incorrect for the nurse to teach the client when describing the process of measuring peak expiratory flow?

The client,newly prescribed continuous positive pressure ventilation,complains that the forced air is bothersome.Which interventions could the nurse recommend to reduce the client's discomfort?

When caring for a client receiving oxygen therapy,which is not a priority documentation for the nurse to complete?

The nurse is caring for a client requiring noninvasive continuous positive pressure ventilation for obstructive sleep apnea.Which less invasive treatments to reduce sleep apnea would the nurse explore prior to initiating this intervention?

When administering oxygen,which step would the nurse perform first?

The client is started on 90% oxygen by nonrebreather mask at 0800.The nurse working the night shift assesses the client,who complains of substernal pain and dyspnea and has rales audible in the lower lung field bilaterally.Based on these assessment findings,what does the nurse suspect?

The nurse is caring for a 31-week premature infant requiring oxygen therapy after delivery.Which would be the most effective means of delivering oxygen?

The nurse is participating in an interdisciplinary meeting for a client who requires the use of oxygen.When choosing the oxygen delivery system for the client,which items must the group take into consideration?

The nurse needs to deliver the highest concentration of oxygen (95% to 100%).Which type of oxygen delivery device would the nurse choose?

The nurse would consider which action by unlicensed assistive personnel (UAP)as appropriate when observing care that is provided?

The client is being prepared for home oxygen use.The client's spouse smokes two to three packs of cigarettes per day.Which is the nurse's priority instruction to the client and spouse?

Foundational Skills

Vital Signs

Health Assessment

Diagnostic Testing

Client Hygiene

Bed-Making

Infection Control

Heat and Cold Therapy

Pain Management

Positioning the Client

Mobilizing the Client

Fall Prevention and Restraints

Maintaining Joint Mobility

Drug Calculations

Administering Oral and Enteral Medications

Administering Topical Medications

Administering Parenteral Medications

Administering Intravenous Therapy

Feeding Clients

Assisting With Urinary Elimination

Assisting With Fecal Elimination

Caring for Clients With Peritoneal Dialysis

Promoting Circulation

Breathing Exercises

Suctioning

Caring for the Client With a Tracheostomy

Assisting With Mechanical Ventilation

Caring for the Client With Chest Tube Drainage

Administering Emergency Measures to the Hospitalized Client

Performing Wound and Pressure Ulcer Care

Orthopedic Care

Performing Perioperative Care

End-Of-Life Care

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