Exam 23: Oxygen Therapy

The nurse is caring for a patient on mechanical ventilation.The nurse determines that the endotracheal tube is properly placed by which assessment?

The nurse is teaching a patient how to use a flow-oriented incentive spirometer (IS)the night before abdominal surgery.Which statement by the patient indicates an understanding of the procedure?

A patient is admitted with a diagnosis of chronic obstructive pulmonary disease (COPD)and the health care provider prescribes bi-level positive airway pressure (BiPAP).Which action by the nurse is appropriate?

A patient has been using continuous positive airway pressure (CPAP),and now the health care provider is recommending bi-level positive airway pressure (BiPAP).The patient is asking the nurse to explain the difference again.Which response is appropriate?

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?

The amount of air inspired and expired with each breath while a patient is on mechanical ventilation is known as the ________________.

A patient is planning to perform incentive spirometry after abdominal surgery.The nurse should encourage the patient to do which of the following?

The nurse is caring for several patients postoperatively after abdominal surgery.Which patient will benefit the least from the use of incentive spirometry?

A patient with a tracheostomy tube has a prescription for oxygen.Which action by the nurse is appropriate?

The nurse is assessing a patient for hypoxia and observes a bluish discolouration in the following areas.Which areas indicate hypoxia? (Select all that apply.)

The patient is on mechanical ventilation.Which actions by the nurse are appropriate? (Select all that apply.)

The nurse is teaching a patient with asthma how to measure peak expiratory flow rate (PEFR).What should be included in the teaching plan? (Select all that apply.)

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 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?

The nurse is caring for several patients who require oxygen therapy.The nurse anticipates a prescription for noninvasive positive-pressure ventilation (NPPV)for the patients with which diagnoses? (Select all that apply.)

The patient is placed on mechanical ventilation.After the initial settings have been applied,the nurse should watch for which of the following complications? (Select all that apply.)

A patient in respiratory distress enters the emergency department.The patient denies a history of chronic obstructive pulmonary disease (COPD).The nurse anticipates a prescription for oxygen delivered by which method to achieve the highest possible concentration of oxygen?

The nurse is caring for several patients receiving oxygen by various delivery systems.Which assessment finding by the nurse indicates proper use of the oxygen device?

A patient is admitted to the emergency department after 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% to 75%.The nurse recognizes that this patient most likely will have which type of ventilatory device prescribed?

A patient with pneumonia is receiving supplemental oxygen.Which assessment finding(s)by the nurse should be reported as an early indication of hypoxia?