Exam 41: Oxygenation

The nurse is using a closed suction device. Which patient will be most appropriate for this suctioning method?

The nurse is educating a student nurse on caring for a patient with a chest tube. Which statement from the student nurse indicates successful learning?

A nurse is caring for a 5-year-old patient whose temperature is 101.2° F. The nurse expects this patient to hyperventilate. Which factor does the nurse remember when planning care for this type of hyperventilation?

A nurse is preparing a patient for nasotracheal suctioning. In which order will the nurse perform the steps, beginning with the first step? 1) Insert catheter. 2) Apply suction and remove. 3) Have patient deep breathe. 4) Encourage patient to cough. 5) Attach catheter to suction system. 6) Rinse catheter and connecting tubing.

A nurse teaches a patient about atelectasis. Which statement by the patient indicates an understanding of atelectasis?

A nurse is caring for a patient with left-sided hemiparesis who has developed bronchitis and has a heart rate of 105 beats/min, blood pressure of 156/90 mm Hg, and respiration rate of 30 breaths/min. Which nursing diagnosis is a priority?

Which nursing intervention is most effective in preventing hospital-acquired pneumonia in an older-adult patient?

The nurse suspects the patient has increased afterload. Which piece of equipment should the nurse obtain to determine the presence of this condition?

The nurse needs to closely monitor the oxygen status of an older-adult patient undergoing anesthesia because of which age-related change?

The patient has right-sided heart failure. Which finding will the nurse expect when performing an assessment?

A nurse is teaching a community health promotion class and discusses the flu vaccine. Which information will the nurse include in the teaching session? (Select all that apply.)

A nurse is caring for a group of patients. Which patient should the nurse see first?

A patient's heart rate increased from 94 to 164 beats/min. What will the nurse expect?

A nurse is caring for a patient with sleep apnea. Which types of ventilator support should the nurse be prepared to administer for this patient? (Select all that apply.)

The nurse is caring for a patient with a tracheostomy tube. Which nursing intervention is most effective in promoting effective airway clearance?

The nurse is assessing a patient with emphysema. Which assessment finding requires further follow-up with the health care provider?

The nurse is creating a plan of care for an obese patient who is suffering from fatigue related to ineffective breathing. Which intervention best addresses a short-term goal the patient could achieve?

The patient is breathing normally. Which process does the nurse consider is working properly when the patient inspires?

A nurse is teaching a health class about the heart. Which information from the class members indicates teaching by the nurse is successful for the flow of blood through the heart, starting in the right atrium?

A nurse is preparing to suction a patient. The pulse is 65 and pulse oximetry is 94%. Which finding will cause the nurse to stop suctioning?