Exam 23: Oxygen Therapy

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The patient is admitted with a diagnosis of COPD,and the physician orders the patient to be placed on continuous noninvasive ventilation (NIV).The nurse realizes that the patient should:

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B

The nurse is working on a pulmonary unit at the local hospital.What is one of the early signs of hypoxia for which the nurse must be alert?

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An oxygen delivery device that allows the patient to breathe through the nose or mouth and is delivered at a flow rate from 1 to 6 L/min is known as a ____________.

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nasal cannula
A nasal cannula allows the patient to breathe through the mouth or nose,is available for all age groups,and is adequate for short- or long-term use.Cannulas are inexpensive,disposable,and easily accepted by most patients.The two tips of the cannula,which are about 1.5 cm (½ inch)long,protrude from the center of a disposable tube and are inserted into the nostrils.Oxygen is delivered via the cannula at a flow rate from 1 to 6 L/min.Higher flow rates and a dry airway mucosa do not increase the inspired oxygen concentration.

The patient is scheduled for abdominal surgery in the morning.The night before surgery,the nurse teaches the patient how to perform IS and has the patient do a return demonstration.Why does the nurse do this?

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A patient is instructed by a nurse to correctly perform incentive spirometry by:

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For a patient with COPD who is a severe carbon dioxide retainer,a nurse anticipates the use of a:

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Oxygen therapy should be viewed as a drug.Some of the side effects of oxygen therapy include which of the following? (Select all that apply.)

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The patient is in respiratory distress but does not have COPD.The physician wants the patient to receive the highest possible concentration of oxygen.Which of the following would best meet this criterion?

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The ________,also called a Briggs adaptor,connects an oxygen source to an artificial airway such as an endotracheal tube.

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Cyanosis caused by hypoxia is observed in which areas of the body? (Select all that apply.)

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A curved oxygen delivery device with an adjustable strap that fits around the patient's neck is known as a _______________.

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Common oxygen delivery systems include which of the following? (Select all that apply.)

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When the patient is connected to the ventilator,the nurse should: (Select all that apply.)

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Assessment of the proper functioning of an oxygen device includes:

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

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The patient has been diagnosed with chronic obstructive pulmonary disease (COPD)and is on oxygen therapy at 2 L per nasal cannula.Why must the nurse monitor this patient's respiratory status during the night?

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_____________,a bluish discoloration of the skin and mucous membranes,is a late sign of hypoxia.

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In noninvasive ventilation,________________ keeps the terminal airways (alveoli)partially inflated,reducing the risk for atelectasis.

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A condition in which oxygen is insufficient to meet the metabolic demands of the tissues and cells is known as __________________.

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How should the nurse determine if the patient on mechanical ventilation has an improperly placed airway and unilateral lung inflation?

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