Question 1

Identify the clinical manifestations associated with oxygen toxicity.

Accepted Answer

A)  Substernal chest pain that increases with deep breathing 
B)  Moist cough and tracheal irritation 
C)  Pleuritic pain occurring on inhalation, followed by dyspnea 
D)  Increasing CO2 
E)  Sore throat and eye and ear discomfort 
A)  Substernal chest pain that increases with deep breathing 
B)  Moist cough and tracheal irritation 
C)  Pleuritic pain occurring on inhalation, followed by dyspnea 
D)  Increasing CO2 
E)  Sore throat and eye and ear discomfort

Question 2

The therapeutic blood level for theophylline (Xanthines)is

Accepted Answer

A)  5 to 10 mg/dL. 
B)  10 to 20 mg/dL. 
C)  20 to 30 mg/dL. 
D)  35 to 45 mg/dL. 
A)  5 to 10 mg/dL. 
B)  10 to 20 mg/dL. 
C)  20 to 30 mg/dL. 
D)  35 to 45 mg/dL.

Question 3

Use of oxygen therapy in the patient who is hypercapnic may result in

Accepted Answer

A)  oxygen toxicity. 
B)  absorption atelectasis. 
C)  carbon dioxide retention. 
D)  pneumothorax. 
A)  oxygen toxicity. 
B)  absorption atelectasis. 
C)  carbon dioxide retention. 
D)  pneumothorax.

Question 4

Which of the following oxygen administration devices can deliver oxygen concentrations of 90%?

Accepted Answer

A)  Nonrebreathing mask 
B)  Nasal cannula 
C)  Partial rebreathing mask 
D)  Simple mask 
A)  Nonrebreathing mask 
B)  Nasal cannula 
C)  Partial rebreathing mask 
D)  Simple mask

Question 5

The correct procedure for selecting an oropharyngeal airway is to:

Accepted Answer

A)  measure from the tip of the nose to the ear lobe. 
B)  measure from the mouth to the ear lobe. 
C)  measure from the tip of the nose to the middle of the trachea. 
D)  measure the airway from the corner of the patient's mouth to the angle of the jaw. 
A)  measure from the tip of the nose to the ear lobe. 
B)  measure from the mouth to the ear lobe. 
C)  measure from the tip of the nose to the middle of the trachea. 
D)  measure the airway from the corner of the patient's mouth to the angle of the jaw.

Question 6

Long-term ventilator management over 21 days is best handled through use of a(n)

Accepted Answer

A)  oropharyngeal airway. 
B)  esophageal obturator airway. 
C)  tracheostomy tube. 
D)  endotracheal intubation. 
A)  oropharyngeal airway. 
B)  esophageal obturator airway. 
C)  tracheostomy tube. 
D)  endotracheal intubation.

Question 7

Complications of ETT tubes include

Accepted Answer

A)  tracheoesophageal fistula. 
B)  cricoid abscess. 
C)  tracheal stenosis. 
D)  tube obstruction. 
E)  tube displacements. 
A)  tracheoesophageal fistula. 
B)  cricoid abscess. 
C)  tracheal stenosis. 
D)  tube obstruction. 
E)  tube displacements.

Question 8

Which of the following arterial blood gas values would indicate a need for oxygen therapy?

Accepted Answer

A)  PaO2 of 80 mm Hg 
B)  PaCO2 of 35 mm Hg 
C)  HCO3- of 24 mEq 
D)  SaO2 of 87% 
A)  PaO2 of 80 mm Hg 
B)  PaCO2 of 35 mm Hg 
C)  HCO3- of 24 mEq 
D)  SaO2 of 87%

Question 9

Nursing interventions to limit the complications of suctioning include

Accepted Answer

A)  inserting the suction catheter no more than 5 inches. 
B)  premedicating the patient with atropine. 
C)  hyperoxygenating the patient with 100% oxygen. 
D)  increasing the suction to 150 mm Hg. 
A)  inserting the suction catheter no more than 5 inches. 
B)  premedicating the patient with atropine. 
C)  hyperoxygenating the patient with 100% oxygen. 
D)  increasing the suction to 150 mm Hg.

Question 10

A patient was admitted to the critical care unit with acute respiratory failure.The patient has been on a ventilator for 3 days and is being considered for weaning.The ventilator high-pressure alarm keeps going off.When you enter the room,the ventilator inoperative alarm sounds.Which of the following criteria would indicate that the patient is ready to be weaned?

Accepted Answer

A)  FiO2 greater than 50% 
B)  Rapid shallow breathing index less than 105 
C)  Minute ventilation greater than 10 L/min 
D)  Vital capacity/kg greater than or equal to 15 mL 
A)  FiO2 greater than 50% 
B)  Rapid shallow breathing index less than 105 
C)  Minute ventilation greater than 10 L/min 
D)  Vital capacity/kg greater than or equal to 15 mL

Exam 21: Pulmonary Therapeutic Management

Identify the clinical manifestations associated with oxygen toxicity.

The therapeutic blood level for theophylline (Xanthines)is

Use of oxygen therapy in the patient who is hypercapnic may result in

Which of the following oxygen administration devices can deliver oxygen concentrations of 90%?

The correct procedure for selecting an oropharyngeal airway is to:

Long-term ventilator management over 21 days is best handled through use of a(n)

Complications of ETT tubes include

Which of the following arterial blood gas values would indicate a need for oxygen therapy?

Nursing interventions to limit the complications of suctioning include

Critical Care Nursing Practice

Ethical Issues

Legal Issues

Genetics and Genomics in Critical Care

Patient and Family Education

Psychosocial and Spiritual Alterations and Management

Sleep Alterations and Management

Nutrition Alterations and Management

Pain and Pain Management

Sedation,Agitation,Delirium: Assessment and Management

End-Of-Life Issues

Cardiovascular Anatomy and Physiology

Cardiovascular Clinical Assessment

Cardiovascular Diagnostic Procedures

Cardiovascular Disorders

Cardiovascular Therapeutic Management

Pulmonary Anatomy and Physiology

Pulmonary Clinical Assessment

Pulmonary Diagnostic Procedures

Pulmonary Disorders

Neurologic Anatomy and Physiology

Neurologic Clinical Assessment and Diagnostic Procedures

Neurologic Disorders and Therapeutic Management

Kidney Anatomy and Physiology

Kidney Clinical Assessment and Diagnostic Procedures

Kidney Disorders and Therapeutic Management

Gastrointestinal Anatomy and Physiology

Gastrointestinal Clinical Assessment and Diagnostic Procedures

Gastrointestinal Disorders and Therapeutic Management

Endocrine Anatomy and Physiology

Endocrine Clinical Assessment and Diagnostic Procedures

Endocrine Disorders and Therapeutic Management

Trauma

Shock,sepsis,and Multiple Organ Dysfunction Syndrome

Burns

Organ Donation and Transplantation

Hematologic Disorders and Oncologic Emergencies

The Obstetric Patient

The Pediatric Patient

The Older Adult Patient

The Perianesthesia Patient

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