Question 1

When suctioning a tracheostomy suction may be applied for a maximum of __ seconds at a time never longer.

Accepted Answer

10
ten
Suctioning should be done for a maximum of 10 seconds at a time.Prolonged suctioning depletes oxygen supply.

Question 2

A _____________ cannula is a device consisting of small tubes inserted into the nares and is the most common way to administer oxygen.

Accepted Answer

nasal
A nasal cannula is device consisting of small tubes inserted into the nares and is the most common way to administer oxygen.

Question 3

When an older adult patient with chronic emphysema comes to the emergency department in respiratory distress,at what rate should the nurse begin oxygen per nasal cannula?

Accepted Answer

A) 2 L/min 
B) 3 L/min 
C) 4 L/min 
D) 5 L/min 
A) 2 L/min 
B) 3 L/min 
C) 4 L/min 
D) 5 L/min A

Question 4

An 80-year-old male patient has been admitted to the acute care facility with the diagnosis of pneumonia.He is receiving oxygen via nasal cannula at 2 L/min.The nurse assesses respirations at 24/min,PaO2 level 88 mm Hg,and pink skin tone.What action should the nurse implement?

Accepted Answer

A) Notify thehealth care provider. 
B) Increase oxygen to 4 L/min. 
C) Record PaO2 level. 
D) Administer nebulizer treatment. 
A) Notify thehealth care provider. 
B) Increase oxygen to 4 L/min. 
C) Record PaO2 level. 
D) Administer nebulizer treatment.

Question 5

Which of the following is an appropriate nursing measure when performing tracheostomy care?

Accepted Answer

A) Wear clean gloves. 
B) Insert the catheter without suction. 
C) Suction for 1 minute before removing the catheter. 
D) Place the used catheter in a plastic shield for later use. 
A) Wear clean gloves. 
B) Insert the catheter without suction. 
C) Suction for 1 minute before removing the catheter. 
D) Place the used catheter in a plastic shield for later use.

Question 6

What is the appropriate value for the venturi mask? Oxygen delivery devices with percent of oxygen delivered
Delivery device
Amount of delivered FiO2
Nasal cannula
1-6 L/min = 24%-44% O2
Simple face mask
5-8 L/min = 35%-55% O2
Venturi mask
Partial rebreather mask
6-12 L/min = 60%-90% O2
Nonrebreather mask
6-15 L/min = 70%-100% O2

Accepted Answer

A) 1-6 L/min = 24%-44% O2 
B) 5-8 L/min = 35%-55% O2 
C) 4-10 L/min = 24%-55% O2 
D) 6-12 L/min = 60%-90% O2 
E) 6-15 L/min = 70%-100% O2 
A) 1-6 L/min = 24%-44% O2 
B) 5-8 L/min = 35%-55% O2 
C) 4-10 L/min = 24%-55% O2 
D) 6-12 L/min = 60%-90% O2 
E) 6-15 L/min = 70%-100% O2

Question 7

The wife of a patient with a cuffed tracheostomy asks why the cuff is inflated intermittently.What is the purpose of the inflated cuff?

Accepted Answer

A) Prevent regurgitation after meals. 
B) Hold the trachea open until it is completely healed. 
C) Dilate the tracheal opening for passage of secretions. 
D) Prevent aspiration when eating. 
A) Prevent regurgitation after meals. 
B) Hold the trachea open until it is completely healed. 
C) Dilate the tracheal opening for passage of secretions. 
D) Prevent aspiration when eating.

Question 8

The nurse is caring for a patient with an endotracheal tube.What interventions will the nurse implement? (Select all that apply.)

Accepted Answer

A) Change or clean all respiratory therapy equipment every 24 hours. 
B) Turn and reposition the patient every 2 hours. 
C) Provide constant airway humidification. 
D) Encourage intake of fruits and vegetables. 
E) Elevate the head of the bed. 
A) Change or clean all respiratory therapy equipment every 24 hours. 
B) Turn and reposition the patient every 2 hours. 
C) Provide constant airway humidification. 
D) Encourage intake of fruits and vegetables. 
E) Elevate the head of the bed.

Question 9

A patient has a new health care provider's order for oxygen administration at 2 L via nasal cannula.Who can initiate implementation of this order? (Select all that apply.)

Accepted Answer

A) RN 
B) UAP 
C) Respiratory therapist 
D) EMT 
E) Nutritional specialist 
A) RN 
B) UAP 
C) Respiratory therapist 
D) EMT 
E) Nutritional specialist

Question 10

The nurse instructs a patient receiving home O2 therapy to drink plenty of fluids to help keep bronchial secretions liquefied.What is the recommended fluid?

Accepted Answer

A) Milk 
B) Water 
C) Tea with artificial sweetener 
D) Coffee 
A) Milk 
B) Water 
C) Tea with artificial sweetener 
D) Coffee

Exam 14: Oxygenation

When suctioning a tracheostomy suction may be applied for a maximum of __ seconds at a time never longer.

A _____________ cannula is a device consisting of small tubes inserted into the nares and is the most common way to administer oxygen.

When an older adult patient with chronic emphysema comes to the emergency department in respiratory distress,at what rate should the nurse begin oxygen per nasal cannula?

An 80-year-old male patient has been admitted to the acute care facility with the diagnosis of pneumonia.He is receiving oxygen via nasal cannula at 2 L/min.The nurse assesses respirations at 24/min,PaO2 level 88 mm Hg,and pink skin tone.What action should the nurse implement?

Which of the following is an appropriate nursing measure when performing tracheostomy care?

The wife of a patient with a cuffed tracheostomy asks why the cuff is inflated intermittently.What is the purpose of the inflated cuff?

The nurse is caring for a patient with an endotracheal tube.What interventions will the nurse implement? (Select all that apply.)

A patient has a new health care provider's order for oxygen administration at 2 L via nasal cannula.Who can initiate implementation of this order? (Select all that apply.)

The nurse instructs a patient receiving home O2 therapy to drink plenty of fluids to help keep bronchial secretions liquefied.What is the recommended fluid?

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An 80-year-old male patient has been admitted to the acute care facility with the diagnosis of pneumonia.He is receiving oxygen via nasal cannula at 2 L/min.The nurse assesses respirations at 24/min,PaO₂ level 88 mm Hg,and pink skin tone.What action should the nurse implement?

The nurse instructs a patient receiving home O₂ therapy to drink plenty of fluids to help keep bronchial secretions liquefied.What is the recommended fluid?