Exam 23: Oxygen Therapy

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

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

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

The patient is on mechanical ventilation.Which actions by the nurse are appropriate?

The nurse is assessing a patient for hypoxia and observes a bluish discoloration in the following areas.Which areas indicate hypoxia?

The nurse is caring for several patients who require oxygen therapy.The nurse anticipates an order for noninvasive positive-pressure ventilation (NIPPV)for the patients with which diagnoses?

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

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

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

A patient is admitted to the emergency department following 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 ordered?

The nurse is checking the oxygen flow rate on several patients.All flowmeters are set at 2 L/min.The nurse should question this flow rate for which delivery system(s)?

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?

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

A patient will be using a nasal cannula continuously to deliver oxygen at home,and the nurse is instructing the patient and family about important safety guidelines.Which of the following should be included in the teaching plan?

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 nurse is reviewing lab results for a patient with hypoxemia.The nurse is aware that which of the following results may worsen the patient's hypoxemia?

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

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