Question 1

Inaccurate pulse oximetry readings can be found in clients with

Accepted Answer

A) Polycythemia. 
B) Recent contrast media studies. 
C) High CO2 levels. 
D) Cardiac anomalies. 
A) Polycythemia. 
B) Recent contrast media studies. 
C) High CO2 levels. 
D) Cardiac anomalies. B

Question 2

An elderly client has an order for humidified oxygen at 6 litersper minute.You understand the rationale for this order is to

Accepted Answer

A) Prevent infection of the upper airways. 
B) Administer oxygen to treat hypoxemia. 
C) Maintain moist mucous membranes. 
D) Keep the upper airways patent. 
A) Prevent infection of the upper airways. 
B) Administer oxygen to treat hypoxemia. 
C) Maintain moist mucous membranes. 
D) Keep the upper airways patent. C

Question 3

The best method to prevent hypoxia when suctioning is

Accepted Answer

A) Suction only when necessary. 
B) Hyperoxygenate for 1-2 minutes before suctioning. 
C) Suction for no more than 10 seconds. 
D) Use only a small-sized catheter for suctioning. 
A) Suction only when necessary. 
B) Hyperoxygenate for 1-2 minutes before suctioning. 
C) Suction for no more than 10 seconds. 
D) Use only a small-sized catheter for suctioning. B

Question 4

A high flow rate of oxygen administered to the client with COPD may cause

Accepted Answer

A) Headache. 
B) Respiratory alkalosis. 
C) Oxygen dependency. 
D) CO2 retention. 
A) Headache. 
B) Respiratory alkalosis. 
C) Oxygen dependency. 
D) CO2 retention.

Question 5

The priority concern for the client with a capped tracheostomy tube is

Accepted Answer

A) Means for communication. 
B) Tube cuff deflation. 
C) Aspiration precautions. 
D) Continuous pulse oximetry. 
A) Means for communication. 
B) Tube cuff deflation. 
C) Aspiration precautions. 
D) Continuous pulse oximetry.

Question 6

Nursing responsibilities when assisting with endotracheal intubation include all of the following except

Accepted Answer

A) Place client in a supine position with chin flexed toward chest. 
B) Tape ET tube in place after insertion. 
C) Suction client before intubation. 
D) Auscultate lung fields before and after intubation. 
A) Place client in a supine position with chin flexed toward chest. 
B) Tape ET tube in place after insertion. 
C) Suction client before intubation. 
D) Auscultate lung fields before and after intubation.

Question 7

Negative pressure used when performing tracheostomy suction is _____________ mm Hg.

Accepted Answer

A) 40-60 
B) 60-80 
C) 80-120 
D) 120-140 
A) 40-60 
B) 60-80 
C) 80-120 
D) 120-140

Question 8

Which of the following statements is true for the client receiving oxygen per nasal cannulae?

Accepted Answer

A) Deep breathing will increase the amount of oxygen inhaled. 
B) Vaseline use is appropriate for nares care. 
C) Mouth breathing will not alter oxygen percent inspired. 
D) Humidification of inspired air is indicated. 
A) Deep breathing will increase the amount of oxygen inhaled. 
B) Vaseline use is appropriate for nares care. 
C) Mouth breathing will not alter oxygen percent inspired. 
D) Humidification of inspired air is indicated.

Question 9

Place an X in front of the true statements related to airway insertion.

Accepted Answer

A) Oropharyngeal airways are initially turned upside down for insertion._______ 
B) Only the tip of the nasopharyngeal airway is lubricated prior to insertion._______ 
C) Clients are placed in a semi-Fowler's position for endotracheal intubation._______ 
D) Breath sounds are assessed following endotracheal intubation._______ 
E) Sterile technique is used in cleaning and suctioning the new tracheostomy tube._______ 
A) Oropharyngeal airways are initially turned upside down for insertion._______ 
B) Only the tip of the nasopharyngeal airway is lubricated prior to insertion._______ 
C) Clients are placed in a semi-Fowler's position for endotracheal intubation._______ 
D) Breath sounds are assessed following endotracheal intubation._______ 
E) Sterile technique is used in cleaning and suctioning the new tracheostomy tube._______

Question 10

An important principle of nebulization therapy is to caution the client against

Accepted Answer

A) Coughing too much. 
B) Hyperventilation. 
C) Too much exertion just prior to the treatment. 
D) Cleaning the equipment with soap and water. 
A) Coughing too much. 
B) Hyperventilation. 
C) Too much exertion just prior to the treatment. 
D) Cleaning the equipment with soap and water.

Question 11

When suctioning a client with a cuffed tracheostomy tube,which of the following nursing measures should be considered?

Accepted Answer

A) Oxygenation should be provided after the suctioning procedure only if it was prolonged. 
B) The size of the suction catheter should not exceed half the diameter of the tracheostomy tube. 
C) Apply suction when inserting as well as when removing the catheter. 
D) Suctioning should not exceed 15 seconds at a time. 
A) Oxygenation should be provided after the suctioning procedure only if it was prolonged. 
B) The size of the suction catheter should not exceed half the diameter of the tracheostomy tube. 
C) Apply suction when inserting as well as when removing the catheter. 
D) Suctioning should not exceed 15 seconds at a time.

Question 12

Complete the following instructions for clients requiring diaphragmatic breathing: The client is to breathe in deeply through the _____________.The client is to exhale by _____________.To assist in exhaling effectively,instruct the client to tighten the _____________ muscles.

Accepted Answer

Nose,pursing his lip

Question 13

Instructions for coughing exercises include having the client _____________ deeply and to cough using _____________ and respiratory muscles.

Accepted Answer

The answer of Instructions for coughing exercises include having the...

Question 14

Oxygen is most accurately delivered by

Accepted Answer

A) Nasal cannula. 
B) Simple mask. 
C) Mask with reservoir bag. 
D) Venturi mask. 
A) Nasal cannula. 
B) Simple mask. 
C) Mask with reservoir bag. 
D) Venturi mask.

Question 15

Match between columns
                        Premises: When using a catheter and sleeve,sterile gloves are required for the procedure.

Saline instillation before suctioning facilitates airway secretion clearance.

Suction is applied only on withdrawal of the catheter.

Suction time is limited to less than 10 seconds at one time.

Suction catheter tips are lubricated with water-soluble lubricant before suctioning.

Accepted Answer

The Answer of True and False is...

Question 16

Clinical Situation: James Jackson was injured in an automobile accident. His chest hit the steering wheel and, upon admission to the ER, he was complaining of shortness of breath. A chest tube has been inserted to evacuate a 
-Safety measures that are monitored for all clients requiring a closed drainage system include all of the following except

Accepted Answer

A) Keeping rubber-tipped hemostats at bedside. 
B) Air vent is closed to the environment. 
C) Keeping the system below chest tube insertion site. 
D) Ensuring that suction control chamber water level is maintained. 
A) Keeping rubber-tipped hemostats at bedside. 
B) Air vent is closed to the environment. 
C) Keeping the system below chest tube insertion site. 
D) Ensuring that suction control chamber water level is maintained.

Question 17

Oxygen delivered through a nasal cannula can deliver no more than _____________% oxygen.

Accepted Answer

A) 24 
B) 30 
C) 38 
D) 44 
A) 24 
B) 30 
C) 38 
D) 44

Question 18

Clinical Situation: James Jackson was injured in an automobile accident. His chest hit the steering wheel and, upon admission to the ER, he was complaining of shortness of breath. A chest tube has been inserted to evacuate a 
-Chest tubes are inserted following a thoracotomy and attached to a Pleur-evac drainage system.When evaluating the effectiveness of the drainage system,you notice that fluid is fluctuating up and down in the water-seal chamber.What is your initial intervention?

Accepted Answer

A) Clamp the chest tubes closest to the client. 
B) Call the physician immediately. 
C) Look for leaks in the tubing. 
D) Do nothing because this fluctuation is normal. 
A) Clamp the chest tubes closest to the client. 
B) Call the physician immediately. 
C) Look for leaks in the tubing. 
D) Do nothing because this fluctuation is normal.

Question 19

Match between columns
                        Premises: Tidal volume
Expiratory reserve volume
Inspiratory reserve volume
Reserve volume

Accepted Answer

The Answer of Volume of air normally inspired and Volume is...

Question 20

The client is placed in a _____________ position when teaching deep breathing and coughing exercises.Have the client take a _____________ breath through the _____________ until the chest is expanded and abdominal muscles rise.

Accepted Answer

High (Fowl

Exam 26: Perioperative Care

Inaccurate pulse oximetry readings can be found in clients with

An elderly client has an order for humidified oxygen at 6 litersper minute.You understand the rationale for this order is to

The best method to prevent hypoxia when suctioning is

A high flow rate of oxygen administered to the client with COPD may cause

The priority concern for the client with a capped tracheostomy tube is

Nursing responsibilities when assisting with endotracheal intubation include all of the following except

Negative pressure used when performing tracheostomy suction is _____________ mm Hg.

Which of the following statements is true for the client receiving oxygen per nasal cannulae?

Place an X in front of the true statements related to airway insertion.

An important principle of nebulization therapy is to caution the client against

When suctioning a client with a cuffed tracheostomy tube,which of the following nursing measures should be considered?

Complete the following instructions for clients requiring diaphragmatic breathing: The client is to breathe in deeply through the _____________.The client is to exhale by _____________.To assist in exhaling effectively,instruct the client to tighten the _____________ muscles.

Instructions for coughing exercises include having the client _____________ deeply and to cough using _____________ and respiratory muscles.

Oxygen is most accurately delivered by

Oxygen delivered through a nasal cannula can deliver no more than _____________% oxygen.

The client is placed in a _____________ position when teaching deep breathing and coughing exercises.Have the client take a _____________ breath through the _____________ until the chest is expanded and abdominal muscles rise.

Professional Nursing

Nursing Process and Critical Thinking

Managing Client Care: Documentation and Delegation

Communication and Nurse-Client Relationship

Admission, Transfer, and Discharge

Client Education and Discharge Planning

Safe Client Environment and Restraints

Bathing, Bedmaking, and Maintaining Skin Integrity

Personal Hygiene

Vital Signs

Physical Assessment

Body Mechanics and Positioning

Exercise and Ambulation

Infection Control

Disaster Preparedness Bioterrorism

Pain Management

Alternative Therapies and Stress Management

Medication Administration

Nutritional Management and Ng Intubation

Specimen Collection

Diagnostic Procedures

Urinary Elimination

Bowel Elimination

Heat and Cold Therapies

Wound Care and Dressings

Orthopedic Interventions

Intravenous Therapy

Central Vascular Access

Respiratory Care

Circulatory Maintenance

Neurological Management - New

Advanced Nursing Skills

End of Life Care

Filters

Complete the following instructions for clients requiring diaphragmatic breathing: The client is to breathe in deeply through the _______.The client is to exhale by _.To assist in exhaling effectively,instruct the client to tighten the _______ muscles.

Instructions for coughing exercises include having the client _ deeply and to cough using _ and respiratory muscles.

The client is placed in a _______ position when teaching deep breathing and coughing exercises.Have the client take a _ breath through the _______ until the chest is expanded and abdominal muscles rise.