Question 1

Both sensor probes must be aligned directly opposite each other when using a finger or toe site for pulse oximetry to ensure _____________.

Accepted Answer

That the photodetector registe

Question 2

The oxygen delivery system that provides the highest concentration of oxygen is

Accepted Answer

A) Nasal prongs. 
B) Mask without reservoir bag. 
C) Mask with reservoir bag. 
D) Venturi mask. 
A) Nasal prongs. 
B) Mask without reservoir bag. 
C) Mask with reservoir bag. 
D) Venturi mask.

Question 3

Endotracheal tube or tracheostomy tube cuffs are inflated to minimal occlusive volume.Adequate occlusion is determined using a stethoscope to

Accepted Answer

A) hear a hissing sound over the suprasternal notch on expiration. 
B) hear a hissing sound over the suprasternal notch on end inspiration. 
C) hear the client speak softly on exhalation. 
D) infalted cuff pressure greater than client's blood pressure. 
A) hear a hissing sound over the suprasternal notch on expiration. 
B) hear a hissing sound over the suprasternal notch on end inspiration. 
C) hear the client speak softly on exhalation. 
D) infalted cuff pressure greater than client's blood pressure.

Question 4

All of the following actions are performed with tracheostomy suctioning except

Accepted Answer

A) Hyperoxygenate lungs with oxygen after suctioning. 
B) Insert catheter without applying suction. 
C) Instill 10 mL of normal saline into trach before suctioning. 
D) Suction for 10 seconds. 
A) Hyperoxygenate lungs with oxygen after suctioning. 
B) Insert catheter without applying suction. 
C) Instill 10 mL of normal saline into trach before suctioning. 
D) Suction for 10 seconds.

Question 5

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 
-Continuous air bubbling in the water-seal bottle indicates that

Accepted Answer

A) Air is passing out of the pleural space. 
B) Air is being removed from within the lung tissue. 
C) Air is leaking into the drainage system. 
D) Nothing is wrong;air bubbling is normal. 
A) Air is passing out of the pleural space. 
B) Air is being removed from within the lung tissue. 
C) Air is leaking into the drainage system. 
D) Nothing is wrong;air bubbling is normal.

Question 6

The most accurate statement about percussion,vibration,and drainage is

Accepted Answer

A) Percussion is done for 1 minute over each lung segment. 
B) Vibration is performed on exhalation. 
C) To drain lower right lobe,the client is positioned in Fowler's position. 
D) Coughing and deep breathing are done at the end of the treatment. 
A) Percussion is done for 1 minute over each lung segment. 
B) Vibration is performed on exhalation. 
C) To drain lower right lobe,the client is positioned in Fowler's position. 
D) Coughing and deep breathing are done at the end of the treatment.

Question 7

Place an X in front of the statements that are correct about tracheostomy care.

Accepted Answer

A) The outer cannula is frequently disposable and needs no cleaning._______ 
B) The inner cannula is cleansed with hydrogen peroxide when nondisposable cannula is used._______ 
C) Oropharyngeal suctioning should be done before deflating the trach cuff._______ 
D) The incision site should be observed and cleansed only if dried blood surrounds the site._______ 
E) Nonraveling dressings are used to prevent aspiration of lint._______ 
F)Trach ties should only be changed when assistance is available._______ 
A) The outer cannula is frequently disposable and needs no cleaning._______ 
B) The inner cannula is cleansed with hydrogen peroxide when nondisposable cannula is used._______ 
C) Oropharyngeal suctioning should be done before deflating the trach cuff._______ 
D) The incision site should be observed and cleansed only if dried blood surrounds the site._______ 
E) Nonraveling dressings are used to prevent aspiration of lint._______ 
F)Trach ties should only be changed when assistance is available._______

Question 8

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 
-Which one of the following principles is incorrect when discussing the water-seal chest drainage system?

Accepted Answer

A) When the chest has been opened,a vacuum must be applied to reestablish positive pressure. 
B) Water acts as a seal to prevent air from being drawn into the pleural space. 
C) Air drawn into the chest cavity collapses the lung. 
D) Water-seal mechanisms operate on a negative pressure principle. 
A) When the chest has been opened,a vacuum must be applied to reestablish positive pressure. 
B) Water acts as a seal to prevent air from being drawn into the pleural space. 
C) Air drawn into the chest cavity collapses the lung. 
D) Water-seal mechanisms operate on a negative pressure principle.

Question 9

While changing the trach ties,the client is accidentally decannulated.Your initial nursing intervention is to

Accepted Answer

A) Call the physician. 
B) Place in Fowler's position. 
C) Insert obturator through trach opening. 
D) Suction client. 
A) Call the physician. 
B) Place in Fowler's position. 
C) Insert obturator through trach opening. 
D) Suction client.

Exam 26: Perioperative Care

Both sensor probes must be aligned directly opposite each other when using a finger or toe site for pulse oximetry to ensure _____________.

The oxygen delivery system that provides the highest concentration of oxygen is

Endotracheal tube or tracheostomy tube cuffs are inflated to minimal occlusive volume.Adequate occlusion is determined using a stethoscope to

All of the following actions are performed with tracheostomy suctioning except

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 -Continuous air bubbling in the water-seal bottle indicates that

The most accurate statement about percussion,vibration,and drainage is

Place an X in front of the statements that are correct about tracheostomy care.

While changing the trach ties,the client is accidentally decannulated.Your initial nursing intervention is to

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

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