Oxygen

Strider sounds ___ and ___

Harsh and loud

Quiz The nurse is preparing to provide hygiene care to a client with hypoxia. Into what position will the nurse place the client?

High Fowlers

Quiz A client is diagnosed with hypoxia related to emphysema. The client's adult child will be assisting the client with daily hygiene. How will the nurse explain positioning of the client to the caregiver?

"An upright, sitting position is the best for daily hygiene so a lightweight chair that can be used in and out of the shower works best to help your parent breathe easier and allow you to assist."

Quiz A 4-year-old with bronchiolitis has been admitted to the hospital with respiratory compromise. The father asks the nurse why the physician won't prescribe an antibiotic, "My child just keeps getting worse." What is the best response by the nurse?

"Bronchiolitis is almost always caused by the respiratory syncytial virus (RSV). Unfortunately, antibiotics don't work on viruses."

Quiz The nurse is preparing to perform chest physiotherapy (CPT) on a client. Which statement by the client tells the nurse that the procedure is contraindicated.

"I just finished eating my lunch, I'm ready for my CPT now."

Quiz A female nurse of childbearing ages caring for a 2-year-old child diagnosed with bacterial pneumonia. The child has been placed in a mist tent. In caring for the child, it is important for the nurse to:

Monitor the child regularly for signs of cyanosis.

Left lung has ___ lobes

2

Right lung has ___ lobes

3

Low or high flow? Face tent

High flow

Low or high flow? Venturi mask

High flow

Define Kyphosis:

Hunchback (Makes the client appear to be leaning forward)

High flow O2 rate is:

5L-60L/min

Flu vaccine is recommended for people ___ months of age and older should be vaccinated each ___

6, year

Pneumococcal vaccine is recommended for all adults ___ years & older and ___ years or older

65 and 19

Clubbing of the fingers is a sign of ___

Hypoxia

Positions due to surgery and post op pneumonia can cause ___

Respiratory illness

Infants mainly breathing using their ___ muscles

Abdominal

Normal or abnormal? Friction run breath sounds

Abnormal

Normal or abnormal? Rhonchi breath sounds

Abnormal

Normal or abnormal? Stridor breath sounds

Abnormal

Apnea:

Absence of breathing

Quiz The nurse notes a 2-year-old toddler with pneumonia is breathing shallow. Which method is best for the nurse to use to teach the toddler how to perform deep breathing exercises?

Allow the toddler to blow bubbles in the room

___ is the site of gas change

Alveoli

Quiz Upon evaluation of a client's medical history, the nurse recognizes that which condition may lead to an inadequate supply of oxygen to the tissues of the body?

Anemia

Quiz The nurse is assessing a newborn in the nursery. The nurse notes the infant has episodes in which breathing ceased for 20 seconds on 2 occasions. The nurse correctly recognizes this condition as:

Apnea

Quiz What does pulse oximetry measure?

Arterial oxygen saturation

Quiz The nurse is providing care for a client who is unconscious. What nursing intervention takes highest priority?

Maintaining a patent airway

Which breathing device hangs over the clients bed?

Mist tent

Increased anteroposterior diameter means the client is ___

Barrel-chested

Older adults have ___ landmarks

Bony

Wood stoves and furnaces can cause ___ problems

Breathing

Barrel chest is seen in older ___ patients due to having to work harder to breath over the years

COPD

Quiz The nurse is caring for an older adult client on home oxygen who has dentures but has quit wearing them stating that the dentures irritate the gums. What nursing action is appropriate?

Check the fit of the oxygen mask.

Quiz In a bedridden, non-mobile patient, which activities would be most beneficial to preventing atelectasis?

Encourage to cough and deep breathe several times per hour

What does the lower airway do?

Exchanges the gasses

___/___ put children at risk for cold and illnesses

Daycare/School

pseudoephedrine and phenylephrine class:

Decongestants

Dyspnea:

Difficulty breathing

Early/Stress or Late/Crash? Increased HR, Increased RR, Increased BP

Early/Stress

Early/Stress or Late/Crash? Restless, Acute confusion with Geriatric client, Pale skin and mucous membranes, Abnormal lung sounds

Early/Stress

Quiz A nurse teaches deep breathing exercises to a preoperative client. Which action should the nurse perform?

Instruct the client to exhale gently and completely before inhaling.

Quiz Which teaching about the humidifier is important for the nurse to provide to a client using oxygen?

It decreases dry mucous membranes via delivering small water droplets.

The immune system matures during ___ childhood

Late

Early/Stress or Late/Crash? Confusion/Stupor, Blue skin and mucous membranes

Late/Crash

Early/Stress or Late/Crash? Decreased RR, Decreased heart rate, Decreased BP

Late/Crash

Use the ___ of O2 possible to keep the client at 95% or above

Least amount

Low flow O2 rate:

Less than 5L/min

Low or high flow? Nasal cannula

Low flow

Low or high flow? Nonrebreather

Low flow

Low or high flow? Partial rebreather

Low flow

Low or high flow? Simple face mask

Low flow

Quiz The nurse is caring for a client admitted for a mild exacerbation of asthma who has been prescribed portable oxygen at 2 L/min. What delivery device will the nurse select to apply oxygen to the client?

Nasal Cannula

What breathing device can cause dry nostrils

Nasal Cannula

Which breathing device prevents the patient from rebreathing exhaled air

Nonrebreather

Normal or abnormal? Bronchial breath sounds

Normal

Normal or abnormal? Bronchovesicular breath sounds

Normal

Normal or abnormal? Crackles heard at the end of an infants deep respiration?

Normal

Normal or abnormal? Vesicular breath sounds

Normal

Eupnea:

Normal breathing

Hypoxia

Not enough 02 in the cells

The diagraph doesn't move as well when you are a ___

Older adult

Which breathing device fits over clients head?

Oxy-hood

Which breathing device lets some breath go back into the bag and the client rebreathes it

Partial rebreather

Mist tents are mainly for what age catagory?

Pediatrics

Oxy-hood is mainly for what age catagory?

Pediatrics

Quiz While performing the physical examination, the nurse determines that a patient has an area of consolidation in the lungs suggesting pneumonia. Which technique would the nurse most likely have used to obtain this finding?

Percussion (lies..)

Older adults have an increased risk for disease, especially ___.

Pneumonia

Pneumococcal vaccine protects against what?

Pneumonia

Breathing deeper, more diaphragmatic breathing, increased tidal volume, and RR happens during ___

Pregnancy

___ can lead to allergen sensitivity, epistaxis, rhinitis, & voice changes

Pregnancy

hormones will broaden the chest & increase air volume during ___

Pregnancy

Define Intercostal retraction:

Reduced air pressure inside your chest

The medication Synthetic surfactant can do what for infants?

Reopen their alveoli

Quiz The nurse is caring for a postoperative client who has a prescription for meperidine 75 mg intramuscularly (IM) every 4 hours as needed for pain. Before and after administering meperidine, the nurse would assess which most important sign?

Respiratory rate and depth

Friction rub sounds like ___ or ___

Rubbing or dragging

Quiz A client is receiving tacrine and uses theophylline for chronic bronchospasm. Which would be most important for the nurse to monitor?

Serum theophylline levels

Infants airways are ___ in length and are at risk for ____

Short and Aspirating

Never use with less that 5L/min of O2 with what type of O2 mask?

Simple face mask

Surfactant helps things ___

Slide in the lungs

Quiz First-generation antihistamines may be effective against what symptoms? ___, ___, ___

Sneezing, Rhinorrhea, Cough

Rhonchi sounds like ___

Snoring

Quiz A nurse is admitting a new client who has been admitted with a diagnosis of COPD exacerbation. How can the nurse best help the client achieve the goal of maintaining effective oxygenation?

Teach the client strategies for promoting diaphragmatic breathing.

Quiz After receiving shift report, which client will the nurse assess first?

The child whose lips are blue in color and head is wet with perspiration.

Define Tracheal deviation:

Trachea being pushed to one side of your neck by abnormal pressure

A blocked airway can result in ___

Tracheal deviation

High flow nasal cannula has big and thick ___

Tubing

Respiratory illnesses usually start in the ___ airway and work its way ___

Upper, down

What does the upper airway do?

Warm the air

Quiz The nurse is caring for an infant admitted to the emergency department diagnosed with bronchiolitis. The nurse would assess the client for: ___ and ___

Wheezy cough and dyspnea.

Quiz The nurse is conducting a respiratory assessment of a client age 71 years who has been recently admitted to the hospital unit. Which assessment finding should the nurse interpret as abnormal?

fine crackles to the bases of the lungs bilaterally

Nasal flaring is a sign of respiratory ___

distress

cetirizine and diphenhydramine class:

antihistamines

Children's landmarks are ___ prominent.

less

Asymmetrical chest movement is a sign of respiratory distress and possible ___

pneumonia

Oxygen is carried in the body via plasma & ___

red blood cells

Infants are at risk for URI and asthma due to ___

secondhand smoking