Fundamental Final ATI: Admission and oxygenation

A nurse is providing discharge teaching to a patient who will continue oxygen therapy at home. The nurse should instruct the patient that turning the knob on the oxygen flow meter all the way to the right

Stops the flow of oxygen

A nurse should recognize that which of the following is an indication of oxygen therapy?

Tachypnea, SaO2 90%

A nurse is caring for a critically ill patient with COPD who requires delivery of a precise concentration of oxygen. Which of the following types of oxygen delivery device is indicated for this patient?

Venturi Mask

A patient admitted with community acquired pneumonia has been oxygen therapy for several days, Which of the following assessment findings indicates an adverse effects of oxygen therapy?

Cracks in the oral mucosaA

A nurse is caring for a patient who is dyspneic and slightly cyanotic with a respiratory rate of 28/min. The nurse determines that the patient has impaired gas exchange during which of the following phases of the nursing process?

Diagnosis

A nurse is caring for a client who is having difficulty breathing. The client is lying in bed and is already receiving oxygen therapy via nasal cannula. Which of the following interventions is the nurse's priority?

Assist the client to Fowler's position

A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse take when providing tracheostomy care? Select all that apply

1. Apply the oxygen source loosely if the SpO2 decreases during the procedure 2. use surgical asepsis to remove and clean the inner cannula 3. Clean the outer surfaces in a circular motion from the stoma site outward

A nurse is caring for a client who had a stroke and is scheduled for transfer to a rehabilitation center. Which of the following tasks are the responsibility of the nurse at the transferring facility? Select all that apply

1. Ensure that the client has possession of his valuables 2. Confirm that the rehabilitation center has a room available at the time of transfer 3. Give a verbal transfer report via telephone 4 .Complete a transfer form for the receiving facility

A nurse is preparing the discharge summary for a client who has had knee arthroplasty and is going home. Which of the following information about the client should the nurse include in the discharge summary? Select all that apply

1. Follow up care 2. Instructions for diet and medication

A nurse is assessing a client who has an acute respiratory infections that puts her at risk for hypoxemia. Which of the following findings are early indications that should alert the nurse that the client is developing hypoxemia?Select all that apply

1. Restlessness 2. Tachypnea 3. Confusion 4. Pallor

A nurse is preparing to a perform endotracheal suctioning for a client. The nurse should follow which of the following guidelines? Select all that apply

1. apply suction while withdrawing the catheter 2. Use a new catheter for each suctioning attempt 3. Limit total suctioning time to 5 minutes

A provider is discharging a client who has a prescription for home oxygen therapy via nasal cannula. Client and family teaching by the nurse should include which of the following instructions? Select all that apply

1. check the position of the cannula frequently 2. report any nasal stuffiness, nausea, or fatigue 3. post no smoking signs in a prominent location

A nurse is admitting a client who has acute cholecystisis to a medical surgical unit. Which of the following actions are essential steps of the admission procedure? Select all that apply

1. explain the role of other care delivery staff 2 Begin discharge planning 3. Provide information about advance directives 4. Introduce the client to his roommate

A nurse is caring for a patient who has a tracheostomy. Which of the following must the nurse use when administering oxygen to this patient

A tracheostomy collar

As a part of the admission process, a nurse at a long term care facility is gathering a nutrition history for a client who has dementia. Which of the following components of the nutrition evaluation is the priority for the nurse to determine from the client family?

Any difficulty swallowing

A patient who is prescribed oxygen therapy 24hr/day is concerned about being confined to bed. Which of the following should the nurse do to provide mobility for this patient?

Make sure the patient has up to 50 feet of connecting tubing

Administering oxygen therapy with a nonrebreather mask has which of the following advantages?

Offers the highest oxygen concentration of the low- flow system

A nurse is performing an admission assessment for an older adult client. After gathering the assessment data and performing the review of systems, which of the following actions is a priority for the nurse?

Orient the client to his room

Oxygen therapy is prescribed for a patient who is brought to an emergency department in the early stages of hypoxia. When assessing this patient, the nurse should expect to find which of the following clinical indictors

elevated blood pressure

A home health nurse is instructing a patient who has just started receiving oxygen therapy via mask. The nurse should emphasize that the patient must

reposition the elastic band frequently

A patient as been receiving oxygen PRN via nasal cannula for 4 hours. Which of the following assessment findings help indicate that oxygen therapy has been effective

respiratory rate 14/min