Oxy/Circ practice quiz
A client who utilizes a portable oxygen device reports planning to attend an upcoming bonfire on the beach. What is the appropriate nursing response?
"be sure to avoid the actual area of fire, and anyone who is smoking."
After taking vital signs, the nurse writes down findings as T = 98.6 (37), P = 66, R = 18, BP = 124/82. Which number represents the systolic blood pressure?
124
The nurse is conducting the physical assessment of a client at the health care facility. The nurse uses the pulse oximetry technique to monitor the oxygen saturation in the client's blood. Which pulse oximeter range indicates that the client is adequately oxygenated?
95% to 100%
A 24-year-old woman was admitted to the hospital for an exacerbation of symptoms related to her cystic fibrosis. During a nurse's assessment of the client, the nurse notices a bluish color around her lips. What is the client exhibiting in this scenario?
Cyanosis
Which individual is at greater risk for respiratory illnesses from environmental causes?
a factory worker in a large city
A nurse is admitting a 6-year-old child status post tonsillectomy to the surgical unit. The nurse obtains his weight and places EKG and a pulse oximeter on the client's left finger. His heart rate reads 100 bpm and the pulse oximeter reads 99%. These readings best indicate:
adequate tissue perfusion
A nurse is assessing the blood pressure of a client who has come to the health care facility for the first time. What is the best site for obtaining the client's blood pressure reading?
arm
What does pulse oximetry measure?
arterial oxygen saturation
The nurse is informed while receiving a nursing report that the client has been hypoxic during the evening shift. Which assessment finding is consistent with hypoxia?
confusion
Oxygen and carbon dioxide move between the alveoli and the blood by:
diffusion
A client asks the nurse if there are risk factors for hypertension. What is the most appropriate nursing response?
hypertension can be caused by many things, including anxiety and obesity
To determine the quality of oxygenation, the nurse performs the physical assessment, the arterial blood gas test, and pulse oximetry. What is the purpose of the pulse oximetry test?
monitor the amount of oxygen saturation in the blood
Which oxygen delivery system is most commonly used because it does not impede eating or speaking?
nasal cannula
Which is a sign of dyspnea specific to infants?
nasal flaring
Which diagnostic procedure measures lung size and airway patency, producing graphic representations of lung volumes and flows?
pulmonary function tests
A nurse needs to measure the pulse of a client admitted to the health care facility. Which site would the nurse most likely use?
radial
Which pulse site should the nurse recommend the client use for home monitoring?
radial
What organ is the primary site of heat loss in the body?
skin
A 55-year-old obese man reports excessive daytime sleepiness, morning headaches, and sore throat. His wife states that he snores a lot. Which disease is this client most likely suffering from?
sleep apnea
A middle-age, overweight adult client has had hypertension for 15 years. The pathologic event the client is most at risk for is:
stroke
A nursing student assesses a blood pressure on an adult and finds it to be 140/86. What term is used for the top number (140)?
systolic pressure
The nurse is assessing an adult who has a pulse rate of 180 beats/min. Which condition would the nurse document?
tachycardia
When measuring a client's pulse rate, the nurse records 125 bpm. How will the nurse document the information in the medical records?
tachycardia
