Oxygenation Success Questions

A provider prescribes chest physiotherapy with percussion and vibration for a client. After the provider leaves, the client says, "I still don't understand the purpose of this therapy." Which statement should be included in the nurse's response?

"it helps clear the airways of excessive secretions"

A provider prescribes zafirlukast 40 mg daily to be divided into two doses, one in the morning and one in the evening. The package insert indicates that each tablet is 10 mg. How many tablets should the nurse administer for each dose?

2

A provider prescribes a loading does of theophylline 6 mg/kg IV over 30 minutes. The client weighs 150 pounds. How many milligrams of theophylline should the nurse administer?

408 mg

A nurse is caring for a male client who had several laboratory tests performed. Which of the following increase this client's risk for an impaired ability to tolerate activity?

Hb of 10g/dL

Which is the nurse preparing to do with the equipment depicted in the photograph?

Institute gastric decompression

Which piece of information documented in the clinical record of a male adult should the nurse consider problematic?

Oxygen saturation 85%

Which outcome best reflects achievement of the goal, "The client will expectorate lung secretions with no signs of respiratory complications?"

absence of adventitious breath sounds

A nurse is caring for a client receiving oxygen via a nasal cannula. Which of the following should the nurse implement?

apply a water-based lubricant to the client's nares adjust the flowmeter to the prescribed oxygen flow rate reassess nares, cheeks, and ears for signs of pressure every 2 hours place the nasal prongs so that they curve downward when in the nares

Which of the following should the nurse instruct a client to do when using the apparatus in the illustration?

breathe out normally, seal your mouth around the mouthpiece, breathe in as slowly and deeply as possible, hold your breath at least three seconds, and remove the mouthpiece and exhale

Which action should the nurse implement to increase both the respiratory and the circulatory functions of a client in the coma?

change the client's position every 2 hours

A nurse, working in the ER, identifies that a client's hands are edematous when attempting to apply a pulse oximetry probe for short-term use. Which action should the nurse implement?

connect the probe to one of the client's earlobes

A primary health-care provider prescribes bedrest for a client. Which should the nurse explain to the client is the primary purpose of bedrest?

conserve energy

Which should the nurse do first when caring for a nonverbal client who is restless, agitated, and irritable?

determine patency of the airway

A nurse is caring for a client with thrombophlebitis. For which of the following clinical manifestations of a complication associated with the thrombophlebitis should the nurse monitor the client?

difficulty breathing acute chest pain

Which are effective leg exercises the nurse should encourage a client to perform to prevent circulatory complications during the postoperative period?

dorsiflexion exercises

A nurse is caring for a client who has a chest tube after thoracic surgery. Which of the following should the nurse implement when caring for this client?

encourage the client to cough and deep breathe at regular intervals position the collection device below the level of the chest maintain an airtight dressing over the puncture wound avoid using pins to secure tubing

A client has thick, tenacious respiratory secretions. Which should the nurse do to liquefy the client's respiratory secretions?

encourage the client to drink more fluid

Which clinical manifestation is of most concern when the nurse assesses a client who has impaired mobility?

gurgling sounds when breathing

A nurse hears a client explain the purpose of pursed-lip breathing to a relative. Which information would indicate to the nurse that the client correctly understood the nurse's teaching about pursed-lip breathing?

helps maintain open airways

A nurse is reviewing the lab results of a client with the preliminary diagnosis of anemia. An abnormal response of which diagnostic test would reflect iron-deficiency anemia?

hemoglobin

A provider prescribes oxygen for a client to be delivered at a high flow rate. Which additional nursing action is necessary when implementing a high-liter flow as opposed to a low-liter flow?

humidifying oxygen before it is delivered to the client

A nurse is assessing a postoperative client. Which complication has occurred when the client experiences purulent sputum, dyspnea, and chest pain?

hypostatic pneumonia

Which should the nurse do first when an adult who is choking on food becomes unconscious?

initiate a cardiopulmonary resusitation

A nurse teaches a client how to use an incentive spirometer. Which projected client outcome supports the conclusion that the use of the incentive spirometer was effective?

inspiratory volume will be increased

An unconscious client who had oral surgery is admitted to the PACU. In which position should the nurse place the client?

lateral

Which is the most important action by the nurse after a client has a chest tube inserted to treat a pneumothorax?

maintain the integrity of the client's chest tube

For which clinical manifestation should the nurse monitor the client when concerned about a potential for respiratory distress?

orthopnea

A primary health care provider chest physiotherapy with percussion and vibration for a newly admitted client. Which information obtained by the nurse during the health history should alert the nurse to question the provider's prescription?

osteoporosis

An obese client has limited mobility after an open reduction and internal fixation of a fractured hip. For which human response related to increased blood coagulability should the nurse monitor this client?

pain in the calf

A client is admitted with the diagnosis of lower extremity arterial disease. Which is a specific desirable outcome for a client with this diagnosis?

palpable peripheral pulses

A nurse raises the head of the bed for the client who has difficulty breathing. Which science includes the principle that explains how this intervention facilitates respiration?

physics

Which action is effective in meeting the needs of a client experiencing laryngospasm after exubation?

providing positive-pressure ventilation

A client sucking on hard candy inhales while laughing and develops a total airway obstruction. Which is the nurse attempting to do when implementing an abdominal thrust?

push air out of the lungs

A client's hemoglobin saturation via pulse oximetry indicates inadequate oxygenation. Which should the nurse do first?

raise the head of the bed

A nurse teaches a client to make a series of short, forceful exhalations (huffing) just before actually coughing. Which information should the nurse include when explaining the purpose of this action?

raises sputum to level where it can be expectorated when coughing

A meal tray arrives for a client who is receiving 24% oxygen via a Venturi mask. Which should the nurse do to meet this client's needs?

request a prescription to use a nasal cannula during meals

A provider prescription reads "6 L oxygen via face mask". The client, who has been extremely confused since being in the unfamiliar environment of the hospital, becomes agitated and repeatedly pulls off the mask. Which should the nurse do?

request that the prescription for oxygen be changed to a nasal cannula

A nurse is the operative suite is preparing an older adult for surgery. Which of the following physiological factors place the older adult at greater risk of life-threatening complications associated with surgery?

respiratory excursion cardiovascular capacity

A nurse is assessing a client with a respiratory problem. Which clinical manifestation is reflective of an early response to hypoxia that requires a nursing intervention?

restlessness irritability

A nurse is teaching a client how to use an incentive spirometer. Which position should the nurse assist the client during this procedure?

sitting

A nurse in the PACU is monitoring several clients who received general anesthesia. Which client response causes the most concern?

stridor

A nurse is planning to teach one client pursed-lip breathing and another client diaphragmatic breathing. Which technique associated with diaphragmatic breathing is different from pursed-lip breathing and should be included by the nurse in the teaching plan?

tighten the abdominal muscles while exhaling

Which nursing assessment best indicates a client's ability to tolerate activity?

vital signs that take three minutes to return to preactivity level