Bn quiz oxygenation
Upon analysis of a client's arterial blood gas results, the nurse determines that the concentration of carbon dioxide and hydrogen ions are elevated and the oxygen in the arterial blood is decreased. What respiratory assessment findings would the nurse anticipate to observe in a client with these arterial blood gas results?
increase in rate and depth of respirations
Which is a sign of dyspnea specific to infants?
nasal flaring
A nurse is caring for a client who has spontaneous respirations and needs to have oxygen administered at a FiO2 of 100%. Which oxygen delivery system should the nurse use?
nonrebreather mask
The nurse is caring for a client with respiratory alkalosis. Which arterial blood gas data does the nurse anticipate finding?
pH greater than 7.45; HCO3 low; PaCO2 low; hyperventilation
The nurse is caring for a client with metabolic acidosis whose breathing rate is 28 breaths per minute. Which arterial blood gas data does the nurse anticipate finding?
pH less than 7.35; HCO3 low; PaCO2 low
Pulse oximetry gives what type of information about the client?
percentage of hemoglobin carrying oxygen
The nurse is caring for a client who has excess levels of carbon dioxide in the blood, and chronic hypoxemia. Which intervention will the nurse recommend?
pursed-lip breathing
Which breathing technique(s) will the nurse teach to the client who has hypoxemia and hypercarbia?
pursed-lip breathing diaphragmatic breathing
A nurse is teaching a client and family about a partial rebreather mask. What would the nurse explain as limitations of the device?
requires a minimum of 6 L/min creates a risk for suffocation requires monitoring to verify that reservoir bag remains inflated at all times Explanation: Reference:
What structural changes to the respiratory system should a nurse observe when caring for older adults?
respiratory muscles become weaker
A nurse is conducting a focused respiratory assessment of a 21-year-old client who has been admitted to the hospital with a pneumothorax (collapsed lung). The nurse is aware that this client's diagnosis affects multiple aspects of the respiratory function, including external respiration. In what anatomical location does the external respiration take place?
the alveoli
A nurse is caring for a client with influenza who requires an external source of oxygen in order to breathe efficiently. In which situation is oxygen humidified?
when more than 4 L/min of oxygen is administered for an extended period
The home care nurse is visiting a client who is totally oxygen dependent and using home oxygen. Upon noticing a gas stove in the kitchen, what teaching will the nurse provide?
"An electric stove may be a safer choice for you."
An older adult client was recently placed on home oxygen. The client's caregiver reports that the client now refuses to leave the house. What teaching will the nurse provide the caregiver? Select all that apply.
"Continued socialization with others is important." "Discuss with the client switching to a portable oxygen device." "Invite friends and family to the client's house."
A nurse is educating a preoperative client on how to effectively deep breathe. Which instruction would be included?
"Make each breath deep enough to move the bottom ribs."
A nurse uses a simple mask to administer oxygen to a client with nasal trauma who breathes through the mouth. What is the minimum amount of oxygen delivered to the client using a simple mask?
5 L/min
A nurse is caring for a client who breathes very shallowly and has been reporting severe back pain. What suggestion could the nurse make to help the client breathe efficiently?
Encourage the client to take deep breaths.
A physician has ordered an arterial blood gas test for a client with a respiratory disorder. What is the most common role of the nurse in performing the arterial blood gas test?
Implement measures to prevent complications after arterial puncture.
A nurse is teaching a preoperative client how to use an incentive spirometer. Which instruction should be included in the teaching plan?
Instruct the client to inhale slowly and as deeply as possible through the mouthpiece without using the nose.
A nursing instructor is teaching a class on the mechanics of respiration and the process of ventilation. The instructor determines that the education was successful when the students identify which activity as occurring during inspiration?
Intercostal muscles contract.
Upon entering a client's room, the nurse notes the client's pulse oximetry to be 86%. What is the priority nursing action?
Perform a respiratory assessment.
A client is ordered to receive oxygen therapy via nasal cannula at 4 L/minute. When providing care to this client, what would the nurse need to keep in mind? Select all that apply.
The maximum flow rate that can be used is 6 L/minute. The client must have clear, patent nasal passages. The oxygen needs to be humidified to prevent drying of the mucosa.
The daughter of a client who is being treated for pneumonia has told the nurse that her father had his blood checked for its oxygen level during a previous bout with pneumonia. What disadvantage of arterial blood gas measurement should the client's nurse be aware of?
The procedure is invasive and painful.
During the physical assessment of a client who has been inactive due to a leg injury, the nurse notes that the client tends to breathe very shallowly. What technique should the nurse teach the client in order to breathe more efficiently?
deep breathing
