chapter 21 exam 4 testbank

when performing endotracheal suctioning, the nurse applies suctioning while withdrawing and gently rotating the catheter 360 degrees for how long? a. 10-15 seconds b. 0-5 seconds c. 30-35 seconds d. 20-25 seconds

a. 10-15 seconds

which range of water pressure within the endotracheal tube cuff is believed to prevent both injury and aspiration? a. 15-20mmHg b. 10-15mmHg c. 0-5mmHg d. 30-35mmHg

a. 15-20mmHg

which is a potential complication of a low pressure in the ET tube cuff? a. aspiration pneumonia b. tracheal bleeding c. tracheal ischemia d. pressure necrosis

a. aspiration pneumonia

which type of oxygen therapy includes the administration of oxygen at pressure greater than atmospheric pressure? a. transtracheal b. hyperbaric c. low-flow systems d. high-flow systems

b. hyperbaric

which is the most reliable and accurate method for delivering precise concentrations of oxygen through noninvasive means? a. T-piece b. venturi mask c. partial-rebreathing mask d. nasal canula

b. venturi mask

the nurse is preparing to perform CPT on a client. whihc statement by the client tells the nurse that the procedure is contraindicated? a. i just changed into my running suit, we can do my CPT now b. i received my pain medication 10 minutes, lets do my CPT now c. i just finished eating my lunch, im ready for my CPT now d. i have been coughing all morning and am barely bringing anything up

c. i just finished eating my lunch, im ready for my CPT now

the nurse has instructed a client on how to perform pursed lip breathing. the nurse recognizes the purpose of this type of breathing is to accomplish which result? a. promote more efficient and controlled ventilation and to decrease the work of breathing b. promote the clients ability to take in oxygen c. improve oxygen transport, induce a slow, deep breathing pattern, and assist the client to control breathing d. promote the strengthening of clients diaphragm

c. improve oxygen transport, induce a slow, deep breathing pattern, and assist the client to control breathing

which oxygen administration device has the advantage of providing high oxygen concentration? a. catheter b. ventiru mask c. nonrebreathing mask d. face tent

c. nonrebreathing mask

the nurse is caring for a client who is scheduled for a lobectomy. following the procedure, the nurse will plan care based on the client a. requiring mechanical ventilation following surgery b. requiring sedation until the chest tube(s) are removed c. returning to the nursing unit with two chest tubes d. returning from surgery with no drainage tube

c. returning to the nursing unit with two chest tubes

a nurse is preparing to assist the health care provider to remove a client's chest tube. which instruction will the nurse correctly give to the client? a. do not move during the removal of the best tube because moving will make it more painful b. exhale forcefully while the chest tube is being removed c. when the tube is being removed, take a deep breath, exhale, and bear down d. while the chest tube is being removed, raise your arms above your head

c. when the tube is being removed, take a deep breath, exhale, and bear down

the nurse is assigned to care for a client with a chest tube. the nurse should ensure that which item is kept at the client's bedside? a. ambu bag b. an incentive spirometer c. a set of hemostats d. a bottle of sterile water

d. a bottle of sterile water

constant bubbling in the water seal of a chest drainage system indicates which problem? a. tidaling b. tension pneumothorax c. increased drainage d. air leak

d. air leak

the nurse is caring for a client following a thoracotomy. which finding requires immediate intervention by the nurse? a. moderate amounts of colorless sputum b. pain of 5 on a 1-10 scale c. heart rate 112bpm d. chest tube drainage 190mL/hr

d. chest tube drainage 190mL/hr

in general, chest drainage tubes are not used for a patient undergoing a. wedge resection b. segmentectomy c. lobectomy d. pneumonectomy

d. pneumonectomy