oxygenation

The nurse is assessing the vital signs of a newborn. The nurse documents which respiratory rate as normal? a) 12 to 15 breaths per minute b) 30 to 55 breaths per minute c) 20 to 30 breaths per minute d) 12 to 20 breaths per minute

30 to 55 breaths per minute

A nurse assessing a patient's respiratory effort notes that the client's breaths are shallow and 8 per minute. Shortly after, the client's respirations cease. Which of the following should the nurse use for this patient? a) Oxygen tent b) Ambu bag c) Nasal cannula d) Oxygen mask

Ambu bag

The nurse working on the intensive care unit is preparing to admit a client injured in a car accident. The client has damage to the medulla. The nurse would include which most important equipment when preparing to care for this client? Select all that apply. a) Endotracheal tube b) Pulse oximeter c) Thermometer d) Chest drainage system e) Communication board

Pulse oximeter endotracheal tube

The nurse is caring for a postoperative client who has a prescription for meperidine (Demerol) 7 5mg intramuscularly (IM) every 4 hours as needed for pain. Before and after administering Demerol, the nurse would assess which most important sign? a) Orthostatic blood pressure b) Respiratory rate and depth c) Urinary intake and output d) Apical pulse

Respiratory rate and depth

A patient's primary care provider has informed the nurse that the patient will require thoracentesis. The nurse should suspect that the patient has developed which of the following disorders of lung function? a) Wheezes b) Pneumonia c) Pleural effusion d) Tachypnea

pleural effusion

The nurse is caring for a client who has spontaneous respirations and needs to have oxygen administered at a FIO2 of 100%. Which of the following oxygen delivery systems should the nurse utilize? a) Nasal cannula b) Venturi mask c) Simple mask d) Non-rebreather mask

Non-rebreather mask

You are caring for a patient who has a chest tube in place that is draining blood from a hemothorax. Which of the following items should you place in the patient's room to respond appropriately to accidental disconnection of the chest tube from the drainage device? a) A Heimlich valve b) An unopened bottle of sterile water c) Two rubber-tipped clamps d) A spare chest tube insertion kit

an unopened bottle of sterile water

Mr. Parks has chronic obstructive pulmonary disease. His nurse has taught him pursed-lip breathing, which helps him in which of the following ways? a) Helps liquefy his secretions b) Increases carbon dioxide, which stimulates breathing c) Teaches him to prolong inspiration and shorten expiration d) Decreases the amount of air trapping and resistance

decreases the amount of air trapping and resistance

Oxygen and carbon dioxide move between the alveoli and the blood by a) Diffusion b) Negative pressure c) Hyperosmolar pressure d) Osmosis

Diffusion

During oxygen administration to the client, which of the following pieces of equipment would enable the nurse to regulate the amount of oxygen delivered? a) Oxygen analyzer b) Nasal cannula c) Flow meter d) Humidifier

flow meter

What is the action of codeine when used to treat a cough? a) expectorant b) antihistamine c) suppressant d) antisuppressant

suppressant

The nurse is observing the unlicensed assistive personnel (UAP) perform oropharyngeal suctioning on a client. Which action, performed by the UAP, would indicate to the nurse that suctioning is being properly performed? a) The UAP allows 30-second to 1-minute intervals between suctioning passes. b) The UAP applies lubricant to the first 2 to 3" of the catheter. c) The UAP advances the catheter approximately 3" to 4" to reach the pharynx. d) The UAP advances the catheter approximately 5" to 6" to reach the pharynx.

the UAP advances the catheter approximately 3" to 4" to reach the pharynx

The charge nurse is observing a new nurse care for a client who is receiving oxygen via a simple mask with an FIO2 of 40%. The client states, "This moisture on my face is bothersome. Can something be done about it?" Which of the following responses by the new nurse would require clarification by the charge nurse? a) "I will confer with your primary care provider to find out if a nasal cannula can be used." b) "After I dry your face, I can apply powder to absorb the moisture and protect your skin." c) "The mask and its moisture can be bothersome, so let me demonstrate some distraction techniques to help you cope with them." d) "Your mask should remain on, but I will help you dry your face when it becomes too wet."

After I dry your face, I can apply powder to absorb the moisture and protect your skin

A client with no prior history of respiratory illness has been admitted to a postsurgical unit following foot surgery. What intervention should the nurse prioritize in an effort to prevent postoperative pneumonia and atelectasis during this time of reduced mobility following surgery? a) Educating the client on the use of incentive spirometry b) Administration of inhaled corticosteroids c) Educating the client on pursed-lip breathing techniques d) Oropharyngeal suctioning twice daily

Educating the client on the use of incentive spirometry

The nurse is conducting a respiratory assessment of a client age 71 years who has been recently admitted to the hospital unit. Which of the following assessment findings should the nurse interpret as abnormal? a) Vesicular breath sounds audible over peripheral lung fields b) Respiratory rate of 18 breaths per minute c) Fine crackles to the bases of the lungs bilaterally d) Resonance on percussion of lung fields

Fine crackles to the bases of the lungs bilaterally

The nurse schedules a pulmonary function test to measure the amount of air left in a patient's lungs at maximal expiration. What test does the nurse order? a) Tidal volume (TV) b) Residual Volume (RV) c) Total lung capacity (TLC) d) Forced Expiratory Volume (FEV)

RV

The nurse is instructing the client with a pulmonary disorder on deep breathing. The client asks, "Why is it important to start by breathing through my nose, then exhaling through my mouth?" Which appropriate response would the nurse give this client? a) "If you breathe through the mouth first, you will swallow germs into your stomach." b) "Breathing through your nose first will warm, filter, and humidify the air you are breathing." c) "Breathing through your nose first encourages you to sit up straighter to increase expansion of the lungs during inhalation." d) "We are concerned about you developing a snoring habit, so we encourage nasal breathing first."

breathing through you nose first will warm, filter, and humidify the air you are breathing

A 55-year-old client visits a health care facility for a scheduled physical assessment. During the assessment, the client complains of difficulty breathing. What suggestion could the nurse make to improve the client's respiratory function in this case? a) Use a nasal strip. b) Drink liberal amounts of fluids. c) Receive annual immunizations. d) Avoid strenuous exercises.

drink liberal amounts of fluids

Which of the following dietary guidelines would be appropriate for the elderly homebound client with advanced respiratory disease who informs the nurse that she has no energy to eat? a) Eat one large meal at noon b) Eat smaller meals that are high in protein c) Contact the physician for Ensure d) Snack on high-carbohydrate foods frequently

eat smaller meals that are high in protein