Sherpath: Oxygenation and Perfusion: Implement and Take Action; Evaluate

Which type of chest physiotherapy involves percussion?

Postural drainage

Which benefit is important for the nurse to include when educating a patient about antihypertensive medications?

Reduce the risk for stroke

Which course of action would the nurse initiate on discovering a recently discharged patient refuses to use a CPAP machine because of claustrophobia?

Requesting a prescription for a high-flow nasal cannula

Which alteration resulting from improper tube placement and found by palpating the skin around the stoma site during tracheostomy care would prompt the nurse to call the primary health care provider?

Subcutaneous emphysema

Inserted through the mouth for positive pressure mechanical ventilation

endotracheal tube

Helps a patient reach a set inhalation volume

incentive spirometry

Increase the diameter of the bronchi

inhaled bronchodilators

Decrease the thickness of secretions

mucolytics

Inserted in the patient's nose to facilitate ease of suctioning

naspharyngeal tube

Reservoir bag present; one-way valve prevents entry of exhaled air

nonrebreather mask

Inserted in mouth; maintains airway and breathing without ventilatory help

oropharyngeal tube

Reservoir bag present; room air is inspired with O2 delivered

partial rebreather mask

Which actions are the nurse's responsibilities during a chest tube insertion procedure?

positioning the patient Ensuring that the drainage system is working properly

Therapeutic positioning that facilitates gravity drainage from the lungs

postural drainage

No reservoir bag; 1 L/min O2 ⇧ = ~5% O2 concentration ⇧

simple face mask

Inserted through trachea; provides ventilation when upper airway obstructed

tacheostomy tube

No reservoir bag; ensures accuracy of O2 concentration; uses adaptors/dials

venturi mask

Which information would the nurse give to a postsurgical patient who states that performing incentive spirometry is uncomfortable and wants to know why it is necessary?

It prevents atelectasis.

Which explanation would the nurse give to a patient experiencing an abnormally rapid heartbeat who asks about the purpose of an antiarrhythmic medication?

It suppresses abnormal rhythms of the heart.

Which discharge instruction would be included during patient education of a patient prescribed anticoagulant therapy?

Limit intake of green, leafy vegetables.

The nurse would instruct a patient to hold each breath for ___________ seconds when explaining coughing/deep breathing chest physiotherapy?

3-5

Which explanation would the nurse give when preparing a patient for placement of an oropharyngeal tube?

"This will help facilitate clearing secretions from your mouth and throat."

Which device would the nurse apply to a patient who has arrived unconscious and in respiratory arrest (is not breathing)?

Ambu bag

Which medications would the nurse expect to be added to the patient's drug regimen when a patient with infectious bronchitis (inflammation of the bronchi) is admitted to the hospital?

Corticosteroids Antibiotics Anticholinergics

Which situations would indicate a need for the nurse to consider insertion of a pharyngeal airway?

Decreased level of consciousness Frequent suctioning needs Loss of muscle tone

Which patient changes would the nurse expect when medications used to treat pulmonary disease are effective?

Decreased symptoms Fewer exacerbations Increased exercise tolerance Improved overall health status

Which medications would the nurse expect to be on the medication administration record for a patient with chronic cardiovascular disease?

Diuretics Anticoagulants Antiarrhythmics Calcium channel blockers

For which purpose would a chest tube be inserted in a patient injured in a car crash?

Drains blood and fluid to promote full lung expansion

Which type of tube would a patient receiving general anesthesia require to maintain oxygenation?

Endotracheal

Which cautions would the nurse include when discussing home oxygen therapy with a patient who has chronic obstructive pulmonary disease (COPD)?

High oxygen levels can be toxic. Limit oxygen concentration to low-flow. Do not smoke while using oxygen.

Which potential outcomes for a patient with chronic obstructive pulmonary disease (COPD) are associated with daily extended supplemental oxygen therapy?

Increased level of daily function Improved mental status Increased activity tolerance

Which alterations of oxygenation and perfusion may require supplemental oxygen therapy?

Increased respiratory rate Low oxygen saturation Cyanosis

The nurse is caring for a patient with chronic obstructive pulmonary disease (COPD) and administers a bronchodilator. Which primary action would the nurse conclude is relieving the wheezing?

Increases the diameter of the bronchi

Which route would the nurse use when administering medication to a patient with non-life-threatening lower airway inflammation?

Inhalation

Which interventions would the nurse implement when providing care for a patient prescribed a diuretic?

Monitoring daily weight Monitoring intake and output

Which delivery system would the nurse use when the health care provider prescribes a common low-flow system to deliver continuous oxygen at 2 L/min for a patient with pneumonia?

Nasal cannula

Which emergency preparedness equipment would the nurse need to confirm is available in the room of a patient with a tracheostomy tube?

Obturator Inner cannula Bag-valve-mask (BVM) device Tracheostomy care kit

Which guidelines would the nurse recall when inserting a nasopharyngeal tube?

The length is measured from the tragus to the nostril plus 1 inch. The airway is removed and changed at least every 24 hours. The airway is lubricated before attempting insertion and inserted gently.

heart rate and rhythm

antiarrhythmics

Improve airway clearance

anticholinergics

bleeding

anticoagulants

Blood pressure

antihypertensives

Decrease inflammation

corticosteroids

Combines controlled coughing with deep breathing to maintain lung expansion

coughing/deep breathing

Which finding indicates that the prescribed inhaled bronchodilator administered to a patient with chronic obstructive pulmonary disease (COPD) has been effective?

decreased wheezing

Which action describes the primary rationale for administering a corticosteroid (methylprednisolone) to a patient with a pulmonary disease?

decreases inflammation

Daily weights, intake and output

diuretics