Airway management

A nurse is caring for a client who requires 1 L of oxygen. Which of the following oxygen delivery devices should the nurse expect to use?

Nasal cannula

A nurse is assessing a client who is receiving oxygen therapy. The nurse should identify that which of the following findings can indicate oxygen therapy?

Ringing in the ears

A nurse is providing discharge teaching to a client who will continue oxygen therapy at home. The nurse should instruct the client that turning the knob on the oxygen flow meter all the way to the right...

Stops the flow of oxygen

A nurse is caring for a client who sustained trauma to their head and neck and will require long-term airway support. Which of the following pieces of equipment will be required for home health care for this client?

Tracheostomy tube

A nurse is preparing to suction a client's oral airway. Which of the following devices or methods should the nurse use?

Yankauer catheter

A nurse is discussing atrial fibrillation with a newly licensed nurse. Which pf the following statements by the newly licensed nurse indicates an understanding of atrial fibrillation?

"Atrial fibrillation is caused by electrical signals outside of the SA node"

A nurse is providing teaching for a client who has a new prescription for a continuous positive airway pressure CPAP) machine to treat obstructive sleep apnea (OSA). Which of the following statements should the nurse include?

"Cover your nose with the CPAP mask"

A nurse is providing discharge teaching with a client who is going home on continuous liquid oxygen therapy. Which of the following instructions should the nurse include?

"Place the oxygen tank in a clutter-free environment"

A nurse is providing teaching for a client who has a new prescription for an incentive spirometer. Which of the following instructions should the nurse include?

"Use the incentive spirometer every hour while awake"

Place the steps of electrical conduction in the heart in the correct order. 1. sinoatrial node 2. atrioventricular node 3. bundle of his 4. right and left bundle of branches 5. purkinje fibers

1, 2, 3, 4, 5 1. sinoatrial node 2. atrioventricular node 3. bundle of his 4. right and left bundle of branches 5. purkinje fibers

A nurse is teaching a client how to perform the purse-lipped breathing technique. Place the steps for purse-lipped breathing in the correct order. 1. relax the neck and shoulders 2. inhale slowly through the nostrils 3. purse the lips 4. take a deep breath 5. exhale slowly through the mouth

1, 4, 2, 3, 5 1. relax the neck and shoulders 4. take a deep breath 2. inhale slowly through the nostrils 3. purse the lips 5. exhale slowly through the mouth

A nurse is teaching a client who has an abdominal incision about coughing and deep breathing. In which order should the nurse instruct the client to perform the following steps? 1. "hold you breath for several seconds" 2. "take a deep breath" 3. "brace the incision with a pillow and try to cough deeply" 4. "exhale slowly"

2. "take a deep breath" 1. "hold you breath for several seconds" 4. "exhale slowly" 3. "brace the incision with a pillow and try to cough deeply"

A nurse is suctioning a client's tracheostomy using an open system. Which of the following actions should the nurse take?

Administer 100% oxygen before the procedure

A nurse is preparing to suction a client's tracheostomy. Which of the following actions should the nurse take?

Allow 2-3 min in between suctioning to reoxygenate the lungs

A nurse is discussing ventilation and perfusion with a newly licensed nurse. The nurse should include in the discussion that the exchange of oxygen and carbon dioxide occurs at which of the following locations?

Alveoli

A nurse is assessing a client who has COPD. The nurse should identify that which of the following is an expected finding?

Clubbing of the fingers

A nurse is caring for a client who has a tracheostomy tube in place. During tracheostomy care, which of the following should the nurse place underneath the flange of the outer cannula?

Commercially prepared fenestrated dressing

A nurse is caring for a client who has left-sided heart failure. Which of the following findings should the nurse expect?

Crackles in the lungs

A nurse is caring for a client who was admitted with community-acquired pneumonia and has been receiving oxygen therapy for several days. Which of the following findings indicates an adverse effect on oxygen therapy?

Cracks in the oral mucosa

A nurse is caring for a client who has dyspnea, slight cyanosis, and a respiratory rate of 28/ min. During which of the following phases of the nursing process will the nurse determine that the client has impaired gas exchange?

Diagnosis

Oxygen therapy is prescribed for a client who is brought to an emergency department in the early stages of hypoxia. When assessing the client, a nurse should expect which of the following findings?

Elevated blood pressure

A nurse is caring for a client who has a tracheostomy tube with an inner cannula in place. Which of the following supplies should the nurse use to dry the inner cannula of the client's tracheostomy tube after cleaning it?

Folded pipe cleaners

A client reports experiencing stress about their new diagnosis of coronary artery disease (CAD). Which of the following are manifestations of prolonged stress?

Increased cortisol level

A nurse is performing chest percussion therapy on a client. Which of the following actions should the nurse take?

Listen for a hollow sound when performing chest percussion therapy

A nurse is caring for a client who has a chest tube. Which of the following actions should the nurse take?

Monitor the client for subcutaneous emphysema

A nurse is auscultating a client's heart and hears a low-pitched whooshing or blowing sound over the apex of the heart. The nurse should identify that this indicates which of the following?

Murmur

A nurse is assessing a client who is being discharged. The nurse notes the client has regular and quiet breathing. The nurse should identify this breathing pattern as which of the following?

Normal breathing

A nurse is caring for a client who has a history of asthma and is wheezing. Which of the following actions should the nurse take first?

Obtain the oxygen saturation

Administering oxygen therapy with a nonrebreather mask has which of the following advantages?

Offers the highest oxygen concentration of the low-flow systems

A nurse should recognize that which of the following findings is an indication for oxygen therapy?

Oxygen saturation (SaO2) 90%

A home health nurse is teaching a client who has just started receiving oxygen therapy via mask. The nurse should emphasize that the client must:

Reposition the elastic band frequently

A nurse is caring for a client who has cuffed endotracheal (ET) tube in place. Which of the following actions should the nurse plan to take?

Repositioning the ET tube in the client's mouth every 12 hr

A nurse is caring for a client who has been receiving oxygen via nasal cannula for 4 hr. Which of the following assessment findings helps indicate the oxygen therapy has been effective?

Respiratory rate 14/min

A client is experiencing hypoxia. Which of the following manifestation can a nurse expect to find in this client?

Restlessness

A nurse is suctioning a client's airway using in-line suctioning. Which of the following actions should the nurse plan to take?

Reuse the catheter repeatedly

A nurse is caring for a client who requires 7L of oxygen to maintain oxygen saturation. Which of the following oxygen delivery devices should the nurse expect to use?

Simple face mask

A nurse is caring for a client who is receiving supplemental oxygen for hypoxia. The nurse should identify that which of the following can cause hypoxia?

Smoke inhalation

A nurse is reviewing the medical history of a client who has heat disease and a narrowed valve. Which of the following findings should the nurse expect?

Stenosis

A nurse is planning to measure the cardiac output (CO) of a client who had a myocardial infarction. Which of the following data should the nurse use to calculate the client's cardiac output?

Stroke volume

A nurse is teaching a newly licensed nurse about pulmonary function tests. The nurse should include that which of the following is the vital capacity?

The maximum volume of air that is expired after a maximum inspiration

A nurse is caring for a critically ill client who has COPD and requires delivery of a precise concentration of oxygen. Which of the following types of oxygen-delivery devices s indicated for this client?

Venturi mask

A nurse is performing chest physiotherapy for a client who needs help mobilizing the expectorating thick pulmonary secretions. To increase the turbulence of the air the client exhales, the nurse should use which of the following techniques?

Vibration

A nurse is obtaining a health history from a client. Which of the following findings should the nurse identify as risk factors for heart disease? (SELECT ALL THAT APPLY) a. a diet high in saturated fats b. a history of an overactive bladder c. a history of smoking for 25 years d. a sedentary lifestyle e. a waist circumference of 84 cm (33 in)

a. a diet high in saturated fats c. a history of smoking for 25 years d. a sedentary lifestyle

A nurse is caring for a client with a chest tube and is assessing the drainage. Which of the following findings should the nurse document? (SELECT ALL THAT APPLY) a. amount b. odor c. color d. consistency

a. amount c. color d. consistency

A nurse is caring for a client with OSA (obstructive sleep apnea). Which of the following are manifestations of OSA? (SELECT ALL THAT APPLY) a. loud snoring b. restlessness c. nausea d. extreme daytime drowsiness e. headache in the evening

a. loud snoring b. restlessness d. extreme daytime drowsiness

A nurse is providing teaching for a client who has a prescription for home oxygen. Which of the following instructions should the nurse include? (SELCET ALL THAT APPLY) a. post a "no smoking" sign inside the home" b. attach oxygen containers to a fixed object c. store spare oxygen containers in a closet d. notify the fire department that oxygen is used in the home e. ensure oxygen tubing is no longer than 60 feet in length

a. post a "no smoking" sign inside the home" b. attach oxygen containers to a fixed object d. notify the fire department that oxygen is used in the home

A nurse is caring for a client who has atelectasis. The nurse should identify that which of the following substances is required to keep the client's alveoli from collapsing and causing atelectasis?

Surfactant

A nurse is explaining the sequence of electrical conduction in the heart to a newly licensed nurse. What should the nurse include as the correct sequence of the transmission of electrical impulses? 1. AV node 2. SA nodee 3. Purkinje fibers 4. Right and left bundle branches 5. Bundle of His

2. SA node 1. AV node 5. Bundle of His 4. Right and left bundle branches 3. Purkinje fibers

A nurse is planning care for a group of clients on a cardiopulmonary unit. Which of the following clients should the nurse plan to see first?

A client who reports dyspnea when walking to the bathroom

A nurse is caring for a client who has a tracheostomy. Which of the following pieces of equipment should the nurse use when administering oxygen to this client?

A tracheostomy collar