Chapter 21 - Respiratory Care Modalities Prep U

A client is on a positive-pressure ventilator with a synchronized intermittent mandatory ventilation (SIMV) setting. The ventilator is set for 8 breaths per minute. The client is taking 6 breaths per minute independently. The nurse a) Continues assessing the client's respiratory status frequently b) Consults with the physician about removing the client from the ventilator c) Contacts the respiratory therapy department to report the ventilator is malfunctioning d) Changes the setting on the ventilator to increase breaths to 14 per minute

a) Continues assessing the client's respiratory status frequently

A home health nurse is visiting a home care client with advanced lung cancer. Upon assessing the client, the nurse discovers wheezing, bradycardia, and a respiratory rate of 10 breaths/minute. These signs are associated with which condition? a) Hypoxia b) Delirium c) Semiconsciousness d) Hyperventilation

a) Hypoxia

A client has been placed on a ventilator, and the spouse is visiting for the first time. The spouse begins to cry. The best statement by the nurse is a) "If this upsets you, it may be better to not visit." b) "Tell me what you are feeling." c) "He is going to get better" d) "I know what you are going through."

b) "Tell me what you are feeling."

When performing endotracheal suctioning, the nurse applies suctioning while withdrawing and gently rotating the catheter 360 degrees for which of the following time periods? a) 20 to 25 seconds b) 10 to 15 seconds c) 0 to 5 seconds d) 30 to 35 seconds

b) 10 to 15 seconds

Which of the following is a correct endotracheal tube cuff pressure? a) 21 mm Hg b) 17 mm Hg c) 13 mm Hg d) 25 mm Hg

b) 17 mm Hg

A nurse is assigned to care for a client with a tracheostomy tube. How can the nurse communicate with this client? a) By placing the call button under the client's pillow b) By supplying a magic slate or similar device c) By providing a tracheostomy plug to use for verbal communication d) By suctioning the client frequently

b) By supplying a magic slate or similar device

A client with end-stage chronic obstructive pulmonary disease (COPD) requires bi-level positive airway pressure (BiPAP). While caring for the client, the nurse determines that bilateral wrist restraints are required to prevent compromised care. Which client care outcome is associated with restraint use in the client who requires BiPAP? a) The client will remain infection-free. b) The client will maintain adequate oxygenation. c) The client will maintain adequate urine output. d) The client will remain pain-free.

b) The client will maintain adequate oxygenation.

Which of the following is the most reliable and accurate method for delivering precise concentrations of oxygen through noninvasive means? a) Nasal cannula b) Venturi mask c) Partial-rebreathing mask d) T-piece

b) Venturi mask

Hyperbaric oxygen therapy increases the blood's capacity to carry and deliver oxygen to compromised tissues. This therapy may be used for a client with: a) pneumonia. b) a compromised skin graft. c) a malignant tumor. d) hyperthermia.

b) a compromised skin graft.

The nurse is preparing to perform chest physiotherapy (CPT) on a patient. Which of the following patient statements would indicate 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 ago, let's do my CPT now." c) "I just finished eating my lunch, I'm 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, I'm ready for my CPT now."

The nurse has instructed a patient on how to perform pursed-lip breathing. The nurse recognizes the purpose of this type of breathing is to accomplish which of the following? a) Promote a more efficient and controlled ventilation and to decrease the work of breathing b) Promote the strengthening of the patient's diaphragm c) Improve oxygen transport, induce a slow, deep breathing pattern, and assist the patient to control breathing d) Promote the patient's ability to intake oxygen

c) Improve oxygen transport, induce a slow, deep breathing pattern, and assist the patient to control breathing

A client with chronic obstructive pulmonary disease (COPD) is intubated and placed on continuous mechanical ventilation. Which equipment is most important for the nurse to keep at this client's bedside? a) Water-seal chest drainage set-up b) Oxygen analyzer c) Manual resuscitation bag d) Tracheostomy cleaning kit

c) Manual resuscitation bag

A nurse provides care for a client receiving oxygen from a nonrebreather mask. Which nursing intervention has the highest priority? a) Posting a "No smoking" sign over the client's bed b) Changing the mask and tubing daily c) Applying an oil-based lubricant to the client's mouth and nose d) Assessing the client's respiratory status, orientation, and skin color

d) Assessing the client's respiratory status, orientation, and skin color

For a client with an endotracheal (ET) tube, which nursing action is the most important? a) Monitoring serial blood gas values every 4 hours b) Providing frequent oral hygiene c) Turning the client from side to side every 2 hours d) Auscultating the lungs for bilateral breath sounds

d) Auscultating the lungs for bilateral breath sounds

A nurse prepares to perform postural drainage. How should the nurse ascertain the best position to facilitate clearing the lungs? a) Inspection b) Arterial blood gas (ABG) levels c) Chest X-ray d) Auscultation

d) Auscultation

Before weaning a client from a ventilator, which assessment parameter is the most important for the nurse to obtain? a) Electrocardiogram (ECG) results b) Fluid intake for the past 24 hours c) Prior outcomes of weaning d) Baseline arterial blood gas (ABG) levels

d) Baseline arterial blood gas (ABG) levels