Oxygenation and Perfusion PREPU

A client tells the nurse, "My partner says I snore all night long." What is the appropriate nursing response? "Have you tried nasal strips?" "There is very little that can be done for snoring." "Pursed-lip breathing can reduce your amount of snoring." "Let me teach you about incentive spirometry."

"Have you tried nasal strips?"

A nurse is delivering 3 L/min oxygen to a client via nasal cannula. What percentage of delivered oxygen is the client receiving? 23% 28% 32% 47%

32%

Erin is a 35-year-old woman being cared for in the emergency department for a cough and hemoptysis for 3 days. Erin states that she has smoked one-and-a-half packs of cigarettes per day for the last 5 years. In trying to identify risk factors for Erin, the nurse calculates her pack-year history to write on the intake form. What is Erin's pack-year of smoking? 5 7.5 5.5 7

7.5 1.5 X 5

A client who was prescribed CPAP reports nonadherence to treatment. What is the priority nursing intervention? Ask the client what factors contribute to nonadherence. Contact the healthcare provider to report the client's current status. Explain the use of a BiPAP mask instead of a CPAP mask. Document outcomes of modifications in care.

Ask the client what factors contribute to nonadherence.

A woman comes to the emergency room with her 2-year-old son. She states he woke up and had a loud barking cough. The child is suffering from: atelectasis. pulmonary fibrosis. asthma. croup.

Croup

Which teaching about a flowmeter is important for the nurse to provide to a client using oxygen? It prescribes oxygen concentration. It regulates the amount of oxygen received. It determines whether the client is getting enough oxygen. It decreases dry mucous membranes via delivering small water droplets.

It regulates the amount of oxygen received

A nurse is caring for an asthmatic client who requires a low concentration of oxygen. Which delivery device should the nurse use in order to administer oxygen to the client? Simple mask Nasal cannula Face tent Non-rebreather mask

Nasal cannula

A nurse is admitting a 6-year-old child status post tonsillectomy to the surgical unit. The nurse obtains his weight and places EKG and a pulse oximeter on the client's left finger. His heart rate reads 100 bpm and the pulse oximeter reads 99%. These readings best indicate: adequate tissue perfusion. diminished stroke volume. high cardiac output. heart failure.

adequate tissue perfusion

The nurse is preparing to provide hygiene care to a client with hypoxia. Into what position will the nurse place the client? supine prone high Fowlers Trendelenburg

high fowlers

Which dietary guideline would be appropriate for the older adult homebound client with advanced respiratory disease who informs the nurse that she has no energy to eat? Snack on high-carbohydrate foods frequently. Eat smaller meals that are high in protein. Contact the physician for nutrition shake. Eat one large meal at noon.

Eat smaller meals that are high in protein

The nurse is caring for a client with shortness of breath who is receiving oxygen at 4 L/minute. Which assessment finding will demonstrate that oxygen therapy is effective? clubbing of fingers respirations 26 breaths/minute heart rate 110 beats/minute SpO2 92%

SpO2 92%

The newly hired nurse is caring for a client who had a tracheostomy four hours ago. Which action by the nurse would cause the charge nurse to intervene? The newly hired nurse adjusts the bed to a comfortable working position. The newly hired nurse explains what she is doing and the reason to the client, even though the client does not appear to be alert. The newly hired nurse delegates care of the tracheostomy to a licensed practical/vocational nurse (LPN/LVN). The newly hired nurse assesses the client's pain and administers pain medication.

The newly hired nurse delegates care of the tracheostomy to a licensed practical/vocational nurse (LPN/LVN).

A client's spouse reports that the client snores loudly and incessantly every night. What is the appropriate nursing response when the client's spouse asks about nasal breathing strips? "Those do not work for snoring." "The nasal diameter is decreased by nasal strips." "You will need a prescription for nasal strips." "Nasal strips may reduce or eliminate snoring."

"Nasal strips may reduce or eliminate snoring."

The nurse is demonstrating oxygen administration to a client. Which teaching will the nurse include the humidifier? "This is a gauge used to regulate the amount of oxygen that a client receives." "The humidifier prescribes the concentration of oxygen." "It measures the percentage of delivered oxygen to determine whether the client is getting the amount prescribed." "Small water droplets come from this, thus preventing dry mucous membranes."

"Small water droplets come from this, thus preventing dry mucous membranes."

The nurse is preparing discharge teaching for a client with a history of recurrent pneumonia. What deep breathing techniques will the nurse plan to teach? "Take in a small amount of air and exhale quickly." "Take in as much air as possible, hold your breath briefly, and exhale slowly." "Take in a large volume of air and hold your breath as long as you can." "Take in a little air, hold your breath 15 seconds, and exhale slowly."

"Take in as much air as possible, hold your breath briefly, and exhale slowly."

The nurse is educating an adolescent with asthma on how to use a metered-dose inhaler. Which education point follows recommended guidelines? Inhale through the nose instead of the mouth. Be sure to shake the canister before using it. Inhale the medication rapidly. Inhale two sprays with one breath for faster action.

Be sure to shake the canister before using it.

The nurse is assessing a newborn in the nursery. The nurse notes the infant has episodes in which breathing ceased for 20 seconds on 2 occasions. The nurse correctly recognizes this condition as: dyspnea apnea orthopnea hypercapnea

apnea

The nurse is caring for a postoperative adult client who has developed pneumonia. The nurse should assess the client frequently for symptoms of: atelectasis. bronchospasm. croup. epiglottitis.

atelectasis

Mr. Parks has chronic obstructive pulmonary disease (COPD). His nurse has taught him pursed-lip breathing, which helps him in which of the following ways? increases carbon dioxide, which stimulates breathing teaches him to prolong inspiration and shorten expiration helps liquefy his secretions decreases the amount of air trapping and resistance

decreases the amount of air trapping and resistance Exhaling through pursed lips creates a smaller opening for air movement, effectively slowing and prolonging expiration, which prevents air from being trapped in the alveoli and decreases resistance to exhalation. Increasing carbon dioxide levels to stimulate breathing is the natural stimulus for a person without COPD to breathe. Prolonging inspiration and shortening expiration does not assist the client because exhalation is difficult for the COPD client. Humidification and fluid intake help to liquefy secretions.

Oxygen and carbon dioxide move between the alveoli and the blood by: osmosis. hyperosmolar pressure. diffusion. negative pressure.

diffusion