Sherpath Lesson - Respiratory Physiotherapy and O2 Therapy

For most patients, the goal of O2 therapy is to keep the SpO2 greater than ____% during rest, sleep, and activity

92%

Which oxygen device would the nurse choose to administer 35% O2 to a patient with COPD?

Venturi mask

Which statement demonstrates that the patient understands how to prevent infection associated with O2 use at home? Select all that apply. One, some, or all responses may be correct.

"I will wash my hands before and after using my oxygen."; "I will replace my nasal cannula after a cold.";

Which statement cues the nurse that the patient understood the teaching after education about pursed-lip breathing (PLB)? Select all that apply. One, some, or all responses may be correct.

"Pursed-lip breathing will help slow my breathing down."; "I can use pursed-lip breathing to control my breathing when I feel really short of breath."; "I should breathe slowly out through my pursed lips like I'm whistling."; "Breathing out should be 3 times as long as breathing in."

Which complication may be present in a patient who is experiencing nitrogen washout?

Absorption atelectasis

Which intervention would the nurse expect to perform when preparing a cystic fibrosis patient for postural drainage? Select all that apply. One, some, or all responses may be correct.

Anticipate administering aerosolized bronchodilators; Schedule the procedure at least 1 hour before meals or 3 hours after meals; Insert an IV for hydration therapy; Prepare the patient for a chest x-ray

Which activity can help patients get the feel of pursed-lip breathing (PLB)? Select all that apply. One, some, or all responses may be correct.

Blowing through a straw into a glass of water forming bubbles; Blowing a tissue held in the hand until it gently flaps; Blowing a table-tennis ball steadily across a table

Which condition would be a contraindication for postural drainage?

Hemoptysis

Which statement describes the risk of administering high levels of oxygen to a COPD patient who is noted to have a high tolerance for high CO2 levels?

Hypoxemia becomes the patient's drive to breathe, and oxygen can reduce this drive

Which patient would benefit from chest physical therapy (CPT)?

Patient with excessive bronchial secretions who has difficulty clearing them

Which instruction would the nurse give the patient who is being discharged home with orders for home oxygen therapy? Select all that apply. One, some, or all responses may be correct.

Store O2 tanks upright; Keep O2 tanks at least 5 feet away from any source of heat

Match the O2 device with its description.

[Delivers low O2 of 24%-44%; allows patient to eat or talk while wearing it - Nasal cannula] [Delivers 60%-90% O2 with high flow rates of 10-15L/min - Non-rebreather mask] [Covers nose and mouth delivering O2 concentrations of 35%-50% at 6-12 L/min - simple face mask] [Delivers O2 concentration up to 100% at a flow rate of up to 60 L/min - High Flow Nasal cannula]