ATI Gas Exchange and Oxygenation
Nurse is caring for 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 being d/c. 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 reviewing the medical history of a client who has heart disease and a narrowed valve. Which of the following findings should the nurse expect?
Stenosis
A nurse is planning to measure the cardiac output of a client who had a MI. Which of the following data should the nurse use to calculate the client's cardiac output?
Stroke volume
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 diet high in saturated fat -a hx of smoking 25 years -a sedentary lifestyle
A nurse is providing teaching for a client who has a prescription for home oxygen. Which of the following instructions should the nurse include? Select all that apply
-Post a "no smoking" sign inside the house -attach oxygen containers to a fixed object -notify the fire department
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?
-SA node -AV node -Bundle of His -Right and Left bundle branches -Purkinje fibers
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?
-Take a deep breath -hold your breath for several seconds -exhale slowly -brace the incision with a pillow and try to cough deeply
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 discussing atrial fibrillation with a newly licensed nurse. which of the following statements by the newly licensed nurse indicated an understanding of A-Fib?
A-Fib is caused by electrical signals outside of the SA node
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 providing teaching for a client who has a new RX for a CPAP machine to treat obstructive sleep apnea. Which of the following statements should the nurse include?
Cover your nose with the CPAP mask
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 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 sound and hears a low-pitches 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 caring for a client who has a hx of asthma and is wheezing. Which of the following actions should the nurse take first?
Obtain the oxygen saturation
A nurse is assessing a client who is receiving oxygen therapy. The nurse should identify that which of the following findings can indicate oxygen toxicity?
Ringing in the ears
A nurse is caring for a client who requires 7 L oxygen saturation. Which of the following oxygen delivery devices should the nurse expected to use?
Simple face mask
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?
Surfacant
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 suctioning a clients trach using an open system. Which of the following actions should the nurse take.
administer 100% oxygen to the client before the procedure to reduce the risk for hypoxia
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 providing teaching for a client who has a new RX for an incentive spirometer. Which of the following instructions should the nurse include?
-Use the incentive spirometer QHR while awake
A nurse is assess a client who has COPD. The nurse should identify that which of the following is an expected finding?
Clubbing of the fingers
