NUR OXYGENATION
A nurse is reinforcing teaching with a client who has a new prescription for a continuous positive airway pressure (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 reinforcing teaching with 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." to promote lung expansion and mobilize secretions.
A nurse is caring for a client who requires 7 L of oxygen to maintain oxygen saturation. Which of the following oxygen delivery devices should the nurse expect to use?
- SIMPLE FACE MASK The nurse should expect to use a simple face mask because it can deliver oxygen at medium concentrations of 5 to 8 L/min.
A nurse is discussing atrial fibrillation with a newly licensed nurse. Which of 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."- This statement by the newly licensed nurse indicates an understanding of atrial fibrillation. Atrial fibrillation is caused when electrical impulses start outside of the SA node, causing an irregular heart rate.
A nurse is reinforcing teaching with 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 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 assisting with the care of a client who has a chest tube. Which of the following actions should the nurse take?
-Monitor the client for subcutaneous emphysema. -The nurse should monitor the client for subcutaneous emphysema, which can indicate a leak or blockage of the system.
A nurse is assisting with 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 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 collecting data from 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 left-sided heart failure. Which of the following findings should the nurse expect?
CRACKLES IN THE LUNGS
A nurse is auscultating a client's heart sounds 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 whooshing or blowing sound indicates a murmur and can be low-, medium-, or high-pitched
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 The nurse should plan to use a nasal cannula because oxygen via nasal cannula can be delivered at low concentrations of 1 to 4 L/min.
A nurse is collecting data from 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 The greatest risk to this client is injury from hypoxia; therefore, the first action the nurse should take is to obtain the client's oxygen saturation. Obtaining the client's oxygen saturation will assist the nurse in determining the next intervention.
A nurse is collecting data from 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 The nurse should identify that ringing in the ears, as well as headache, disorientation, and muscle twitching, can indicate oxygen toxicity.
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 heart disease and a narrowed valve. Which of the following findings should the nurse expect?
STENOSIS - The nurse should expect a client who has heart disease and a narrowed valve to have stenosis. Stenosis is a narrowing or stiffening of the heart valve that causes backflow of the blood
A nurse is assisting with planning to measure the cardiac output 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 The nurse should use stroke volume to calculate the client's cardiac output. Cardiac output is a measurement of the volume of blood pumped by the left ventricle in 1 min. Cardiac output is calculated by multiplying the client's heart rate by the client's stroke volume.
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 -The nurse should identify that surfactant is a lubricant required to keep alveoli in the lungs from collapsing during exhalation. A lack of surfactant can result in atelectasis.
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?
The alveoli are air-filled sacs where the exchange of oxygen and carbon dioxide occurs.
A nurse is reinforcing teaching with 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.
Purkinje fibers is the
fifth step. The electrical impulses of the heart move from the SA node, then to the AV node, then to the bundle of His, then to the right and left bundle branches, and finally to the Purkinje fibers, to produce a heartbeat.
SA node is the
first step. The electrical impulses of the heart move from the SA node, then to the AV node, then to the bundle of His, then to the right and left bundle branches, and finally to the Purkinje fibers, to produce a heartbeat.
Right and left bundle branches is the
fourth step. The electrical impulses of the heart move from the SA node, then to the AV node, then to the bundle of His, then to the right and left bundle branches, and finally to the Purkinje fibers, to produce a heartbeat.
AV node is the
second step. The electrical impulses of the heart move from the SA node, then to the AV node, then to the bundle of His, then to the right and left bundle branches, and finally to the Purkinje fibers, to produce a heartbeat
Bundle of His is the
the third step. The electrical impulses of the heart move from the SA node, then to the AV node, then to the bundle of His, then to the right and left bundle branches, and finally to the Purkinje fibers, to produce a heartbeat
