Oxygenation & Perfusion - Basics

The nurse is caring for a client with emphysema. A review of the client's chart reveals pH 7.36, PaO2 73 mm Hg, PaCO2 64 mm Hg, and HCO3 35 mEq/L. The nurse would question which prescription if prescribed by the health care practitioner? High-Fowler's position Pulse oximetry Increase fluid intake to 3 L/day (3000 mL/day) 4 L/minute O2 (66 mL/second) nasal cannula

4 L/minute O2 (66 mL/second) nasal cannula

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

Be sure to shake the canister before using it.

A client with a history of chronic obstructive pulmonary disease (COPD) has been ordered oxygen at 3 L/min as needed for treatment of dyspnea. What delivery mode is most appropriate to this client's needs? Partial rebreather mask Nonrebreather mask Simple mask Nasal cannula

Nasal cannula

A client vomits as a nurse is inserting his oropharyngeal airway. What would be the most appropriate intervention in this situation? Immediately remove the airway, rinse the client's mouth with sterile water, and report this to the health care provider. Leave the airway in place and promptly notify the health care provider for further instructions. Remove the airway, turn the client to the side, and provide mouth suction, if necessary. Suction the client's mouth through the oropharyngeal airway to prevent aspiration.

Remove the airway, turn the client to the side, and provide mouth suction, if necessary.

The nurse is caring for a postoperative client who has a prescription for meperidine 75 mg intramuscularly (IM) every 4 hours as needed for pain. Before and after administering meperidine, the nurse would assess which most important sign? Respiratory rate and depth Urinary intake and output Apical pulse Orthostatic blood pressure

Respiratory rate and depth

The nurse auscultates the lungs of a client with asthma who reports shortness of breath, sore throat, and congestion. Which finding does the nurse expect to document? Absent breath sounds in lower lobes Wheezing Crackles Stridor

Wheezing

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

diffusion

During oxygen administration to the client, which pieces of equipment would enable the nurse to regulate the amount of oxygen delivered? flow meter oxygen analyzer nasal cannula humidifier

flow meter

A client receiving home oxygen calls the telehealth nurse to report that her caretaker removed her oxygen tank from the wheeled carrier. What is the appropriate telehealth nurse response? "Call your oxygen supplier immediately." "The caregiver will need to place the oxygen tank back into the secure carrier." "That will make it easier to carry with you." "That will help the oxygen flow more freely."

"The caregiver will need to place the oxygen tank back into the secure carrier."

A client who uses portable home oxygen states, "I still like to smoke cigarettes every now and then." What is the appropriate nursing response? "Oxygen is a flammable gas." "I understand; I used to be a smoker also." "You should never smoke when oxygen is in use." "An occasional cigarette will not hurt you."

"You should never smoke when oxygen is in use."

In which client should the nurse prioritize assessments for respiratory depression? A client taking opioids for cancer pain A client taking antibiotics for a urinary tract infection A client taking a beta-adrenergic blocker for hypertension A client taking insulin for type 1 diabetes

A client taking opioids for cancer pain

The nurse assesses a client and detects the following findings: difficulty breathing, increased respiratory and pulse rates, and pale skin with regions of cyanosis. What condition would the nurse suspect as causing these respiratory alterations? Atelectasis Perfusion Hypoxia Hyperventilation

Hypoxia

Which teaching about the oxygen analyzer is important for the nurse to provide to a client using oxygen? 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. It prescribes oxygen concentration.

It determines whether the client is getting enough oxygen.

The air quality index has rated it a red air quality day in the city. Which information will the nurse share with the client about promoting effective respiratory self-care? Cut down on smoking. Practice good hand hygiene. Avoid exposure to large crowds. Stay indoors as much as possible.

Stay indoors as much as possible.

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? face tent nasal cannula simple mask nonrebreather mask

nasal cannula

A nurse is volunteering at a day camp. A child is stung by a bee and develops wheezing in the upper airways. The child is experiencing: bronchiolitis. a bronchospasm. bronchiectasis. bronchitis.

a bronchospasm

The nurse is applying a pulse oximeter to a client with bronchitis. Which factor(s) does the nurse communicate to the client that could interfere with accurate pulse oximetry? Select all that apply. acrylic nails respiratory rate nail polish thickness of nails peripheral vascular disease

acrylic nails nail polish thickness of nails peripheral vascular disease