Oxygenation Practice Questions
The nurse is concerned that a 9-month old baby being treated for bronchiolitis caused by RSV is developing respiratory distress. Which assessment finding supports this concern. (SATA) A. Onset of expiratory grunting B. Visible intercostal retractions C. Respiratory rate increased from 45-70 breaths per minute D. Systolic BP 10 mmHg less than previous measurement E. Femoral Pulse weak and 120 breaths/minute
A, B, C
The nurse is teaching the parents of a 9-month old client with RSV about ways to help the child recover. Which information should the nurse include? SATA A. Provide frequent, small meals throughout the day B. Use a bulb syringe to clear the nose of secretions C. Help the child to blow the nose to clear the airway D. Restrict fluids to avoid aspiration E. Permit the child to nap throughout the day
A, B, E
Which factor should the nurse ID as a risk factor for the development of bronchiolitis? SATA A. Cigarette smoke exposure B. Chronic lung disease C. Attends daycare D. Premature birth E. Age 4 or older
A,B,C, D
For a patient with COPD, which nursing intervention would help maintain a patent airway? A. Restricting fluid intake to 1000 ml/day. B. Enforcing absolute bed rest C. Teaching how to perform controlled breathing D. Administering prescribed sedatives regularly
C
Which phrase is used to describe the volume of air inspired and expired with a normal breath? A. Total lung capacity B. Forced vital capacity C. Tidal Volume D. Residual volume
C
A client is admitted to the ED with a respiratory rate of 44 breaths/minute. The client is anxious, wheezing, and has an arterial blood oxygen saturation of 86%. The nurse should plan to administer: A: Alprazolam B. Propranolol C. Morphine D. Albuterol
D
A client with pneumonia is receiving supplemental oxygen @ 2 L/minute via nasal cannula. The client's history includes COPD. Because of these history findings, the nurse closely monitors the oxygen flow and the client's respiratory status. Which complication may arise if the client receives a high oxygen concentration. A. Apnea B. Anginal pain C. Respiratory alkalosis D. Metabolic acidosis
A
The nurse is teaching a client with emphysema how to perform pursed-lip breathing. The client asks the nurse to explain the purpose of this breathing technique. Which explanation should the nurse provide? A. It promotes CO2 elimination B. It increased inspiratory strength C. It decreased use of accessory muscles D. It prolongs the inspiratory phase of respiration
A
A black client with asthma seeks emergency care for acute respiratory distress. Because of the client's dark skin, the nurse should cyanosis by inspecting the: A. Lips B. Mucous membranes C. Nail beds D. Earlobes
B
A nurse is caring for a client hospitalized with acute exacerbation of COPD. Which of the following would the nurse expect to note on assessment of this client? A. Hypocapnia B. A hyperinflated chest noted on the CXR C. Increased oxygen saturation with exercise. C. A widened diaphragm noted on the CXR
B
A provider prescribes albuterol sulfate for a patient with newly diagnosed asthma. when teaching the patient about this drug, the nurse should explain that it may cause: A. Nasal congestion B. Nervousness C. Lethargy D. Hyperkalemia
B
An oxygen delivery system is prescribed for a male client with COPD to deliver a precise oxygen concentration. Which of the following types of oxygen delivery systems would the nurse anticipate to be presribed? A. Face mask B. Venturi mask C. Aerosol Mask D. Tracheostomy collar
B
The nurse assess a male client's respiratory status. Which observation indicates the client is experiencing difficulty breathing? A. Diaphragmatic breathing B. Use of accessory muscles C. Pursed-lip breathing D. Controlled breathing
B
A female client is undergoing a complete physical examination as a requirement for college. When checking the client's respiratory status, the nurse observes respiratory excursion to help assess: A: Lung vibrations B: Vocal Sounds C: Breath sounds D: Chest movements
D
Which intervention should the nurse identify as a preventive measure for high risk clients with bronchiolitis? A. Antibiotic therapy B. Immunization C. Sputum culture D. Palivizumab
D
