Oxygenation Quiz
A nurse is teaching a client who has asthma about the proper use of an albuterol inhaler. Which of the following client statements indicates an understanding of the teaching?
"I will shake the inhaler well right before I use it."
A nurse is caring for a child who is postoperative following a tonsillectomy. Which of the following actions should the nurse take?
Administer analgesics to the child on routine schedule throughout the day and night.
A nurse is supervising a newly licensed nurse who is suctioning a client's tracheostomy. Which of the following actions by the newly licensed nurse indicates an understanding of the procedure?
Administering high-flow oxygen prior to the procedure
A nurse in a provider's clinic is taking a client's age, height, weight, and vital signs. The nurse should identify this action as part of which of the following components of the nursing process?
Assessment
A nurse is caring for a client who was transferred to the surgical unit by stretcher from the PACU. Which of the following actions should the nurse perform immediately following the transfer?
Check the client's vital signs
A nurse is caring for a client who had a myocardial infarction 5 days ago. The client has a sudden onset of shortness of breath and begins coughing frothy, pink sputum. The nurse auscultates loud, bubbly sounds on inspiration. Which of the following adventitious breath sounds should the nurse document?
Coarse crackles
A nurse is teaching a client who is postoperative how to use a flow-oriented incentive spirometer. Which of the following instructions should the nurse include?
Cough deeply after each use
A nurse is assessing a client who has fluid-volume excess. Which of the following findings should the nurse expect?
Crackles in the lung fields
A nurse is preparing to perform postural drainage for a client. Which of the following actions should the nurse take?
Position the client for drainage of secretions by gravity.
A nurse is teaching a client who is recovering from gallbladder surgery how to use an incentive spirometer. Which of he following pieces of information should the nurse include in the teaching?
Hold the breath for 5 sec after goal volume is reached.
A nurse is caring for a toddler at a well-child visit when the mother calls, "Help! My baby is choking on his food." Which of the following findings indicates the toddler has an airway obstruction?
Inability to cry or speak.
A nurse is caring for a client who has a 20-year history of COPD and is receiving oxygen at 2 L/min via nasal cannula .The client is dyspneic and has an oxygen saturation via pulse oximetry of 85%. Which of the following actions should the nurse take?
Increase the oxygen flow and request an arterial blood gas determination.
A nurse is performing a physical examination for a client. To evaluate the client's skin moisture, the nurse should use which of the following techniques?
Palpation
A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD) and is experiencing shortness of breath. Which of the following actions should the nurse perform first?
Place the client in an upright position
A nurse is assessing a client's respiratory system. Which of the following breath sounds should the nurse expect to hear over the periphery of the major lung fields?
Vesicular
A client is being discharged home with oxygen therapy delivered through a nasal cannula. Which of the following instructions should the nurse provide to the client and family members?
Wear cotton clothing to avoid static electricity.
A nurse is providing preoperative teaching to a client who has lung cancer and will undergo a pneumonectomy. Which of the following statements should the nurse include? (Select all that apply.)
~ "You will have a chest tube in place after surgery." ~ "We'll frequently help you turn, cough, and breath deeply after surgery." ~ "We'll give you oxygen to support your breathing if you need it."
