Respiratory prep u
hey client with respiratory condition is receiving oxygen therapy. while assessing the clients PAO2 the nurse knows that the therapy has been effective based on which of the following readings
84 mmhg
The nurse is preparing to perform chest physiotherapy on a client. which statement by the client tells the nurse that the procedure is contraindicated
I just finished eating my lunch, I'm ready for my CPT now
The nurse sections a patient through the endotracheal tube for 20 seconds and observes dysrhythmias on the monitor. what does the nurse determine is occurring with the patient
The patient is hypoxic from suctioning
The nurse is caring for a client diagnosed with asthma. while performing the shift assessment, the nurse auscultates breath sounds including sibilant weezes, which are continuous musical sounds. what characteristics describe sibilant wheezes
They can be heard during inspiration and expiration
A nurse is discussing squamous epithelial cells lining each alveolus which consists of different types of cells. which type of alveolar cells produce surfactant
type 2 cells
A nurse is caring for a client who has a tracheostomy tube and who is undergoing mechanical ventilation. The nurse can help prevent tracheal dilation, a complication of tracheostomy care placement, by
using the minimal leak technique with cuff pressure less than 25 cm H2O
I knew I see you nurse is observed by her preceptor entering a patient's room to suction the tracheostomy after performing the task 15 minutes before. what should the preceptor educate the nurse to do to ensure that the patient needs to be suctioned?
auscultate the lung for adventitious sound
what assessment method with the nurse used to determine the areas of the lungs that need draining
auscultation
what finding by the nurse may indicate that the client has chronic hypoxia
clubbing of the fingers
A client suffers acute respiratory distress syndrome as a consequence of shock The client's conditioned deteriorates rapidly and endotracheal intubation and mechanical ventilation are initiated. when the high pressure alarm on the mechanical ventilator sounds, the nurse starts to check for the cause. which condition triggers the high pressure alarm
kinking of the ventilator tubing
patient is being educated in the use of incentive spirometer prior to having a surgical procedure. what should the nurse be sure to include in the education
encourage the patient to take approximately 10 breaths per hour while awake
The nurse is caring for a client who's respiratory status has declined since shift report. The client has takapena, is restless, and displays cyanosis. which diagnostic test should be assessed first
pulse oximetry
The nurse is concerned that a client may develop post-operative atelectasis. which nursing diagnosis would be most appropriate if this complication occurs
impaired gas exchange
which oxygen administration device has the advantage of providing a high oxygen concentration
non-rebreathing mask
a nurse practitioner diagnostic patient with an infection in the maxillary sinuses. select the area that the nurse palpated to make the diagnosis
on the cheeks below the eyes
which terminal the nurse used to document the inability of a client to breathe easily unless positioned upright
orthopenea
A client is receiving moderate sedation while undergoing bronchoscopy. which assessment finding should the nurse attend to immediately
oxygen saturation of 90%
which type of ventilator has a preset volume of air to be delivered with each inspiration
volume controlled
which type of ventilator has a preset volume of air to be delivered with each inspiration
volume cycled
The nurses performing chess auscultation for a patient with asthma. how does the nurse describe the high pitched, sibilant, musical sounds that are heard
wheezes
