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Fundamentals Test CH 28

Terms in this set (31)

The nurse used a diaphragm to show that when the diaphragm moves down:
the negative pressure in the thoracic space pulls air into the lungs
The nurse clarifies that the condition in which there is a decreased amount of oxygen in the blood is:
hypoxemia
The nurse monitoring patients eating in the dining room of a skilled nursing facility notes that a patient begins choking. As the nurse prepares to deliver the heimlich maneuver, the fist should be positioned:
halfway between the xiphoid process and the umbilicus
A patient has collapsed and cannot be aroused by asking loudly, "Are you okay?" The next action should be to:
Call for help, or if there is assistance, have that person get help
The nurse instructing the patient to perform forceful exhalation coughing would teach the patient to take in:
two deep breaths, then inhale deeply again and force the air out quickly
The nurse is aware that the best time to schedule a postural drainage treatment is:
Shortly after the patient arises in the morning, before breakfast.
A patient who will begin oxygen therapy has a history of sinus disorders. This patient would benefit most from which oxygen setup?
A humidifier
A patient has a history of COPD. The patient's oxygen flow rate should be set to no more than ___L/min.
2 to 3
The nurse loosens mucus plugs by using percussion in a patient over the area of the:
thorax
A patient requires a precise concentration of 40% oxygen, which of the following devices would allow for this?

A) a simple face mask
B) a non-rebreather mask
C) A partial rebreathing mask
D) A venturi mask
D) A venturi mask
The nurse recognizes that a post-operative patient who can breathe independently but has trouble maintaining an airway because of the tongue falling back into the throat would be best benefited by a?
pharyngeal airway
A nurse performing oral suctioning on an adult patient should set the wall suction machine so that the suction pressure is between ___ and ___ mm Hg.
80 & 120
A nurse caring for a patient with a tracheostomy should determine whether the patient needs suctioning by:
Auscultating the breath sounds
A patient requires suctioning via the nasotracheal route. In order to perform this procedure safely, the nurse should
Hold the catheter with the dominant hand after donning sterile gloves
The nurse recognizes that, immediately before a tracheostomy cuff deflation, the patient should:
have the pharynx suctioned
The nurse takes into consideration that while caring for a patient on oxygen therapy, safety precautions should be observed, which include:
assessing equipment in room for frayed cords
A nurse caring for a patient with a water seal type chest drainage that is on low suction assesses that there is a constant bubbling in the suction container. The nurse should:
include findings in documentation
A nurse is aware that adequate hydration is necessary to mobilize respiratory secretions. To thin respiratory secretions for easier expectoration, the patient should consume at least ___ mL/day.
1500 - 2000
The nurse would determine that this patient is aware of how to use the incentive spirometer device properly when the patient:
took ten slow, deep breaths every hour
The nurse assists the patient with emphysema into the most beneficial position to facilitate respiration, which is:
sitting upright and forward with arms supported on an over the bed table
The nurse performing tracheostomy care will:
suction tracheostomy before beginning care
The nurse caring for a patient with a disposable chest drainage system can promote effective tube function and patient safety by:
taping all connections within the system
The nurse takes into consideration that a pulse oximeter may not give an accurate reading if the patient is:
jaundiced
The nurse clarifies that the cough mechanism is stimulated when:
foreign substances are propelled by the cilia toward the respiratory tract
When assessing the lungs of a patient, the nurse assesses a wheezing sound on inspiration. This finding is documented as:
stridor
When obtaining a sputum specimen, the nurse should provide the patient with a sterile sputum cup and teach the patient to rinse her mouth with ___.
water
The nurse explains that the rate of respiration is triggered when the medulla senses a change in the level of ___ ions in the blood.
hydrogen
The nurse administering cardiopulmonary resuscitation (CPR) would administer chest compressions at the rate of ___ compressions per minute.
100
When a patient with a tracheostomy tube is taken care of at hoe by family, tracheostomy care instructions from the nurse include: (SATA)

A) use sterile gloves during suctioning
B) avoid going to crowded theaters and malls
C) change catheters every 8 hours
D) keep the home environment free of dust
E) use bleach to clean suction equipment
B) avoid going to crowded theaters and malls
C) change catheters every 8 hours
D) keep the home environment free of dust
E) use bleach to clean suction equipment
The nurse us aware that changes occur in the respiratory system after the ago of 70 that put the elderly mmore at risk for respiratory problems. These changes include: (SATA)

A) decreased oxygen saturation
B) increased elasticity in the thorax and respiratory tissues
C) incomplete expirations
D) thinning of the alveolar membrane
E) impaired cilia
A) decreased oxygen saturation
C) incomplete expirations
E) impaired cilia
The multiple causes for hypoxia include: (SATA)

A) extreme fright
B) aspirated vomit
C) pulmonary fibrosis
D) hiccoughs
E) high altitude
B) aspirated vomit
C) pulmonary fibrosis
E) high altitude
THIS SET IS OFTEN IN FOLDERS WITH...