Fundamentals Ch. 50 Oxygenation

15 Questions  I  By Emdegraff
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Fundamentals Ch. 50 Oxygenation

  
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  • 1. 
    These structures produce mucous that moves up the respiratory passageway carrying with it dirt and other contaminants (more than one).
    • A. 

      Bronchi

    • B. 

      Alveoli

    • C. 

      Trachea

    • D. 

      Nasopharynx


  • 2. 
    A majority of the C02 that is expelled from tissues is carried to the lungs as:
    • A. 

      Dissolved C02 in the plasma

    • B. 

      Cells expel C02 once they reach the alveoli

    • C. 

      Carbhemoglobin, C02 that is attached to hemoglobin

    • D. 

      Bicarbonate in the RBC


  • 3. 
    Which of the following are changes the nurse can expect to find in an elderly client that may effect his or her respiratory system?
    • A. 

      Decreased efficiency of the immune system

    • B. 

      Chest wall and airway becomes more rigid and less elastic

    • C. 

      Diaphragm becomes more rigid and less pliable

    • D. 

      Amount of exchanged air is decreased

    • E. 

      Osteoporosis may decrease the amount of lung expansion


  • 4. 
    What does hypoventilation lead to (more than one)?
    • A. 

      Hypercarbia

    • B. 

      Hypoxemia

    • C. 

      Cyanosis

    • D. 

      Hypoxia


  • 5. 
    Which of the following is Tachypnea associated with?
    • A. 

      Metabolic acidosis

    • B. 

      Metabolic alkalosis

    • C. 

      Pain

    • D. 

      Hypoxemia

    • E. 

      Increased intracranial pressure


  • 6. 
    What is Kussmauls breathing?
    • A. 

      A type of hyperventilation

    • B. 

      A type of hypoventialation

    • C. 

      A type of apnea

    • D. 

      A synonym for dyspnea


  • 7. 
    Which of the following are reasons a client may be experiencing Cheyne-stokes respirations? (a marked rhythmic waxing and waning of respirations from very deep to very shallow breathing and temporary apnea)
    • A. 

      CHF

    • B. 

      Central nervous system disorder

    • C. 

      Increased intracranial pressure

    • D. 

      Overdose of certain drugs


  • 8. 
    A patient with a low pitched snoring sound most likely has an:
    • A. 

      Lower airway obstruction

    • B. 

      Upper airway obstruction


  • 9. 
    After giving client teaching, which response shows that the client may need further explanation of home oxygen care?
    • A. 

      Client says he will take in 2.5-3L of fluids each day

    • B. 

      Client expresses that he will call a HCP if his sputum changes color, viscosity, or odor

    • C. 

      Client says that when smoking he will have someone else light the cigeratte, then hand it to him

    • D. 

      Client acknowledges that he will use controlled or "huff" coughing techniques


  • 10. 
    Which of the following are client teaching techniques the nurse could use to instruct the client in how to promote healthy breathing?
    • A. 

      Breathe through the nose

    • B. 

      Use building materials that do not emit vapors

    • C. 

      Breath in to expand the chest 2/3

    • D. 

      Do not incinerate garbage inside the house


  • 11. 
    Which of the following steps is not used to percuss a clients chest to dislodge mucus (more than one)?
    • A. 

      Make sure the area percussed is open and free of any clothing

    • B. 

      Ask client to breath slowly and shallowly to promote relaxation

    • C. 

      Rapidly slap the chest by flexing and extending the wrists

    • D. 

      Percuss each lung segment for 1-2 minutes

    • E. 

      Percuss all fields of the lung, including breasts, sternum and spinal column


  • 12. 
    Which of the following techniques used by the nurse to vibrate the lung after percussion is not correct?
    • A. 

      Ask client to inhale deeply and exhale slowly through the nose or pursed lips

    • B. 

      During exhalation tense the wrist muscles and vibrate the hands moving them down, stopping when the client exhales

    • C. 

      Vibrate for five exhalations over one affected lung segment

    • D. 

      Do not encourage coughing as this disrupts the vibrating technique and the nurse will have to restart


  • 13. 
    If a patient is supposed to receive as much 02 as possible without being intubated, which face mask should be used?
    • A. 

      Venturi mask

    • B. 

      Face tent

    • C. 

      Partial rebreather

    • D. 

      Nonrebreather


  • 14. 
    Which of the following are correct nursing interventions for clients with endotracheal tubes?
    • A. 

      Assess respiratory status at least every 2 hours

    • B. 

      Place client in a side lying or semi-prone position

    • C. 

      Maintain a cuff pressure of 10-15 mmHg to minimize tracheal tissue necrosis

    • D. 

      Provide oral and nasal care every 2-4 hours


  • 15. 
    Neural receptors sensitive to ___ concentration are located outside the CNS in the carotid bodies
    • A. 

      C02

    • B. 

      02

    • C. 

      H+

    • D. 

      H2C03


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