Oxygen Therapy (ATI) EXAM 1 – Flashcards

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question
A patient has been receiving O2 PRN nasal cannula for 4hrs. which of the following assessment findings help indicate O2 therapy has been effective? -respiratory rate 14/min -SaO2 90% -cardiac output 5.6 -paCO2 68 mmHg
answer
respiratory rate 14/min
question
pt admitted with community acquired pneumonia has been receiving O2 therapy for several days. Which of the following assessment findings indicates an adverse effect of O2 therapy? -poor skin turgor -cracks in oral mucosa -elevated heart rate -copious respiration secretions
answer
cracks in oral mucosa
question
administering O2 therapy with a non-rebreather mask has which of the following advantages? -offers highest O2 concentration of the low flow system -it is designed of safety one mask valves & flaps are sealed -incorporates a design that requires minimal monitoring of pt -provides O2 concentration of 40-60%
answer
offers the highest O2 concentration of the low flow system
question
a nurse is caring for a pt who is dyspneic & cyanotic, with a respiratory rate of 28/min. The nurse determines that the patient has impaired gas exchange during which of the following phases of the nursing process? -assessment -diagnosis -planning -evaluation
answer
diagnosis
question
a home health nurse is instructing a patient who has just started receiving O2 therapy via mask. The nurse should emphasize that the pt must: -clean the mask with soapy water every other day -reposition the elastic band frequently -apply petroleum jelly around and inside the nares -make sure there is adequate consideration in the tubing
answer
reposition the band frequently
question
a nurse is providing discharge teaching to a pt who will continue O2 therapy at home. The nurse should instruct the patient that turning the knob on the O2 flow meter all the way to the right: -starts the flow of O2 -provides maximal O2 flow -provides minimal O2 flow -stops the flow of O2
answer
stops the flow of O2
question
a nurse is caring for a critically ill pt with COPD who requires delivery of a precise concentration of O2. which of the following type of O2 delivery device is indicated for this pt? -simple face mask -nasal cannula -face tent -venturi mask
answer
venturi mask
question
a nurse should recognize that which of the following is an indication for O2 therapy? -resp. rate 32/min; anxiety -dyspnea; PaO2 90mmHg -chest pain; FiO2 65% for 4 days -tachypnea; SaO2 90%
answer
tachypnea; SaO2 90%
question
a nurse is caring for a pt who has a tracheostomy. Which of the following must the nurse use when administering O2 therapy to this pt? -distilled water for humidification -tracheostomy collar -an inner tracheostomy cannula -an aerosol mask
answer
tracheostomy collar
question
O2 therapy is prescribed to a pt who came to the ER with EARLY stages of hypoxia. When assessing this pt, the nurse should expect to find which of the following indicators? -elevated BP -decreased resp. rate -cyanosis -peripheral edema
answer
elevated BP
question
what are the 3 stages of hypoxia?
answer
1. early 2. late 3. chronic
question
early stages of hypoxia:
answer
-increased BP -increased resp. rate -dyspnea -increased heart rate -restless -anxiety -confusion
question
late stages of hypoxia:
answer
-Hypotension -bradycardia -metabolic acidosis -cyanosis -decreased activity level -decreased level of consciousness
question
chronic stages of hypoxia:
answer
-clubbing of fingers and toes -peripheral edema -right sided heart failure -resp. acidosis -O2 stats less than 87%
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