Fundamentals Chapter 39- Oxygenation
and Perfusion
d. a client taking opioids for cancer pain - answer In which client would the nurse assess
for a depressed respiratory system?
a. a client taking amlodipine for hypertension
b. a client taking antibiotics for a urinary tract infection
c. a client taking insulin for diabetes
d. a client taking opioids for cancer pain
b. tracheostomy collar - answer The nurse is caring for a client who has had a
percutaneous tracheostomy (PCT) following a motor vehicle accident and has been
prescribed oxygen. What delivery device will the nurse select that is most appropriate
for this client?
a. simple mask
b. tracheostomy collar
c. nasal cannula
d. face tent
a. crackles. - answerThe nurse auscultates a client with soft, high-pitched popping
breath sounds on inspiration. The nurse documents the breath sounds heard as:
a. crackles.
b. vesicular.
c. wheezes.
d. bronchovesicular.
b. "Breathing through your nose first will warm, filter, and humidify the air you are
breathing." - answerThe nurse is teaching the client with a pulmonary disorder about
deep breathing. The client asks, "Why is it important to start by breathing through my
nose, then exhaling through my mouth?" Which appropriate response would the nurse
give this client?
a. "Breathing through your nose first encourages you to sit up straighter to increase
expansion of the lungs during inhalation."
b. "Breathing through your nose first will warm, filter, and humidify the air you are
breathing."
c. "If you breathe through the mouth first, you will swallow germs into your stomach."
d. "We are concerned about you developing a snoring habit, so we encourage nasal
breathing first."
, b. apnea. - answerThe nurse is assessing a newborn in the nursery. The nurse notes
the infant has episodes in which breathing ceased for 20 seconds on 2 occasions. The
nurse correctly recognizes this condition as:
a. dyspnea.
b. apnea.
c. orthopnea.
d. hypercapnia.
c. Document the finding.
Small stationary clots are a normal finding. The chest tubing should never be stripped of
clots because this can create intrathoracic negative pressure. Clamping chest tubes is
not recommended as it can create a tension pneumothorax. The rapid response team
should be called if the chest tube becomes dislodged, an air leak occurs, or the client
experiences dyspnea. - answerThe nurse is caring for a client with a chest tube.
Stationary clots are noted in the tubing. What is the appropriate nursing action?
a. Clamp the tube.
b. Strip the chest tubing of clots.
c. Document the finding.
d. Contact the rapid response team.
b. Hypoxia - answerThe nurse assesses a client and detects the following findings:
difficulty breathing, increased respiratory and pulse rates, and pale skin with regions of
cyanosis. What condition would the nurse suspect as causing these respiratory
alterations?
a. Hyperventilation
b. Hypoxia
c. Perfusion
d. Atelectasis
a. nasal cannula - answerAn adult client is discharged to home with a prescription for
oxygen at 2 L/min. Which method of oxygen delivery should the nurse use in this
situation?
a. nasal cannula
b. oxygen mask
c. oxygen hood
d. oxygen tent
d. It decreases dry mucous membranes via delivering small water droplets. -
answerWhich teaching about the humidifier is important for the nurse to provide to a
client using oxygen?
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