Respiratory Assessment
A respiratory rate of 28 with accessory muscle use indicates this
What is respiratory distress?
This low-flow device is typically used at 1–6 L/min.
What is a nasal cannula?
A tracheostomy bypasses these two major airway structures.
What are the nose and mouth (upper airway structures)?
Cardiac output equals heart rate times this.
What is stroke volume?
A UAP may perform this task for a patient on oxygen.
What is monitoring skin breakdown around ears?
Restlessness and anxiety are considered these types of hypoxia signs.
What are early signs?
The device that delivers the highest FiO₂ without intubation.
What is a non-rebreather mask?
The most important precaution during suctioning.
What is maintaining sterile technique?
Mean Arterial Pressure (MAP) should generally remain above this number.
What is 65 mmHg?
The nurse must perform this action.
What is adjusting oxygen flow rate?
Crackles are most commonly associated with this underlying issue.
What is fluid in the alveoli?
Humidification is especially important when oxygen exceeds this flow rate via nasal cannula.
What is 4 L/min?
Suctioning time should not exceed this many seconds.
What is 10–15 seconds?
Cool, pale extremities and weak pulses suggest this.
What is impaired perfusion?
The priority action for a restless patient with 89% SpO₂.
What is apply oxygen and assess airway/breathing?
Normal pulse oximetry range for most adults.
What is 95–100%?
This high-flow device delivers precise oxygen concentrations.
What is a Venturi mask?
The purpose of an incentive spirometer.
What is to promote lung expansion and prevent atelectasis?
The relationship between oxygenation and perfusion is best described as this.
What is they must both be adequate for effective tissue oxygen delivery?
The correct response to a post-op patient refusing incentive spirometry.
What is practice together and educate about complications?
A patient becomes cyanotic and confused. These are considered what type of hypoxia signs?
What are late signs?
A COPD patient becomes drowsy on 4 L oxygen. The nurse’s priority is to assess this.
What is CO₂ retention (respiratory drive suppression)?
Gurgling breath sounds in a trach patient indicate this priority action.
What is suction the airway?
V/Q mismatch refers to imbalance between these two processes.
What are ventilation and perfusion?
Oxygen toxicity is most associated with prolonged exposure to this.
What is high concentrations of oxygen?