Normal Oxygenation
Normal respiratory rate for adults
What is 12-20 breaths per minute?
Decreased level of oxygen in the blood.
What is Hypoxemia?
Healthcare discipline nurses can call when they're unsure about something relating to a patient's respiratory status.
What is Respiratory Therapy?
The nurse is educating a patient with COPD with a new order for 2L O2 via nasal canula. Which responses by the patient require further teaching?
A. I can increase my O2 at any time without my doctor's permission.
B. I will make sure continue my nicotine patch to stop smoking.
C. An O2 Saturation between 88% and 92% is appropriate for me.
D. I will need to make adjustments to my showering routine.
A. Is the correct response, increasing O2 delivery will reduce the client's respirations, while decreasing may increase respirations.
B, C & D are all true.
What is Cyanosis?
Normal range for PaCO2 levels
What is 35-45 mmHg?
Difficulty breathing when lying down is known as what?
What is Orthopnea?
Technique that should be used when performing trach suction on a patient.
What is Sterile technique?
A patient is experiencing dyspnea on exertion (DOE),
Which instructions would be best to include in the plan of care?
A. Be sure to continue exercising, this will build resistance
B. If it is too much, you do not need to exercise at all.
C. Swimming may be an alternative activity.
D. If you find you need to take a break before continuing, do so.
D. If a client is feeling dyspneic, they should take a break before continuing.
A, B & C do not provide a beneficial solution for the client.
Compound produced when carbon monoxide binds to hemoglobin in the blood.
What is carboxyhemoglobin?
Term for movement of gases in and out of the lungs.
What is ventilation?
Normal O2 saturation range for patients with COPD.
What is 88-92 %?
Position that can improve breathing where a patient is sitting at a 45 - 60 degree angle.
What is Semi-Fowlers position?
The nurse should perform oral care every _ hours for patients with an endotracheal tube.
What is 2 hours?
Restlessness, confusion, tachypnea, and tachycardia.
What are s/s of hypoxia?
Chemical compound that controls surface tension and prevents alveoli collapse.
What is Surfactant?
Deep, rapid breaths commonly seen in patients with metabolic acidosis.
What is Kussmaul's Respirations?
Suctioning equipment that connects to tubing and is used to suction a patient's oral cavity.
What is a Yankauer catheter?
Name medications usually used to assist clients with a history of asthma.
Fluticasone (Flovent HFA), budesonide (Pulmicort Flexhaler), and mometasone (Asmanex), Albuterol (ProAir HFA, Ventolin HFA)
High- pitched sound caused by rapid movement of air through narrowed airways on exhalation.
What is wheezing?
Another term for lung collapse.
What is atelectasis?
Which technique is used to clear a patient's airway when they are unable to cough effectively?
a) Deep breathing exercises
b) Chest physiotherapy
c) Nasal cannula
d) Incentive spirometry
b) Chest physiotherapy
A nurse is providing education on lifestyle modifications to improve oxygenation. Which of the following should be included?
a) Increase alcohol consumption
b) Stop smoking
c) Avoid physical activity
d) Restrict fluid intake
Rationale: Smoking cessation is essential to improving respiratory function and overall oxygenation, as smoking damages the lungs and impairs gas exchange.
Which type of therapy is used to aid patients who are hypoxemic?
a) Nutritional therapy
b) Oxygen therapy
c) Antibiotic therapy
d) Corticosteroid therapy
b) Oxygen therapy
Low oxygen levels in the tissue.
What is hypoxia?