Oxygen Therapy
ABG's
Vent
Medications
100

The nurse asks a pre - op patient to return demonstrate the proper use of an incentive spirometer.  The nurse knows the teaching has been effective when the patient...

A. inhales quickly from the device

B. inhales and then exhales into the mouth piece

C. inhales slowly on the mouth piece, holds for 6 seconds, and then exhales

D. slowly inhales, and exhales multiple times, and then holds their breath for 6 seconds

100

Hyperventilation causes which acid/base balance disturbance?

What is Respiratory Alkalosis

100

The amount of residual pressure in the lungs at the end of expiration that keeps alveoli partially inflated, and perfused, with the next breath is?

A. Continuous Positive Airway Pressure (CPAP)

B. Assist control

C. Airway Pressure Release Ventilation (APRV)

D. Positive End Expiratory Pressure (PEEP)

100

A nurse is teaching a client to use a metered dose inhaler to administer bronchodilator medication. Indicate the order of the steps the client should take to use the MDI appropriately.

1.Shake the inhaler immediately before use

2.Hold breath for 5 to 10 seconds and then exhale

3. Active the MDI on inhalation

4. Breathe out through the mouth

200

A nurse is caring for a client who has dyspnea, and wil receive oxygen continuously.  Which of the following oxygen devices should the nurse use to deliver a precise amount of oxygen to the client?

A. Non - Rebreather Mask

B. Venturi Mask

C. Nasal Cannula

D. Simple Face Mask

200

Which of the following are s/s of Metabolic Acidosis?

(Select all that Apply)


1)Confusion

2)Vomiting

3)Diarrhea

4)Constipation

5)Kussmaul respiration's




200

The low tidal volume alarm on a clients ventilator keeps sounding.  What is the nurses first action?

A. Manually ventilate the client

B. Put air into the endotracheal tube cuff

C. Check the ventilator connections

D. Call the physician


200

When using a Dry Powder Inhaler (DPI), it is important to always?

A) Shake before you use

B) inhale rapidly

C) Clean the mouth piece after use with soap and water

D) Store in medicine cabinet in the bathroom

300

The nurses priority intervention for a confused patient who is to start oxygen therapy is?

A. Determine which method of oxygen delivery the patient will tolerate

B. Instruct the patient about the importance of leaving the device on

C. Explain that he will not be allowed to smoke

D. Monitor his ability to tolerate the removal of oxygen while eating

300

A client with ARDS is showing signs of increased dyspnea. The nurse reviews a report of blood gas values that recently arrived. Which finding should she report to the doctor?

pH- 7.35

PaCO2- 25 mm Hg

Hco3 - 22 mEq/L

PaO2 0 95 mm Hg

1) pH

2) PaCO2

3)HCO3

4) PaO2

300

Which of the following is not true of Positive End Expiratory Pressure (PEEP)?

A. normal PEEP is 5 - 15 cm H2O

B. Can increase work of breathing, causing respiratory muscle fatigue

C. Preset pressure delivered during expiration

D. Improves oxygenation by enhancing gas exchange, and preventing atelectasis

300
A client is prescribed a metered dose inhaler, two puffs every 4 hours. The nurse instructs the client to report adverse effects. Which of the following are potential adverse effects of Albuterol?

A) Irregular Heartbeat

B) Constipation

C) Pedal edema

D) Decreased pulse rate

400
What are possible hazards of oxygen therapy?  Select All That Apply

A. dry mouth

B. oxygen toxicity

C. depression of the ventilatory drive

D. increased heart rate

E. atelectasis


400
A client has the following arterial blood gas values

pH 7.52, PaO2 50 mm Hg, PaCO2 28 mm Hg, HCO3 24 mEq/L. The nurse determines the following is a possible cause for the findings?


1) Chronic Obstructive Pulmonary Disease (COPD)

2) Diabetic Ketoacidosis with Kussmaul's resp's

3) Myocardial Infarction

4) Pulmonary embolus

400

A nurse is planning care for a client who is receiving mechanical ventilation.  Which of the following modes of ventilation that increases the effort of the clients respiratory muscles should the nurse include in the plan of care? Select All That Apply

A. Assist control

B. Synchronized intermittent mandatory ventilation

C. Continuous positive airway pressure

D. Pressure support ventilation

E. Independent lung ventilation

400

A nurse is administering a sustained release bronchodilator with mild antiinflammatory effects. It is not commonly used because it easily can cause toxicity if used incorrectly. Some S/E include; nausea, vomiting, seizures or insomnia. What medication is the nurse administering?

A)Solu-Medrol

B)Singular

C) Advair diskus

D) Theophylline