Question 1

An important principle of nebulization therapy is to caution the client against

Accepted Answer

A)  Coughing too much.
B)  Hyperventilation.
C)  Too much exertion just prior to the treatment.
D)  Cleaning the equipment with soap and water.

Question 2

Oxygen delivered through a nasal cannula can deliver no more than _____________% oxygen.

Accepted Answer

A)  24
B)  30
C)  38
D)  44

Question 3

Which of the following statements is true for the client receiving oxygen per nasal cannulae?

Accepted Answer

A)  Deep breathing will increase the amount of oxygen inhaled.
B)  Vaseline use is appropriate for nares care.
C)  Mouth breathing will not alter oxygen percent inspired.
D)  Humidification of inspired air is indicated.

Question 4

Nursing responsibilities when assisting with endotracheal intubation include all of the following except

Accepted Answer

A)  Place client in a supine position with chin flexed toward chest.
B)  Tape ET tube in place after insertion.
C)  Suction client before intubation.
D)  Auscultate lung fields before and after intubation.

Question 5

Negative pressure used when performing tracheostomy suction is _____________ mm Hg.

Accepted Answer

A)  40-60
B)  60-80
C)  80-120
D)  120-140

Question 6

The priority concern for the client with a capped tracheostomy tube is

Accepted Answer

A)  Means for communication.
B)  Tube cuff deflation.
C)  Aspiration precautions.
D)  Continuous pulse oximetry.

Question 7

Match between columns
                        Premises: Tidal volume
Expiratory reserve volume
Inspiratory reserve volume
Reserve volume

Accepted Answer

The Answer of Volume of air normally inspired and Volume is...

Question 8

Instructions for coughing exercises include having the client _____________ deeply and to cough using _____________ and respiratory muscles.

Accepted Answer

The answer of Instructions for coughing exercises include having the...

Question 9

A high flow rate of oxygen administered to the client with COPD may cause

Accepted Answer

A)  Headache.
B)  Respiratory alkalosis.
C)  Oxygen dependency.
D)  CO2 retention.

Question 10

Complete the following instructions for clients requiring diaphragmatic breathing: The client is to breathe in deeply through the _____________.The client is to exhale by _____________.To assist in exhaling effectively,instruct the client to tighten the _____________ muscles.

Accepted Answer

Nose,pursing his lip...

Question 11

The best method to prevent hypoxia when suctioning is

Accepted Answer

A)  Suction only when necessary.
B)  Hyperoxygenate for 1-2 minutes before suctioning.
C)  Suction for no more than 10 seconds.
D)  Use only a small-sized catheter for suctioning. B

Question 12

When suctioning a client with a cuffed tracheostomy tube,which of the following nursing measures should be considered?

Accepted Answer

A)  Oxygenation should be provided after the suctioning procedure only if it was prolonged.
B)  The size of the suction catheter should not exceed half the diameter of the tracheostomy tube.
C)  Apply suction when inserting as well as when removing the catheter.
D)  Suctioning should not exceed 15 seconds at a time.

Question 13

The client is placed in a _____________ position when teaching deep breathing and coughing exercises.Have the client take a _____________ breath through the _____________ until the chest is expanded and abdominal muscles rise.

Accepted Answer

High (Fowl...

Question 14

Inaccurate pulse oximetry readings can be found in clients with

Accepted Answer

A)  Polycythemia.
B)  Recent contrast media studies.
C)  High CO2 levels.
D)  Cardiac anomalies. B

Question 15

Oxygen is most accurately delivered by

Accepted Answer

A)  Nasal cannula.
B)  Simple mask.
C)  Mask with reservoir bag.
D)  Venturi mask.

Question 16

Clinical Situation: James Jackson was injured in an automobile accident. His chest hit the steering wheel and, upon admission to the ER, he was complaining of shortness of breath. A chest tube has been inserted to evacuate a 
-Safety measures that are monitored for all clients requiring a closed drainage system include all of the following except

Accepted Answer

A)  Keeping rubber-tipped hemostats at bedside.
B)  Air vent is closed to the environment.
C)  Keeping the system below chest tube insertion site.
D)  Ensuring that suction control chamber water level is maintained.

Question 17

Match between columns Premises: When using a catheter and sleeve,sterile gloves are required for the procedure.

Saline instillation before suctioning facilitates airway secretion clearance.

Suction is applied only on withdrawal of the catheter.
Suction time is limited to less than 10 seconds at one time.

Suction catheter tips are lubricated with water-soluble lubricant before suctioning.

Accepted Answer

The Answer of True and False is...

Question 18

Place an X in front of the true statements related to airway insertion.

Accepted Answer

A)  Oropharyngeal airways are initially turned upside down for insertion._______ 
B)  Only the tip of the nasopharyngeal airway is lubricated prior to insertion._______ 
C)  Clients are placed in a semi-Fowler's position for endotracheal intubation._______ 
D)  Breath sounds are assessed following endotracheal intubation._______ 
E)  Sterile technique is used in cleaning and suctioning the new tracheostomy tube._______

Question 19

Clinical Situation: James Jackson was injured in an automobile accident. His chest hit the steering wheel and, upon admission to the ER, he was complaining of shortness of breath. A chest tube has been inserted to evacuate a 
-Chest tubes are inserted following a thoracotomy and attached to a Pleur-evac drainage system.When evaluating the effectiveness of the drainage system,you notice that fluid is fluctuating up and down in the water-seal chamber.What is your initial intervention?

Accepted Answer

A)  Clamp the chest tubes closest to the client.
B)  Call the physician immediately.
C)  Look for leaks in the tubing.
D)  Do nothing because this fluctuation is normal.

Question 20

An elderly client has an order for humidified oxygen at 6 litersper minute.You understand the rationale for this order is to

Accepted Answer

A)  Prevent infection of the upper airways.
B)  Administer oxygen to treat hypoxemia.
C)  Maintain moist mucous membranes.
D)  Keep the upper airways patent. C

Exam 26: Perioperative Care

An important principle of nebulization therapy is to caution the client against

Correct Answer
verified

Oxygen delivered through a nasal cannula can deliver no more than _____________% oxygen.

Correct Answer
verified

Which of the following statements is true for the client receiving oxygen per nasal cannulae?

Correct Answer
verified

Nursing responsibilities when assisting with endotracheal intubation include all of the following except

Correct Answer
verified

Negative pressure used when performing tracheostomy suction is _____________ mm Hg.

Correct Answer
verified

The priority concern for the client with a capped tracheostomy tube is

Correct Answer
verified

Match the type of lung volume with the definition .

Instructions for coughing exercises include having the client _ deeply and to cough using _ and respiratory muscles.

Correct Answer
verified

A high flow rate of oxygen administered to the client with COPD may cause

Correct Answer
verified

Complete the following instructions for clients requiring diaphragmatic breathing: The client is to breathe in deeply through the _______.The client is to exhale by _.To assist in exhaling effectively,instruct the client to tighten the _______ muscles.

Correct Answer
verified
Nose,pursing his lip...
View Answer

The best method to prevent hypoxia when suctioning is

Correct Answer
verified
B

When suctioning a client with a cuffed tracheostomy tube,which of the following nursing measures should be considered?

Correct Answer
verified

The client is placed in a _______ position when teaching deep breathing and coughing exercises.Have the client take a _ breath through the _______ until the chest is expanded and abdominal muscles rise.

Correct Answer
verified
High (Fowl...
View Answer

Inaccurate pulse oximetry readings can be found in clients with

Correct Answer
verified
B

Oxygen is most accurately delivered by

Correct Answer
verified

Correct Answer
verified

Circle T if the statement is true or F if the statement is false regarding airway suctioning

Place an X in front of the true statements related to airway insertion.

Correct Answer
verified

Correct Answer
verified

An elderly client has an order for humidified oxygen at 6 litersper minute.You understand the rationale for this order is to

Correct Answer
verified
C

Exam 26: Perioperative Care

An important principle of nebulization therapy is to caution the client against

Correct AnswerverifiedShow Answer

Oxygen delivered through a nasal cannula can deliver no more than _____________% oxygen.

Correct AnswerverifiedShow Answer

Which of the following statements is true for the client receiving oxygen per nasal cannulae?

Correct AnswerverifiedShow Answer

Nursing responsibilities when assisting with endotracheal intubation include all of the following except

Correct AnswerverifiedShow Answer

Negative pressure used when performing tracheostomy suction is _____________ mm Hg.

Correct AnswerverifiedShow Answer

The priority concern for the client with a capped tracheostomy tube is

Correct AnswerverifiedShow Answer

Match the type of lung volume with the definition .

Instructions for coughing exercises include having the client _____________ deeply and to cough using _____________ and respiratory muscles.

Correct AnswerverifiedShow Answer

A high flow rate of oxygen administered to the client with COPD may cause

Correct AnswerverifiedShow Answer

Complete the following instructions for clients requiring diaphragmatic breathing: The client is to breathe in deeply through the _____________.The client is to exhale by _____________.To assist in exhaling effectively,instruct the client to tighten the _____________ muscles.

Correct AnswerverifiedNose,pursing his lip...View AnswerShow Answer

The best method to prevent hypoxia when suctioning is

Correct AnswerverifiedB

When suctioning a client with a cuffed tracheostomy tube,which of the following nursing measures should be considered?

Correct AnswerverifiedShow Answer

The client is placed in a _____________ position when teaching deep breathing and coughing exercises.Have the client take a _____________ breath through the _____________ until the chest is expanded and abdominal muscles rise.

Correct AnswerverifiedHigh (Fowl...View AnswerShow Answer

Inaccurate pulse oximetry readings can be found in clients with

Correct AnswerverifiedB

Oxygen is most accurately delivered by

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

Circle T if the statement is true or F if the statement is false regarding airway suctioning

Place an X in front of the true statements related to airway insertion.

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

An elderly client has an order for humidified oxygen at 6 litersper minute.You understand the rationale for this order is to

Correct AnswerverifiedC

Correct Answer
verified

Correct Answer
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Correct Answer
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Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Instructions for coughing exercises include having the client _ deeply and to cough using _ and respiratory muscles.

Correct Answer
verified

Correct Answer
verified

Complete the following instructions for clients requiring diaphragmatic breathing: The client is to breathe in deeply through the _______.The client is to exhale by _.To assist in exhaling effectively,instruct the client to tighten the _______ muscles.

Correct Answer
verified
Nose,pursing his lip...
View Answer

Correct Answer
verified
B

Correct Answer
verified

The client is placed in a _______ position when teaching deep breathing and coughing exercises.Have the client take a _ breath through the _______ until the chest is expanded and abdominal muscles rise.

Correct Answer
verified
High (Fowl...
View Answer

Correct Answer
verified
B

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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C