ATI skills module 3.1oxygen therapy EXAM
NEW VERSION LATEST UPDATE 2024-2025
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Oxygen therapy is prescribed for a client who is brought to an emergency
department in the early stages of hypoxia. When assessing this client, a nurse
should expect which of the following findings?
A. elevated BP
B. decreased respiratory rate
C. cyanosis
D. peripheral edema
- ANSWER A. elevated blood pressure
during early stages of hypoxia, BP is usually elevated (unless shock)
during late stages = hypotension, cyanosis, decreased respiratory rate
A nurse is caring for a client who has a tracheostomy. Which of the following
pieces of equipment should the nurse use when administering oxygen to this
client?
A. distilled water for humidification
B. a tracheostomy collar
C. a nasal cannula
,D. an aerosol mask
- ANSWER B. a tracheostomy collar
a tracheostomy collar is a piece of equipment that fits over the tracheostomy site
and is held in place by an adjustable elastic strap that fits around the clients neck.
Collar provides the client with the prescribed O2 concentration while also
providing high humidity
A nurse is providing discharge teaching to a client who will continue oxygen
therapy at home. The nurse should instruct the client that turning the knob on the
oxygen flow meter all the way to the right...
A. starts the flow of oxygen
B. provides the maximal oxygen flow
C. provides the minimal oxygen flow
D. stops the flow of oxygen
- ANSWER D. stops the flow of oxygen
allows no oxygen flow from the oxygen cylinder to the client
A nurse is providing discharge teaching with a client who is going home on
continuous liquid oxygen therapy. Which of the following instructions should the
nurse include?
A. "place the oxygen take in a clutter-free environment"
B. "keep the oxygen tank at least 6 feet away from a heat source"
,C. "ensure you are close to electricity to use your oxygen tank"
D. "turn the valve on the oxygen tank until the alarm sounds"
- ANSWER A. "place the oxygen take in a clutter-free environment"
clutter-free and well ventilated
A home health nurse is teaching a client who has just started receiving oxygen
therapy via mask. The nurse should emphasize that the client must...
A. clean the mask with soapy water once every other day
B. reposition the elastic band frequently
C. apply petroleum jelly around the inside of the nares
D. make sure there is adequate condensation in the tubing
- ANSWER B. reposition the elastic band frequently
tubing and elastic bands that are part of the oxygen-delivery devices can cause
pressure on the skin that can lead to breakdown. padding them and frequently
changing their position can help prevent this complication
Administering oxygen therapy with a nonrebreather mask has which of the
following advantages?
A. offers the highest O2 concentration of the low-flow systems
B. provides oxygen concentrations of 40% to 60%
C. incorporates a design that requires minimal monitoring of the client
D. is designed for safety once the mask's valves and flaps are sealed
, - ANSWER A. offers the highest O2 concentration of the low-flow systems
delivers o2 of 60% to 80%, providing a higher fraction of inspired oxygen
A nurse is caring for a client who has been receiving oxygen via nasal cannula for 4
hr. Which of the following assessment findings helps indicate that oxygen therapy
has been effective?
A. respiratory rate 14/min
B. SaO2 90%
C. cardiac output 5.6 L/min
D. PaCO2 68 mmHg
- ANSWER A. respiratory rate 14/min
want 12 - 20/min
A nurse is caring for a client who has dyspnea, slight cyanosis, and a respiratory
rate of 28/min. During which of the following phases of the nursing process with
the nurse determine the client has impaired gas exchange?
A. assessment
B. diagnosis
C. planning
D. evaluation
- ANSWER B. diagnosis
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