nr224 week 7 oxygenation and nursing skill questio
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Chamberlain School Of Nursing
NR 224
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NR224 Week 7 Oxygenation and Nursing Skill Questions
With Complete Solutions
A client using oxygen at 2 L/min via nasal cannula to keep their
oxygen saturation greater than 92% needs to be transported to
the x-ray department. The nurse is assessing the client and the
oxygen equipment. Select the statement that best describes the
assessment findings. Correct Answers The oxygen saturation is
adequate.
The flow rate should be decreased by 1 L/min.
There is enough oxygen to transport the client.
The client is wearing the correct oxygen delivery device.
A client with no spontaneous respirations is being supported on
a ventilator with 40% oxygen being delivered. When the
ventilator stops working, which device should the nurse select to
support the client until a replacement ventilator arrives? Correct
Answers Bag-valve-mask delivering 50% oxygen
A nurse is caring for a postoperative client. The client is 48
hours post tracheostomy.
The nurse is preparing to perform tracheostomy care. Which of
these assessment findings require further follow-up before
performing tracheostomy care?
Assessment Findings
- Client communicates they are having trouble breathing
- Visualization of thick secretions in tracheostomy tube
- Spouse at bedside
- SpO2 86% on 50% O2 via trach collar
,Tracheostomy ties securely fastened Correct Answers
Assessment Findings That Require Further Follow-Up
- Client communicates they are having trouble breathing
- Visualization of thick secretions in tracheostomy tube
- SpO2 86% on 50% O2 via trach collar
An adult arrived at the emergency department at 15:30 with
shortness of breath.
The client has responded well to the treatment and is preparing
for discharge to home. Which statement, regarding the use of
supplemental oxygen at home, made by the client leads the
nurse to believe that more discharge teaching is needed?
Correct Answers "I don't smoke, but vaping is safe with
oxygen."
An adult arrived at the emergency department at 15:30 with
shortness of breath.
After completing the assessment, the nurse contacted the
healthcare provider with the information below.
Situation: adult presenting with shortness of breath, increasingly
worse over the last 2 days and a productive cough
Background: history of asthma
Assessment: lungs with scattered sonorous wheezes,
symmetrical chest expansion with no temperature, slightly
elevated blood pressure, respiratory rate of 28, and an oxygen
saturation of 88% on room air.
Which order should the nurse anticipate receiving? Correct
Answers Chest x-ray
,An adult arrived at the emergency department at 15:30 with
shortness of breath.
The chest x-ray results revealed bronchial wall thickening with
mild hyperinflation, consistent with asthma. No pneumonia is
present.
Based on these findings, which nursing actions should the nurse
include in the client's plan of care? (SATA)
- Encouraging frequent rest periods
- Preparing to administer supplemental oxygen
- Working with respiratory therapy to administer inhaled
medications
- Positioning the client in a semi-Fowler's position
- Administering antibiotics
- Positioning in a supine position Correct Answers -
Positioning the client in a semi-Fowler's position
- Preparing to administer supplemental oxygen
- Working with respiratory therapy to administer inhaled
medications
- Encouraging frequent rest periods
An adult arrived at the emergency department at 15:30 with
shortness of breath. Review the "Provider Orders" tab before
answering the question.
Which statements below are accurate concerning starting
supplemental oxygen therapy? (SATA)
PROVIDER ORDERS: Oxygen 4 L/min per nasal cannula -----
Douglas Eubanks, MD
- No provider order is required to start supplemental oxygen.
, - This will deliver about 37% oxygen.
- If the flow is higher, humidification is recommended for
comfort.
- A flow meter is not needed to deliver oxygen this way.
- It is safe to smoke when using oxygen by this delivery method.
Correct Answers - This will deliver about 37% oxygen.
- If the flow is higher, humidification is recommended for
comfort.
An adult client who uses oxygen, 2 L/min via nasal cannula at
home, is admitted to the hospital with pneumonia. They have a
history of chronic obstructive pulmonary disease (COPD) and a
productive cough with a moderate amount of yellowish sputum.
The first dose of antibiotics was administered 2 hours ago.
After 45 minutes on 100% oxygen via a non-rebreather mask,
the client's respirations are 36 per minute and oxygen saturation
is 86%. Which action should the nurse anticipate taking next?
Correct Answers Using a bag-valve-mask to assist with
ventilation
An adult client who uses oxygen, 2 L/min via nasal cannula at
home, is admitted to the hospital with pneumonia. They have a
history of chronic obstructive pulmonary disease (COPD) and a
productive cough with a moderate amount of yellowish sputum.
The first dose of antibiotics was administered 2 hours ago.
Which finding about a full non-rebreather mask ensures it is
delivering the highest level of oxygen? Correct Answers The
oxygen regulator is set at 15 L/min.
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