NR224 Week 7 Oxygenation and Nursing Skill
Study online at https://quizlet.com/_eykww4
1. Which information does a pulse oximeter mea- Saturation of hemoglobin with oxygen
sure?
2. What percentage of the air we breathe is oxy- 21%
gen?
3. Which muscle group is primarily responsible Diaphragm
for the inflation of the lungs?
4. When gas exchange is impaired, both the - compensate
lungs and heart can (compensate/worsen) for - homeostasis
a limited time by altering the respiratory rate, - damage
heart rate, or both, allowing the body to return
to (disequilibrium/homeostasis.) When com-
pensatory mechanisms fail, the result may
lead to tissue and organ (damage/hypertro-
phy) or death.
5. For each underlying pathophysiologic change, Hypoxia
specify if the change is associated with hypox- - Not enough functional red blood cell-
ia or hypoxemia. s
- Blood is not reaching the tissues
- Hypoventilation - Cyanide poisoning
- Oxygen is not reaching the alveoli
- Not enough functional red blood cells Hypoxemia
- Diffusion impairment - Hypoventilation
- Blood is not reaching the tissues - Oxygen is not reaching the alveoli
- Cyanide poisoning - Diffusion impairment
6. Match each device with name and then identi- Spirometry: Ventilation
fy the piece of gas exchange it measures: Oximeter: Hypoxemia
Lab Testing: Hypoxemia
Device Name: Chest X-Ray: Ventilation
, NR224 Week 7 Oxygenation and Nursing Skill
Study online at https://quizlet.com/_eykww4
- Spirometry
- Oximeter
- Lab Testing
- Chest X-Ray
Gas Exchange Measured:
- Ventilation
- Hypoxemia
7. Match each device with its name and then - Echocardiogram: Dysfunctional
identify the piece of gas exchange it mea- Valves
sures. - Lab Testing: Myocardial infarction
- Electrocardiogram: Dysrhythmia
Type of Test: - Cardiac Catheterization: Altered car-
Echocardiogram - Angina, Dysfunctional diac output; Infarction/Ischemia
valves, VQ mismatch
Lab Testing - Myocarditis, Myocardial infarc-
tion, VQ mismatch
Electrocardiogram - Aortic aneurysm, De-
creased blood flow, Dysrhythmia
Cardiac Catheterization - Decreased blood
flow, Altered cardiac output; Infarction/Is-
chemia, Myocarditis
8. For each sign or symptom listed, specify the Ventilation Device: Cannot take a deep
prioritized device for assistance: ventilation breath, Stopped breathing
device, oxygen, or inhaled medication.
Oxygen: Oxygen saturation 78%
- Ventilation Device
- Oxygen Inhaled Medication: Asthmatic wheez-
- Inhaled Medication ing
SIGN/SYMPTOM
, NR224 Week 7 Oxygenation and Nursing Skill
Study online at https://quizlet.com/_eykww4
Oxygen saturation 78%
Cannot take a deep breath
Asthmatic wheezing
Stopped breathing
9. Situation: An older adult arrives at the emer- Impaired gas exchange
gency department (ED) with a productive
cough, fatigue, and shortness of breath that
has worsened over the last three days.
Background: No history of medical problems;
takes no prescription medications; occasion-
ally takes acetaminophen for pain; does not
smoke.
Assessment: T 98.6°F (37°C), BP 155/85, P 120,
R 30, oxygen saturation (O2 sat) 88% on room
air; lung sounds diminished right lower lobe
with rhonchi present; heart regular rhythm
with no murmurs or extra heart sounds.
The client is admitted with dyspnea. They are
tachypneic at 30 with a blood pressure of
160/90, pulse of 125 and regular, and oxygen
saturation is 88%. What is the priority nursing
diagnosis for this client?
10. Situation: An older adult arrives at the emer- Chest X-Ray
gency department (ED) with a productive
cough, fatigue, and shortness of breath that
has worsened over the last three days.
Background: No history of medical problems;
takes no prescription medications; occasion-
ally takes acetaminophen for pain; does not
, NR224 Week 7 Oxygenation and Nursing Skill
Study online at https://quizlet.com/_eykww4
smoke.
Assessment: T 98.6°F (37°C), BP 155/85, P 120,
R 30, oxygen saturation (O2 sat) 88% on room
air; lung sounds diminished right lower lobe
with rhonchi present; heart regular rhythm
with no murmurs or extra heart sounds.
Which diagnostic test should the nurse antici-
pate being ordered?
11. Situation: An older adult arrives at the emer- Hypoxemia
gency department (ED) with a productive
cough, fatigue, and shortness of breath that
has worsened over the last three days.
Background: No history of medical problems;
takes no prescription medications; occasion-
ally takes acetaminophen for pain; does not
smoke.
Assessment: T 98.6°F (37°C), BP 155/85, P 120,
R 30, oxygen saturation (O2 sat) 88% on room
air; lung sounds diminished right lower lobe
with rhonchi present; heart regular rhythm
with no murmurs or extra heart sounds.
The chest x-ray results confirm community-ac-
quired pneumonia. Both the electrocardio-
gram and echocardiogram are normal. Based
on these results, what is the most likely cause
of the client's increased respirations?
12. Situation: An older adult arrives at the emer- Oxygen
gency department (ED) with a productive
Study online at https://quizlet.com/_eykww4
1. Which information does a pulse oximeter mea- Saturation of hemoglobin with oxygen
sure?
2. What percentage of the air we breathe is oxy- 21%
gen?
3. Which muscle group is primarily responsible Diaphragm
for the inflation of the lungs?
4. When gas exchange is impaired, both the - compensate
lungs and heart can (compensate/worsen) for - homeostasis
a limited time by altering the respiratory rate, - damage
heart rate, or both, allowing the body to return
to (disequilibrium/homeostasis.) When com-
pensatory mechanisms fail, the result may
lead to tissue and organ (damage/hypertro-
phy) or death.
5. For each underlying pathophysiologic change, Hypoxia
specify if the change is associated with hypox- - Not enough functional red blood cell-
ia or hypoxemia. s
- Blood is not reaching the tissues
- Hypoventilation - Cyanide poisoning
- Oxygen is not reaching the alveoli
- Not enough functional red blood cells Hypoxemia
- Diffusion impairment - Hypoventilation
- Blood is not reaching the tissues - Oxygen is not reaching the alveoli
- Cyanide poisoning - Diffusion impairment
6. Match each device with name and then identi- Spirometry: Ventilation
fy the piece of gas exchange it measures: Oximeter: Hypoxemia
Lab Testing: Hypoxemia
Device Name: Chest X-Ray: Ventilation
, NR224 Week 7 Oxygenation and Nursing Skill
Study online at https://quizlet.com/_eykww4
- Spirometry
- Oximeter
- Lab Testing
- Chest X-Ray
Gas Exchange Measured:
- Ventilation
- Hypoxemia
7. Match each device with its name and then - Echocardiogram: Dysfunctional
identify the piece of gas exchange it mea- Valves
sures. - Lab Testing: Myocardial infarction
- Electrocardiogram: Dysrhythmia
Type of Test: - Cardiac Catheterization: Altered car-
Echocardiogram - Angina, Dysfunctional diac output; Infarction/Ischemia
valves, VQ mismatch
Lab Testing - Myocarditis, Myocardial infarc-
tion, VQ mismatch
Electrocardiogram - Aortic aneurysm, De-
creased blood flow, Dysrhythmia
Cardiac Catheterization - Decreased blood
flow, Altered cardiac output; Infarction/Is-
chemia, Myocarditis
8. For each sign or symptom listed, specify the Ventilation Device: Cannot take a deep
prioritized device for assistance: ventilation breath, Stopped breathing
device, oxygen, or inhaled medication.
Oxygen: Oxygen saturation 78%
- Ventilation Device
- Oxygen Inhaled Medication: Asthmatic wheez-
- Inhaled Medication ing
SIGN/SYMPTOM
, NR224 Week 7 Oxygenation and Nursing Skill
Study online at https://quizlet.com/_eykww4
Oxygen saturation 78%
Cannot take a deep breath
Asthmatic wheezing
Stopped breathing
9. Situation: An older adult arrives at the emer- Impaired gas exchange
gency department (ED) with a productive
cough, fatigue, and shortness of breath that
has worsened over the last three days.
Background: No history of medical problems;
takes no prescription medications; occasion-
ally takes acetaminophen for pain; does not
smoke.
Assessment: T 98.6°F (37°C), BP 155/85, P 120,
R 30, oxygen saturation (O2 sat) 88% on room
air; lung sounds diminished right lower lobe
with rhonchi present; heart regular rhythm
with no murmurs or extra heart sounds.
The client is admitted with dyspnea. They are
tachypneic at 30 with a blood pressure of
160/90, pulse of 125 and regular, and oxygen
saturation is 88%. What is the priority nursing
diagnosis for this client?
10. Situation: An older adult arrives at the emer- Chest X-Ray
gency department (ED) with a productive
cough, fatigue, and shortness of breath that
has worsened over the last three days.
Background: No history of medical problems;
takes no prescription medications; occasion-
ally takes acetaminophen for pain; does not
, NR224 Week 7 Oxygenation and Nursing Skill
Study online at https://quizlet.com/_eykww4
smoke.
Assessment: T 98.6°F (37°C), BP 155/85, P 120,
R 30, oxygen saturation (O2 sat) 88% on room
air; lung sounds diminished right lower lobe
with rhonchi present; heart regular rhythm
with no murmurs or extra heart sounds.
Which diagnostic test should the nurse antici-
pate being ordered?
11. Situation: An older adult arrives at the emer- Hypoxemia
gency department (ED) with a productive
cough, fatigue, and shortness of breath that
has worsened over the last three days.
Background: No history of medical problems;
takes no prescription medications; occasion-
ally takes acetaminophen for pain; does not
smoke.
Assessment: T 98.6°F (37°C), BP 155/85, P 120,
R 30, oxygen saturation (O2 sat) 88% on room
air; lung sounds diminished right lower lobe
with rhonchi present; heart regular rhythm
with no murmurs or extra heart sounds.
The chest x-ray results confirm community-ac-
quired pneumonia. Both the electrocardio-
gram and echocardiogram are normal. Based
on these results, what is the most likely cause
of the client's increased respirations?
12. Situation: An older adult arrives at the emer- Oxygen
gency department (ED) with a productive
