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Terms in this set (53)
A post-operative patient is questioning why Help to open collapsed airways and encourage expectoration
he has to deep breathe, cough and use his of mucous.
incentive spirometer. The best explanation
would be that all of these will:
Which of the following is the most accurate Venturi mask.
method of delivering oxygen (FIO2)
because it can be titrated using a dial on the
mask?
An elderly patient who requires continuous Add humidification to the oxygen delivery system.
nasal cannula oxygen at home tells the
nurse during a home care visit that he
occasionally gets a bloody nose and sinus
pressure. The nurse should:
A nurse assesses that a client on the second atelectasis
postoperative day following abdominal
surgery has diminished breath sounds in
both lung bases, is taking shallow breaths, is
able to achieve only 500 mL on an incentive
spirometer and has been smoking one pack
of cigarettes per day prior to surgery. The
nurse's best interpretation of these findings
is that the client is experiencing:
A patient is on 10L/min of oxygen with a High-flow nasal cannula
simple mask and a Spo2 of 94%. The patient
would like to eat breakfast. What would be
the most appropriate oxygen device for this
patient?
When weaning oxygen, which oxygen Nasal cannula at 4L/min
administration device would be the most
appropriate for a patient who is currently
receiving 40% oxygen per aerosol mask and
has a SpO2 of 99%?
, What would be the most appropriate Nonrebreather mask at 10 L/min
oxygen delivery device for a patient who is
in severe acute respiratory distress with a
SpO2 of 72%?
A client is admitted to the orthopedic unit 0.9% Normal Saline.
after a total knee arthroplasty. His initial
blood pressure is 82/41 and the physician
orders a fluid bolus. Which of the following
IV solutions would you anticipate initiating?
Which of the following patients would be Mr. B who has been admitted with water intoxication and
most likely to require hypertonic IV critically low serum sodium levels.
solutions?
You are the nurse caring for several children "I better go check it. The pump can continue working even
with the help of a nurse aide. She reports to when the IV is infiltrated."
you that one of your patients has slight
swelling around his IV insertion site but
since the IV pump is still running she thinks
the IV is okay. What would be an
appropriate response?
The doctor has decided to place a triple It will allow for the administration of irritating IV solutions
lumen central venous catheter. Mr. Thomas without vein injury.
asks the nurse why he needs to have this
placed. The nurse should tell him:
While Mr. Thomas is receiving Parenteral Daily weight and glucose monitoring every six hours.
Nutrition (TPN/CPN) the nurse recognizes
that the following adjustments need to be
made in his plan of care:
The nurse is helping a client with asthma to Attach a spacer to the inhaler
learn the appropriate technique for using his
inhaled medication with a metered dose
inhaler. Which of the following could be
done to provide better results?
The nurse is teaching the client how to use a The inhaler is held upright
metered dose inhaler (MDI) to administer a
Corticosteroid drug. Which of the following The patient waits 2 minutes between puffs
actions indicates that the patient is using the
MDI correctly? Select all that apply. Mouth is rinsed with water following administration
A patient with acute asthma is prescribed Corticosteroids have an anti-inflammatory effect
short-term corticosteroid therapy. What is
the rationale for the use of steroids in clients
with asthma?
You are teaching a 10 year old, recently To give the medication from the first puff time to work so that
diagnosed with asthma, to use a Metered the second puff of medication can get further down into the
Dose Inhaler. You are instructing him to lungs.
deliver Albuterol 2 puffs every 4-6 hours as
needed. Your rational in having him give the
second puff 1-3 minutes after the first puff is: