MATERNITY HESI 1,2 (NURSING220) EXAM COMPLETE QUESTIONS WITH CORRECT DETAILED ANSWERS 2025/2026 GRADED A+ || 100% GUARANTEED PASS RECENT VERSION

MATERNITY HESI 1,2 NURSING 220 (NURSING220) EXAM COMPLETE QUESTIONS WITH CORRECT DETAILED ANSWERS 2025/2026 GRADED A+ || 100% GUARANTEED PASS RECENT VERSION Subjective Data to Gather During Respiratory Assessment - ANSWER️Subjective: Ask about cough Ask if the patient has any abnormal shortness of breath have them describe the dyspnea Do they have any chest pain while breathing Do they have a history of respiratory infections Has the patient currently or ever smoked cigarettes, vape pens, etc Does the patient have any environmental exposure Also include patient-centered care (asking about last flu shot, etc) Oxygen Administration Basics and Oxygen Toxicity - ANSWER️Room air is 21% oxygen Oxygen is considered a medication Oxygen delivery systems are used to administer, regulate, and supplement oxygen low flow systems (nasal cannula, simple face mask) have variable performance high flow systems (rebreather mask, venturi) have a fixed performance Flow meter: part attached to the wall that has a green oxygen nipple and nut adapter that helps the O2 tubing connect properly to oxygen source read from center of the ball Oxygen toxicity: lung damage that happens from breathing in to much extra oxygen S/S: coughing, dyspnea, chest pain, substernal heaviness prevented through choosing correct O2 device and titrating O2 with weaning patient Nasal Cannula - ANSWER️Two prongs pointing downward in each nare to deliver 1-6 L/min Order of 4L or more needs to be humidified always hook up to green, not yellow Advantages: patient is able to talk and eat safe and simple as it is easily tolerated useful in non-acute or urgent situations (used in non-emergent situations), and is preferred for long-term home use Disadvantages: unable to use with nasal obstruction and can dislodge from the nares easily causes excessive dryness, so a humidifier may be needed Simple Face Mask - ANSWER️Low flow device that is used in a bit more urgent situations (ex. patient is tachycardic with SPO2 of 85%) delivers 5-10L/min There are air holes on both sides to let outside air enter and exhaled air exit used short term for moderate oxygen needs Advantages: can exhale air, and the patient can still communicate Disadvantages: the patient is not able to eat when wearing a strap, which can cause irritation Partial Rebreather and Non-Rebreather Mask - ANSWER️Partial rebreather: high flow system that can deliver 10-15 L/min (60-95% O2) has 2-way valves to allow the patient to partially rebreathe CO2 they exhale has a reservoir bag Advantages: can inhale room air Disadvantages: claustrophobia, eating, and talking inhibited Non-rebreather: high flow system that delivers 10-15L/min (80-95% O2) one-way valve, so patient is only inhaling O2 (CO2 exits mask) reservoir bag needs to be inflated, because if not patient doesn't get oxygen can not be used for patients with COPD because it will get rid of their hypoxic drive Advantages: delivers the highest possible O2 concentration Disadvantages: claustrophobia, eating and talking inhibited, malfunction can cause CO2 buildup Venturi Mask - ANSWER️High flow system that delivers 4-12L/min of very accurate oxygen concentration (closest you can get without intubation) used in patients with COPD Advantages: delivers precise oxygen concentration, and doesn't dry mucous membranes Disadvantages: uncomfortable and can irritate the skin CPAP and BiPAP - ANSWER️CPAP: provides the same amount of pressure for inhalation and exhalation used for obstructive sleep apnea and in newborns BiPAP: 2 pressure settings - lower pressure for exhalation used for COPD, severe sleep apnea, and in more serious episodes where we are trying to prevent intubation Do not put CPAP or BiPAP on a patient if they are complaining of nausea Endotracheal Tube - ANSWER️Artificial airway that is connected to a machine that helps a person breathe most common type of artificial airway should only be used for 7-14 days to prevent dependency used when the patient is under general anesthesia, to rest the respiratory muscles, mechanical ventilation nursing responsibilities: suctioning PRN, oral care Q2H to prevent VAP, HOB elevated to 30 degrees or more at all times Oropharyngeal and Nasopharyngeal Artificial Airways - ANSWER️Oropharyngeal artificial airway: an airway that is inserted into the mouth when the patient is unconscious and the tongue is covering the epiglottis important to choose the right size: to big can block the airway, but if its to small, then the airway won't open measure the patient from the corner of the mouth to the angle of the mandible Nasopharyngeal: airway that is inserted through the nose when there is soft tissue obstruction of the upper airway, and if there is any mouth trauma don't use with severe head injury or facial injury preferred over oropharyngeal airway because it can be used when the patient is conscious great for suctioning the airway without damaging the nostrils measure from tip of nose to the tragus of ear to determine tube length