Test Bank for Perry & Potter's Canadian
Clinical Nursing Skills & Techniques,
9th Edition
oxygen therapy - CORRECT ANSWERS-the administration of supplement oxygen.
Hypoxia - CORRECT ANSWERS-a condition in which there is insufficient oxygen to
meet the metabolic demands at the tissues and cells.
Signs and symptoms of hypoxia are - CORRECT ANSWERS-apprehension,
restlessness, inability to concentrate, decreased level of consciousness, dizziness, and
behavioral changes
Hemoglobin (Hgb) - CORRECT ANSWERS-is the carrier of respiratory gases, oxygen,
and carbon dioxide
decreased hemoglobin levels reduce the amount of - CORRECT ANSWERS-oxygen
transported to the cells and carbon dioxide transported away from the cells
hemoglobin levels and acid-base Status directly affect - CORRECT ANSWERS-
oxygenation
acidemia - CORRECT ANSWERS-increases the ability of hemoglobin to release
oxygen to tissues
alkalemia decreases the ability - CORRECT ANSWERS-of hemoglobin to release
oxygen to the tissue
contraindications to oxygen therapies include - CORRECT ANSWERS-those that
increase the patient's risk for respiratory failure
risk for respiratory failure include those with - CORRECT ANSWERS-congenital heart
defects and chronic pulmonary diseases, should receive oxygen sparingly
In patients with congenital heart defects, oxygen affects - CORRECT ANSWERS-blood
flow through the heart and lungs.
Hypercarbia (hypercapnia) - CORRECT ANSWERS-accumulation of carbon dioxide in
the blood
what type of patients should receive oxygen sparingly - CORRECT ANSWERS-
congenital heart defects and chronic pulmonary disease patients
,in patients with chronic pulmonary disease oxygen therapy increases - CORRECT
ANSWERS-patients risk for elevated carbon dioxide in the blood hypercarbia
For safety always know the patients - CORRECT ANSWERS-normal range of vital
signs and pulse ox values
Be aware of environmental hazards. Patients with chronic respiratory disease have
difficulty maintaining optimal - CORRECT ANSWERS-oxygen levels in polluted
environments
Safety in the home setting. Complete environmental assessment to determine
respiratory hazards in home such as - CORRECT ANSWERS-use of gas stoves or
kerosene space heaters or the presence of smokers.
document a patient's smoking in the home. Smoking damages the - CORRECT
ANSWERS-mucociliary clearance mechanism of the lungs and paralyzes the ciliary
action
Smoking resulting in decreased ability to - CORRECT ANSWERS-clear mucus from the
airways.
chronic bronchitis is caused by - CORRECT ANSWERS-smoking and results in pooling
of mucus in the airways, creating environment for the development of infections.
long-term chronic bronchitis ultimately results in - CORRECT ANSWERS-hypoxia
ABG - CORRECT ANSWERS-arterial blood gas values
Oxygen is medication. Increase the flow rate of oxygen for shortness of breath is equal
to - CORRECT ANSWERS-doubling heart, asthma, or other medication.
Have suction equipment available to help clear airway secretions, particularly in patients
with - CORRECT ANSWERS-artificial airways such an endotracheal tube or
tracheostomy.
Most agencies require what should be available in the room with patient requiring
mechanical ventilation. - CORRECT ANSWERS-self-inflating resuscitation bag and
appropriate-size mask
What are the diseases that need oxygen therapy - CORRECT ANSWERS-COPD
Chronic Obstructive pulmonary Disease, Pneumonia
Pneumonia results in impaired gas exchange because of - CORRECT ANSWERS-fluid
and secretions in the lung, which decrease the diffusion of oxygen from the lungs to the
arterial blood supply.
,long term oxygen therapy can improve survival in - CORRECT ANSWERS-COPD
High flow devices discourage entraining room air, which dilutes - CORRECT
ANSWERS-the inspired oxygen concentration.
oxygen cylinders in the hospital include - CORRECT ANSWERS-H cylinder and E
cylinder
unexpected outcome
patient experiences hypoxia, hypercapnia, or other signs of worsening respiratory
function - CORRECT ANSWERS-notify health care provider, reassess patient,
determine correct settings Integrity of the n i p pv
patient develops skin breakdown at Mask sites or sites where Mask straps are located
such as the bridge of the nose, nasal septum, or ears. - CORRECT ANSWERS-notify
health care provider, Place protective synthetic coverings on nasal Bridge or areas of
irritation possible irritation to protect skin, fit mask so it is tight enough to not cause air
leak but Loose enough to not cause skin breakdown
for patients who have measurable changes in the flow their Airway such as patients with
- CORRECT ANSWERS-asthma or reactive airway disease, Peak expiratory flow rate
PEFR measurements are useful
PEFR - CORRECT ANSWERS-is the maximum flow data patient forces out during one
quick, Force expiration and is measured in liters per minute
decreased PEFR may indicate the need for further interventions such as increased
doses of - CORRECT ANSWERS-bronchodilators, anti-inflammatory medications or
even seeking emergency medical attention.
mechanical ventilation - CORRECT ANSWERS-is a lifesaver therapy used for patients
who have an inability to protect the right away or from have an illness that leads to
respiratory failure. usual short period or long time. sample neuromuscular disorder
two types of mechanical ventilation - CORRECT ANSWERS-positive pressure negative
pressure
positive pressure ventilation - CORRECT ANSWERS-the usual method of ventilation
that delivers a positive pressure to inflate the lungs. endotracheal tube or tracheostomy
tube.
complications associated with positive pressure ventilation - CORRECT ANSWERS-
decreased cardiac output, respiration, barotrauma hand ventilator-associated events,
VAE's
, negative pressure ventilation - CORRECT ANSWERS-noninvasive, negative pressure
ventilation technique that mimics normal psychological ventilation.
example of patients that use negative pressure ventilation - CORRECT ANSWERS-with
primary neuromuscular illnesses that interfere with normal respiratory muscle function
such as multiple sclerosis and muscle dystrophy
when using a high pressure ventilation, high pressure alarm is usually set - CORRECT
ANSWERS-at 10 to 20 cm greater than the peak integrator inspiratory pressure
Linda high pressure alarm sounds it indicates that the ventilator has - CORRECT
ANSWERS-resistance to delivering the title volume and requires more pressure to
inflate the monks
low pressure alarm sounds when the ventilator has no - CORRECT ANSWERS-
resistance to inflating the cologne
Dyspnea - CORRECT ANSWERS-shortness of breath
Tachypnea - CORRECT ANSWERS-more than 20 breaths/min
bloody sputum is - CORRECT ANSWERS-hemopytsis
Patients with artificial airway - CORRECT ANSWERS-require constant humidification to
the airway since it bypasses the nose and mouth of normal filtering.
The two devices that supply humidified gas to an artifical airway are a - CORRECT
ANSWERS-T tube Briggs adaptor and a tracheostomy collar.
Unexpected Outcomes:
patient experiences tracheal stoma or lip irritation; thick, tenacious secretions; pressure
areas on neck or near stoma site. - CORRECT ANSWERS-Implement measures to
protect patient from medical device pressure injuries (MDPI's)
Increase frequency of suctioning and airway care
Unexpected Outcomes:
patient experiences continued hypoxia - CORRECT ANSWERS-Determine if cause of
continued hypoxia is oxygen-delivery device, plugging of airway, oxygen flow rate, or a
new clinical problem.
Notify health care provider of continued or worsening hypoxia.
Flow orientated IS's have - CORRECT ANSWERS-one or more plastic chambers with
freely movable colored balls. Advantage is slow, steady expansion of the lung
Clinical Nursing Skills & Techniques,
9th Edition
oxygen therapy - CORRECT ANSWERS-the administration of supplement oxygen.
Hypoxia - CORRECT ANSWERS-a condition in which there is insufficient oxygen to
meet the metabolic demands at the tissues and cells.
Signs and symptoms of hypoxia are - CORRECT ANSWERS-apprehension,
restlessness, inability to concentrate, decreased level of consciousness, dizziness, and
behavioral changes
Hemoglobin (Hgb) - CORRECT ANSWERS-is the carrier of respiratory gases, oxygen,
and carbon dioxide
decreased hemoglobin levels reduce the amount of - CORRECT ANSWERS-oxygen
transported to the cells and carbon dioxide transported away from the cells
hemoglobin levels and acid-base Status directly affect - CORRECT ANSWERS-
oxygenation
acidemia - CORRECT ANSWERS-increases the ability of hemoglobin to release
oxygen to tissues
alkalemia decreases the ability - CORRECT ANSWERS-of hemoglobin to release
oxygen to the tissue
contraindications to oxygen therapies include - CORRECT ANSWERS-those that
increase the patient's risk for respiratory failure
risk for respiratory failure include those with - CORRECT ANSWERS-congenital heart
defects and chronic pulmonary diseases, should receive oxygen sparingly
In patients with congenital heart defects, oxygen affects - CORRECT ANSWERS-blood
flow through the heart and lungs.
Hypercarbia (hypercapnia) - CORRECT ANSWERS-accumulation of carbon dioxide in
the blood
what type of patients should receive oxygen sparingly - CORRECT ANSWERS-
congenital heart defects and chronic pulmonary disease patients
,in patients with chronic pulmonary disease oxygen therapy increases - CORRECT
ANSWERS-patients risk for elevated carbon dioxide in the blood hypercarbia
For safety always know the patients - CORRECT ANSWERS-normal range of vital
signs and pulse ox values
Be aware of environmental hazards. Patients with chronic respiratory disease have
difficulty maintaining optimal - CORRECT ANSWERS-oxygen levels in polluted
environments
Safety in the home setting. Complete environmental assessment to determine
respiratory hazards in home such as - CORRECT ANSWERS-use of gas stoves or
kerosene space heaters or the presence of smokers.
document a patient's smoking in the home. Smoking damages the - CORRECT
ANSWERS-mucociliary clearance mechanism of the lungs and paralyzes the ciliary
action
Smoking resulting in decreased ability to - CORRECT ANSWERS-clear mucus from the
airways.
chronic bronchitis is caused by - CORRECT ANSWERS-smoking and results in pooling
of mucus in the airways, creating environment for the development of infections.
long-term chronic bronchitis ultimately results in - CORRECT ANSWERS-hypoxia
ABG - CORRECT ANSWERS-arterial blood gas values
Oxygen is medication. Increase the flow rate of oxygen for shortness of breath is equal
to - CORRECT ANSWERS-doubling heart, asthma, or other medication.
Have suction equipment available to help clear airway secretions, particularly in patients
with - CORRECT ANSWERS-artificial airways such an endotracheal tube or
tracheostomy.
Most agencies require what should be available in the room with patient requiring
mechanical ventilation. - CORRECT ANSWERS-self-inflating resuscitation bag and
appropriate-size mask
What are the diseases that need oxygen therapy - CORRECT ANSWERS-COPD
Chronic Obstructive pulmonary Disease, Pneumonia
Pneumonia results in impaired gas exchange because of - CORRECT ANSWERS-fluid
and secretions in the lung, which decrease the diffusion of oxygen from the lungs to the
arterial blood supply.
,long term oxygen therapy can improve survival in - CORRECT ANSWERS-COPD
High flow devices discourage entraining room air, which dilutes - CORRECT
ANSWERS-the inspired oxygen concentration.
oxygen cylinders in the hospital include - CORRECT ANSWERS-H cylinder and E
cylinder
unexpected outcome
patient experiences hypoxia, hypercapnia, or other signs of worsening respiratory
function - CORRECT ANSWERS-notify health care provider, reassess patient,
determine correct settings Integrity of the n i p pv
patient develops skin breakdown at Mask sites or sites where Mask straps are located
such as the bridge of the nose, nasal septum, or ears. - CORRECT ANSWERS-notify
health care provider, Place protective synthetic coverings on nasal Bridge or areas of
irritation possible irritation to protect skin, fit mask so it is tight enough to not cause air
leak but Loose enough to not cause skin breakdown
for patients who have measurable changes in the flow their Airway such as patients with
- CORRECT ANSWERS-asthma or reactive airway disease, Peak expiratory flow rate
PEFR measurements are useful
PEFR - CORRECT ANSWERS-is the maximum flow data patient forces out during one
quick, Force expiration and is measured in liters per minute
decreased PEFR may indicate the need for further interventions such as increased
doses of - CORRECT ANSWERS-bronchodilators, anti-inflammatory medications or
even seeking emergency medical attention.
mechanical ventilation - CORRECT ANSWERS-is a lifesaver therapy used for patients
who have an inability to protect the right away or from have an illness that leads to
respiratory failure. usual short period or long time. sample neuromuscular disorder
two types of mechanical ventilation - CORRECT ANSWERS-positive pressure negative
pressure
positive pressure ventilation - CORRECT ANSWERS-the usual method of ventilation
that delivers a positive pressure to inflate the lungs. endotracheal tube or tracheostomy
tube.
complications associated with positive pressure ventilation - CORRECT ANSWERS-
decreased cardiac output, respiration, barotrauma hand ventilator-associated events,
VAE's
, negative pressure ventilation - CORRECT ANSWERS-noninvasive, negative pressure
ventilation technique that mimics normal psychological ventilation.
example of patients that use negative pressure ventilation - CORRECT ANSWERS-with
primary neuromuscular illnesses that interfere with normal respiratory muscle function
such as multiple sclerosis and muscle dystrophy
when using a high pressure ventilation, high pressure alarm is usually set - CORRECT
ANSWERS-at 10 to 20 cm greater than the peak integrator inspiratory pressure
Linda high pressure alarm sounds it indicates that the ventilator has - CORRECT
ANSWERS-resistance to delivering the title volume and requires more pressure to
inflate the monks
low pressure alarm sounds when the ventilator has no - CORRECT ANSWERS-
resistance to inflating the cologne
Dyspnea - CORRECT ANSWERS-shortness of breath
Tachypnea - CORRECT ANSWERS-more than 20 breaths/min
bloody sputum is - CORRECT ANSWERS-hemopytsis
Patients with artificial airway - CORRECT ANSWERS-require constant humidification to
the airway since it bypasses the nose and mouth of normal filtering.
The two devices that supply humidified gas to an artifical airway are a - CORRECT
ANSWERS-T tube Briggs adaptor and a tracheostomy collar.
Unexpected Outcomes:
patient experiences tracheal stoma or lip irritation; thick, tenacious secretions; pressure
areas on neck or near stoma site. - CORRECT ANSWERS-Implement measures to
protect patient from medical device pressure injuries (MDPI's)
Increase frequency of suctioning and airway care
Unexpected Outcomes:
patient experiences continued hypoxia - CORRECT ANSWERS-Determine if cause of
continued hypoxia is oxygen-delivery device, plugging of airway, oxygen flow rate, or a
new clinical problem.
Notify health care provider of continued or worsening hypoxia.
Flow orientated IS's have - CORRECT ANSWERS-one or more plastic chambers with
freely movable colored balls. Advantage is slow, steady expansion of the lung
