ANSWERS WITH COMPLETE SOLUTIONS
Which condition/s is/are identified as a risk associated with tracheal
suctioning? (Select all that apply)
A. Increased O2 saturation
B. Hypoxemia
C. Cardiac dysrhythmias
D. Bradycardia
B. Hypoxemia
C. Cardiac dysrhythmias
D. Bradycardia
The client is in respiratory distress. The primary care provider wants the client to
receive the highest possible concentration of oxygen. Which device will best
meet the criterion?
A. Nasal cannula at 100% O2
B. Venturi mask
C. Simple face mask
D. Non-rebreather mask
D. Non-rebreather mask
Which statement/s are true? (Select all that apply)
A. Fluid overload increases the amount of secretions.
, B. Decreased level of consciousness is a risk factor for airway obstruction.
C. The best time for performing chest physiotherapy (CPT) is immediately after a
meal.
D. A sudden change in vital signs and level of consciousness (LOC) may be an
indication of hypoxia.
A. Fluid overload increases the amount of secretions.
B. Decreased level of consciousness is a risk factor for airway obstruction.
D. A sudden change in vital signs and level of consciousness (LOC) may be an
indication of hypoxia.
A 32 year old healthy adult has had knee surgery. Following surgery the oxygen
saturation, monitored by a pulse oximeter is 86%. Which action by the student
nurse is the first priority?
A. Verify the oximeter probe is intact and correctly positioned
B. Obtain a stat arterial blood gas (ABG) analysis
C. Call a code
D. Prepare to assist with endotracheal tube placement and ventilator therapy
A. Verify the oximeter probe is intact and correctly positioned
The RN is called to the room and finds the client with no prior history
experiencing a sudden onset of dyspnea. The nurse expects which assessment
finding/s? (Select all that apply)
A.Elevated blood pressure
B.Anxiety
C.Restlessness