4/4/25, 7:48 NR224 Final Flashcards |
PM
NR224 FINAL EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED GRADED A++
Terms in this set (67)
-An incentive spirometer provides a visual
goal for and measurement of inspiration.
-It encourages the client to execute and
maintain a sustained inspiration.
-A sustained inspiration opens airways,
Incentive Spirometer
increases the inspiratory volume, and
reduces the risk of atelectasis.
Flow-oriented: even flow to keep balls flowing
Volume-oriented: raised to a
predetermined volume by an inhaled
breath
Which nursing assessment best vital signs that take three mins to return to pre-activity level
indicates a clients ability to
tolerate activity?
A meal tray arrives for a client request nasal cannula
who is receiving 24% oxygen via
venturi mask. What should nurse
do to meet clients needs?
pursed lip breathing helps maintain open airways
unconscious post oral anesthesia lateral
pt, which position should they be
in?
obese pt with limited mobility calf pain
after fractured hip sx, which
response to increased blood coag.
should nurse monitor?
which increases risk for impaired Hb of 10g/dL
tolerance to activity?
1. hold level
2.maintain firm seal with lips around mouth piece during inhalation
steps to use incentive spirometer? 3.inhale slowly
4. keep visual indicator at the inspiratory goal for several seconds
5. remove mouth piece and exhale normally
what physiological factors place an respiratory
older adult at greater risk of life- excursion
threatening complications associated cardiovascular
with sx? capacity
administer pain meds before to reduce pain and splinting.
When using an incentive spirometer,
the nurse should:
encourage pt to take a deep breath and forcefully exhale through mouth piece
incentive spirometer in combination with other pulmonary measures;
interventions for patients at risk for
-deep breathing and coughing
atelectasis
-early mobilization
1/
9
, 4/4/25, 7:48 NR224 Final Flashcards |
PM
-nurse should encourage client to cough and breath deeply at regular intervals
pt with chest tube after thoracic sx? -position collection device below chest
-maintain airtight dressing over puncture wound
pt with thrombophlebitis, what s/s -difficulty breathing
should nurse monitor for? -acute chest pain
-apply water based lubricant to nares
-adjust flow meter to prescribed 02 flow rate
caring for client receiving o2 via
-reassess nares/cheeks/ears for signs of pressure q2 hr
nasal cannula- nurse should
-place nasal prong so that they curve downward
implement which?
-loop tubing over ears and tie gently under chin
-attach flow meter to wall 02 source
-attach pre-filled humidifier to flow meter
02 via simple face mask at 6L, steps -attach face mask tubing to humidifier
for implementation -turn 02 flow meter on to 6L
-place mask onto clients face from bridge of nose to under chin
-secure elastic bands around back of clients head
Early signs of hypoxia restlessness, irritability, apprehension, tachycardia, anxiety
Nutrition: supports normal metabolic functions. A patient with chronic
lung disease requires diet high in calories and smaller, more frequent
meals.
-high fiber diet for anemia, whole grains, fresh fruits/vegs, nuts etc.
Hydration: essential for cellular health. Dehydration results in dizziness,
fainting, hypotension and thickening of respiratory secretions.
Exercise: increases metabolic activity and oxygen demand.
Rate/depth of respiration increases, enabling person to inhale more
O2 & exhale excess CO2.
Lifestyle Factors influencing
Oxygenation Smoking: cig smoke worsens peripheral vascular and coronary artery
diseases. Increases BP & decreases blood flow.
*women who take birth control & smoke cigs have increased risk for
thrombophlebitis & pulmonary emboli.
Substance Abuse: Link to excessive use of alcohol and other drugs
with poor nutritional intake and also depresses respiratory center
which reduces the rate and depth of respiration and the amount of
inhaled O2.
Stress: Sympathetic stimulation which increases metabolic rate and O2
demand. Body responds to stress with increased rate and depth of
respiration and increased cardiac output. Increase cortisol which can
lead to CAD and hypertension. Trigger for asthma.
2/
9
PM
NR224 FINAL EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED GRADED A++
Terms in this set (67)
-An incentive spirometer provides a visual
goal for and measurement of inspiration.
-It encourages the client to execute and
maintain a sustained inspiration.
-A sustained inspiration opens airways,
Incentive Spirometer
increases the inspiratory volume, and
reduces the risk of atelectasis.
Flow-oriented: even flow to keep balls flowing
Volume-oriented: raised to a
predetermined volume by an inhaled
breath
Which nursing assessment best vital signs that take three mins to return to pre-activity level
indicates a clients ability to
tolerate activity?
A meal tray arrives for a client request nasal cannula
who is receiving 24% oxygen via
venturi mask. What should nurse
do to meet clients needs?
pursed lip breathing helps maintain open airways
unconscious post oral anesthesia lateral
pt, which position should they be
in?
obese pt with limited mobility calf pain
after fractured hip sx, which
response to increased blood coag.
should nurse monitor?
which increases risk for impaired Hb of 10g/dL
tolerance to activity?
1. hold level
2.maintain firm seal with lips around mouth piece during inhalation
steps to use incentive spirometer? 3.inhale slowly
4. keep visual indicator at the inspiratory goal for several seconds
5. remove mouth piece and exhale normally
what physiological factors place an respiratory
older adult at greater risk of life- excursion
threatening complications associated cardiovascular
with sx? capacity
administer pain meds before to reduce pain and splinting.
When using an incentive spirometer,
the nurse should:
encourage pt to take a deep breath and forcefully exhale through mouth piece
incentive spirometer in combination with other pulmonary measures;
interventions for patients at risk for
-deep breathing and coughing
atelectasis
-early mobilization
1/
9
, 4/4/25, 7:48 NR224 Final Flashcards |
PM
-nurse should encourage client to cough and breath deeply at regular intervals
pt with chest tube after thoracic sx? -position collection device below chest
-maintain airtight dressing over puncture wound
pt with thrombophlebitis, what s/s -difficulty breathing
should nurse monitor for? -acute chest pain
-apply water based lubricant to nares
-adjust flow meter to prescribed 02 flow rate
caring for client receiving o2 via
-reassess nares/cheeks/ears for signs of pressure q2 hr
nasal cannula- nurse should
-place nasal prong so that they curve downward
implement which?
-loop tubing over ears and tie gently under chin
-attach flow meter to wall 02 source
-attach pre-filled humidifier to flow meter
02 via simple face mask at 6L, steps -attach face mask tubing to humidifier
for implementation -turn 02 flow meter on to 6L
-place mask onto clients face from bridge of nose to under chin
-secure elastic bands around back of clients head
Early signs of hypoxia restlessness, irritability, apprehension, tachycardia, anxiety
Nutrition: supports normal metabolic functions. A patient with chronic
lung disease requires diet high in calories and smaller, more frequent
meals.
-high fiber diet for anemia, whole grains, fresh fruits/vegs, nuts etc.
Hydration: essential for cellular health. Dehydration results in dizziness,
fainting, hypotension and thickening of respiratory secretions.
Exercise: increases metabolic activity and oxygen demand.
Rate/depth of respiration increases, enabling person to inhale more
O2 & exhale excess CO2.
Lifestyle Factors influencing
Oxygenation Smoking: cig smoke worsens peripheral vascular and coronary artery
diseases. Increases BP & decreases blood flow.
*women who take birth control & smoke cigs have increased risk for
thrombophlebitis & pulmonary emboli.
Substance Abuse: Link to excessive use of alcohol and other drugs
with poor nutritional intake and also depresses respiratory center
which reduces the rate and depth of respiration and the amount of
inhaled O2.
Stress: Sympathetic stimulation which increases metabolic rate and O2
demand. Body responds to stress with increased rate and depth of
respiration and increased cardiac output. Increase cortisol which can
lead to CAD and hypertension. Trigger for asthma.
2/
9
