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A resident is sensitive to a substance. The person's body reacts with signs and symptoms. This is:
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The lack of or absence of breathing is:
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CNA 2023
Chapter 26 Oxygen Needs and Respiratory Therapies
| Question | Answer |
|---|---|
| A resident is sensitive to a substance. The person's body reacts with signs and symptoms. This is: | An allergy |
| The lack of or absence of breathing is: | apnea |
| Rapid and deep respirations followed by 10 to 30 seconds of apnea is: | Biot's respirations |
| Respirations are less than 12 breaths/min. This is: | bradypnea |
| Respirations gradually increase in rate and depth and then become shallow and slow. Breathing may stop for 10 to 20 seconds. This: | Cheyne-Stokes respirations |
| Difficult, labored, or painful breathing is: | dyspnea |
| Bloody Sputum is: | Hemoptysis |
| Respirations are slow , shallow and sometimes irregular. This is: | hypoventilation |
| A reduced amount of oxygen in the blood is: | hypoxemia |
| What is the definition of hypoxia? | Cells do not have enough oxygen |
| Respirations are very deep and rapid. They are: | Kussmaul's respirations |
| A person can breathe deeply and comfortably only when sitting. This is: | orthopnea |
| Sitting up in bed and leaning over a table to breathe is _______ position. | Orthopneic |
| The amount of hemoglobin containing oxygen is: | oxygen concentration |
| A harmful chemical or substance in the air or water is a(n): | pollutant. |
| Respiratory arrest is when; | breathing stops. |
| Respirations are slow and weak. They are not deep enough to bring air into the lungs. This is: | respiratory depression |
| Respirations are greater than 20 breaths/min. This is: | Tachypnea |
| You are not responsible for oxygen therapy because: | nursing assistants do not give oxygen |
| Which statement about the respiratory system and oxygen needs is correct? | To meet oxygen needs, respiratory structures must be intact. |
| A resident has cardiovascular disease. The person has narrowed blood vessels. Why are oxygen needs affected? | Blood flow to and form the heart is affected. |
| Which part of the blood carries oxygen? | Red blood cells |
| Brain damage can affect: | respiratory rate, rhythm, and depth. |
| Aging affects oxygen needs. Which is correct? | Respiratory muscles weaken. |
| Oxygen needs increase with which of the following? | Pain |
| Narcotics affect oxygen needs because they: | depress the respiratory center in the brain. |
| If abused, narcotics and depressant drugs can cause: | respiratory depression and respiratory arrest. |
| To produce red blood cells, the body needs: | iron and vitamins |
| Oxygen and carbon dioxide are exchanged: | at the alveoli |
| The earliest signs or hypoxia are: | restlessness, dizziness, and disorientation |
| Which statement about hypoxia is correct? | Anything affecting respiratory function can cause hypoxia |
| Which of the following can cause tachypnea? | Fever and exercise |
| Persons who are in cardiac arrest or respiratory arrest have: | apnea |
| Which of the following are reported to the nurse? | The color, odor and consistency of sputum |
| Cyanosis can be observed in which of the following? | Nail beds |
| You find a person leaning forward over a table. What should you do? | Tell the nurse |
| A productive cough produces; | sputum |
| .The doctor ordered the following. You can assist with : | collecting a sputum specimen |
| A radioisotope is given for a: | lung scan |
| Which involves inserting a needle into the chest wall? | Thoracentesis |
| Which test measures the amount of air moving into and out of the lungs? | Pulmonary function tests |
| Which SpO2 would you report to the nurse? | 83% |
| Pulse oximetry monitors display: | SpO2 and pulse rate. |
| Pulse oximetry is ordered. Which is an appropriate sensor site? | Earlobe |
| A pulse oximeter has an alarm. When does the alarm sound? | O2 concentration is low |
| Which of the following affect pulse oximetry measurements? | Nail polish |
| A resident has a pulse oximetry sensor on his left index finger. You need to measure his blood pressure. Which is correct? | Use the right arm |
| A person has continuous pulse oximetry monitoring. Which statement is correct? | The person's apical or radial pulse rate should equal the pulse rate displayed. |
| Respiratory secretions do which of the following? | Provide and environment for microbes. |
| To prevent respiratory complications, a person is repositioned at least every: | 2 hours |
| A resident is in the orthopneic position. How can you increase the person's comfort? | Place a pillow on the over-bed table |
| Lying on one side for too long: | prevents lung expansion on that side |
| Lying on one side for too long: | allows secretions to pool |
| Which removes mucus? | coughing |
| a resident is on bed rest. The person will require: | deep-breathing and coughing exercises |
| A part of a resident's lung has collapsed. This is: | Atelectasis |
| Which of the following can cause part of a lung to collapse? | Mucus collecting in the airway |
| deep-breathing and coughing exercises are usually done: | every 2 hours |
| How many deep breaths and coughs does a person need to do | as many as directed by the nurse and care plan |
| You are assisting a resident with deep-breathing and coughing exercises. For these exercises, the person can be positioned in which of the following ways? | Semi-Fowler's position |
| You are assisting a resident with deep-breathing and coughing exercises. The person needs to inhale through: | the nose |
| You are assisting a resident with coughing ad deep-breathing exercises. She needs to exhale through: | pursed lips |
| A resident had abdominal surgery. You are assisting the person with deep-breathing and coughing exercises. Which will promote the person's comfort during coughing? | Holding a pillow over the person's incision |
| You are assisting with deep-breathing and coughing exercises. The person needs to cough: | twice with the mouth open |
| The deep breaths taken using incentive spirometry are lie: | yawning or sighing |
| What is measured during incentive spirometry | the amount of air inhaled |
| You are assisting a resident with incentive spirometry. Which action is correct? | The person takes a slow, deep breath until the balls rise to the desired height. |
| Incentive spirometry also is called: | sustained maximal inspiration |
| A resident uses incentive spirometry. How many breaths does the person need to take with the device? | As many as the nurse directs |
| Incentive spirometry improves lung function because it: | moves air deep into the lungs. |
| Who decides how much oxygen to give? | The doctor |
| Who decides which oxygen devices to use? | The doctor |
| Who decides when to give oxygen? | The doctor |
| Who starts and maintains oxygen therapy? | The nurse and respiratory therapist |
| Which oxygen sources are used when the person is ambulatory or uses a wheelchair? | Small oxygen tank or portable liquid oxygen unit |
| What is the danger of liquid oxygen systems? | Liquid oxygen can freeze the skin |
| An oxygen administration device has two prongs that insert into the nostrils. This device is: | nasal cannula |
| Which oxygen administration device allows the person to talk and eat? | Nasal cannula |
| Which oxygen administration device does not cover the nose and mouth? | Nasal cannula |
| Who sets and adjusts the oxygen flow rate? | The nurse or respiratory therapist |
| A resident receives oxygen at 2 L/min. You note that the flow rate is at 4 L/min. What should you do? | Tell the nurse |
| The nurse asks you to set up for oxygen administration. you can do which of the following? | Attach the administration device and connecting tubing to the humidifier |
| Oxygen is humidified to: | keep the air way moist |
| You assist the nurse with oxygen therapy. Which of the following tasks can you perform? | Secure connecting tubing in place. |
| A resident is receiving oxygen therapy. The nurse reminds you to check for signs of irritation from the device. You need to check which of the following areas? | Under the nose |
| A resident is receiving oxygen therapy. The humidifier is not bubbling. What should you do? | Tell the nurse |
| A resident is receiving oxygen therapy. Connecting tubing must be: | free of kinks. |
| A person is receiving oxygen therapy. The nurse asks you to adjust the flow rate. What should you do? | Refuse the task and explain why. |
| Blood in the pleural space is: | hemothorax |
| Respirations are rapid and deeper than normal. This is: | hyperventilation |
| The process of inserting an artificial airway is: | intubation |
| Using a machine to move air into and out of the lungs is: | mechanical ventilation |
| The escape and collection of fluid in the pleural space is: | pleural effusion |
| Air in the pleural space is: | pneumothorax |
| The process of withdrawing or sucking up fluid is: | suction |
| Inserting an artificial airway is called: | intubation |
| Only doctors can: | perform tracheostomies |
| A person's artificial airway came out. What should you do? | Call for the nurse at once |
| Persons with artificial airways need: | frequent oral hygiene |
| What sensations are common with artificial airways? | Gagging and choking |
| Persons with endotracheal tubes are unable to: | speak |
| A person has a tracheostomy tube. To communicate with the person, which si correct? | Follow the care plan |
| Which statement about tracheostomies is correct? | Standard Precautions and the Bloodborne Pathogen Standard are followed during tracheostomy care. |
| A resident has a permanent tracheostomy. The person wants to go outside. Which is correct? | The person needs to wear a scarf or blouse that will cover the stoma |
| A resident has a permanent tracheostomy. The person wants to take a shower. Which is correct? | A shower guard is used and a hand-held nozzle is used to direct water away from the stoma. |
| Suctioning is done when: | the person cannot cough up secretions |
| Which statement about suctioning is correct? | A suction cycle involves inserting the catheter, applying suction , and removing the catheter. |
| A suction cycle lasts _____ seconds. | 10 to 15 seconds |
| Suctioning is done: | as needed |
| The nurse asks you to assist with suctioning. Which is correct? | know what the nurse expects of you. |
| Mechanical ventilation requires: | an endotracheal tube or a tracheostomy tube. |
| An alarm sounds on a mechanical ventilator. What should you do first? | Check to see if the tube is attached to the ventilator |
| A resident requires mechanical ventilation. The nurse asks you to assist with the person's care. Which should you politely refuse to do? | Check the ventilator settings and reset alarms. |
| A resident requires mechanical ventilation. The nurse asks you to assist with the person's care. Which should you politely refuse to do? | Suction the person's airway |
| Chest tubes are attached to: | a drainage system |
| A resident has chest tubes. Connecting tubes: | are kept coiled on the bed. |
| You observe bright red drainage from the chest tubes. What should you do? | Tell the nurse |
| A resident has chest tubes. You are assisting the nurse with the person's care. You can do which of the following? | Turn and reposition the person according to the care plan. |
| What is kept at the bedside in case a chest tube comes out? | Sterile petrolatum gauze |
| A person needs suctioning. The nurse is very busy with family member. You are told to suction the person. What should you do? | Refuse the task and explain why. |
| Artificial airways are used: | to keep the airway open |
| The nurse asks you to assist with suctioning. Before assisting, you need to review the procedure with the nurse. | True |
| If not done correctly, suctioning can cause serious harm. | True |
Created by:
Healthtrade