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21 & 36
Airway Management & Oxygenation
| Question | Answer |
|---|---|
| ____________ results from pressure changes within the thoracic cavity produced by the contraction and relaxation of respiratory muscles. | Ventilation |
| ____________ occurs when there is insufficient oxygen within arterial blood. | Hypoxemia |
| The ____________ position allows room for maximum vertical and lateral chest expansion and provides comfort while resting or sleeping | Orthopneic |
| ____________ breathing, which involves taking in a large volume of air, fills alveoli to a greater capacity, thus improving gas exchange. | Deep |
| A ____________ is a gauge used to regulate the amount of oxygen delivered to the client and is attached to the oxygen source | Flowmeter |
| A ____________ is a device that produces small water droplets and is used during oxygen administration because oxygen is drying to the mucous membranes. | Humidifier |
| A ____________ mask mixes a precise amount of oxygen and atmospheric air. | Venturi |
| A ____________ collar delivers oxygen near an artificial opening in the neck. | Tracheostomy |
| As a client grows older, the chest walls become stiffer as a result of ____________ of the intercostal muscles. | Calcification |
| During ____________, the dome-shaped diaphragm contracts and moves downward in the thorax. | Inspiration |
| Hollow tube with half-inch prongs placed into the client’s nostrils. | Nasal cannula |
| Measures the percentage of oxygen delivered to the client . | Oxygen analyzer |
| Oxygen delivery device through which a client inhales a mixture of atmospheric air, oxygen from its source, and oxygen contained within a reservoir bag. | Partial rebreather mask |
| A form of controlled ventilation in which the client consciously prolongs the expiration phase of breathing. | Pursed-lip breathing |
| A technique for deep breathing, using a calibrated device . | Incentive spirometry |
| A client has been ordered an arterial blood gas test as part of assessing the quality of oxygenation. What data do the arterial blood gas test provide? | It measures the partial pressure of oxygen dissolved in plasma |
| A nurse is caring for a client who has been diagnosed with emphysema. Which breathing technique is most appropriate for this client to improve gas exchange? | Pursed-lip breathing |
| A nurse is caring for a client who has been put on a ventilator in the ICU of the health care facility. Which device would the nurse use to check whether the client is getting the prescribed amount of oxygen? | Oxygen analyzer |
| Which oxygen delivery device would be the best choice for a claustrophobic client with facial burn injuries from a barbecue fire? | Face tent |
| A nurse is caring for a client who is being administered oxygen through a transtracheal catheter. What precaution should the nurse take when cleaning the opening and the tube? | Administer oxygen with a nasal cannula |
| A nurse is treating a client for carbon monoxide poisoning. Which oxygenation technique is the best choice? | Hyperbaric oxygen technique |
| A 65-year-old client is being treated at the health care facility for a respiratory-related disorder. Which age-related structural change that affects the respiratory systems in older clients should the nurse consider? | Chest walls become stiffer |
| .A nurse is caring for a 45-year-old client with lowered respiratory function at a health care facility. What is the best suggestion the nurse could make to improve the client’s long-term breathing? | Drink fluids liberally |
| A nurse is caring for an older client who requires administration of supplemental oxygen. The nurse uses a T-piece to administer oxygen to the client. What point should the nurse remember when using a T-piece to administer oxygen? | It needs to be drained |
| Insufficient oxygen in the arterial blood is called __________________. | hypoxia |
| (True or False) Carbon dioxide is an odorless gas released during the complete combustion of fossil fuels commonly used to heat homes. | False |
| (True or False) Pursed-lip breathing is a form of controlled ventilation in which the client consciously prolongs the expiration phase. | True |
| (True or False) Oxygen toxicity is lung damage that develops when oxygen concentrations of more than 20% are administered for longer than 24 hours. | False |
| A nurse is caring for a client with hypoxia. What position should the nurse assist the client to assume to best facilitate improved breathing? | High fowlers |
| The ____________ is a protrusion of flexible cartilage above the larynx. | Epiglottis |
| Hairlike projections called ____________ beat debris that collects upward in the lower airway. | Cilia |
| The volume of water in mucus affects its ____________, or thickness. | Viscosity |
| ____________ therapy improves breathing, encourages spontaneous coughing, and helps clients to raise sputum for diagnostic purposes | inhalation |
| Evaluation of ____________ is important for implementing appropriate interventions to prevent aspiration | Dysphagia |
| ____________ relies on negative (vacuum) pressure to remove liquid secretions with a catheter. | Suctioning |
| Nurses perform ____________ suctioning with a suctioning device called a Yankauer-tip or tonsil-tip catheter | Oral |
| ____________ suctioning means removing secretions from the upper portion of the lower airway through a nasally inserted catheter. | Nasotracheal |
| A nasopharyngeal airway, sometimes called a(n) ____________, can be used to protect the nostril if frequent suctioning is necessary. | Trumpet |
| Respiratory cilia become less efficient with age, predisposing older adults to a high incidence of ____________. | Pneumonia Activity |
| Movement of air in and out of the lung | Ventilation |
| Respiratory treatments that provide a mixture of oxygen, humidification, and aerosolized medications directly to the lungs | Inhalation therapy |
| Indicated for clients with chronic respiratory diseases who have difficulty coughing or raising thick mucus | Chest physiotherapy |
| Positioning technique that promotes gravity drainage of secretions from various lobes or segments of the lungs | Postural drainage |
| Removing secretions from the throat through an orally inserted catheter | Oropharyngeal suctioning |
| A client at the health care facility is being treated for an injury to the tracheal cartilages. How would the nurse explain the function of the tracheal cartilages to the client? | Ensure a portion of the airway beneath the larynx remains open |
| A nurse uses aerosol therapy for a client with complaints of chest congestion. The nurse is aware that aerosol therapy | Just after the client awakens |
| A client with a chronic respiratory disorder has been prescribed a postural drainage technique. The nurse understands that the outcome of postural drainage is to: | Promote gravity drainage of secretion |
| A physician directs the nurse to perform percussion on a client who is having difficulty coughing. During therapy, how long should the nurse perform percussion on each postural drainage position? | 3 to 5 minutes |
| A nurse is caring for an older client with pneumonia. The nurse should be aware of which of the following age-related changes predisposing older clients to a higher incidence of pneumonia? | Diminished efficiency of cilia |
| The lower airway contains the __________________. | Alveoli |
| Removing secretions from the upper portion of the lower airway through a nasally inserted catheter is called __________________ suctioning. | Nasotracheal |
| ( True or False) Nurses perform nasotracheal suctioning with a device called the Yankauer tip. | False |
| (True or False) Tracheal cartilage is a protrusion of flexible cartilage above the larynx | False |
| The collective system of tubes in the upper and lower respiratory tracts__________________ | Airway |
| A surgically created opening in the trachea __________________ | Tracheostomy |