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Foundations for Population Health in Community and Public Health Nursing5th EditionJeanette Lancaster, Marcia Stanhope 156 solutions 1 Oxygen therapy is prescribed for a patient who is brought to an emergency department in the early stages of hypoxia. When assessing this patient, the nurse should expect to find which of the following clinical indicators? Decreased respiratory rate Cyanosis Elevated blood pressure Peripheral edema 2 A patient admitted with community-acquired pneumonia has been receiving oxygen therapy for several days. Which of the following assessment findings indicates an adverse effect of oxygen therapy? Elevated heart rate Copious respiratory secretions Cracks in the oral mucosa Poor skin turgor Cracks in the oral mucosa 3 A nurse is providing discharge teaching to a patient who will continue oxygen therapy at home. The nurse should instruct the patient that turning the knob on the oxygen flow meter all the way to the right... provides a minimal oxygen flow. stops the flow of oxygen. provides the maximal oxygen flow. starts the flow of oxygen. stops the flow of oxygen. 4 A patient who is prescribed oxygen therapy 24hr/day is concerned about being confined to bed. Which of the following should the nurse do to provide mobility for this patient? Make sure the patient has up to 50 feet of connecting tubing. Suggest rest periods between activities of daily living. Allow the patient to remove the oxygen-delivery device periodically. Make sure the patient has up to 50 feet of connecting tubing. 5 A nurse is caring for a critically ill patient with COPD who requires delivery of a precise concentration of oxygen. Which of the following types of oxygen-delivery device is indicated for this patient? Simple face mask Venturi mask Face tent Nasal cannula 6 A nurse should recognize that which of the following is an indication for oxygen therapy? Respiratory rate 32/min; anxiety Chest pain; FiO2 65% for 4 days Dyspnea; PaO2 90 mm Hg Tachypnea; SaO2 90% 7 A patient has been receiving oxygen PRN via nasal cannula for 4 hr. Which of the following assessment findings helps indicate that oxygen therapy has been effective? SaO2 90% Cardiac output 5.6 L/min Respiratory rate 14/min PaCO2 68 mm Hg 8 A nurse is caring for a patient who has a tracheostomy. Which of the following must the nurse use when administering oxygen to this patient? A tracheostomy collar An inner tracheostomy cannula An aerosol mask Distilled water for humidification 9 A nurse is caring for a patient who is dyspneic and slightly cyanotic, with a respiratory rate of 28/min. The nurse determines that the patient has impaired gas exchange during which of the following phases of the nursing process? Diagnosis Planning Evaluation Assessment 10 A home health nurse is instructing a patient who has just started receiving oxygen therapy via mask. The nurse should emphasize that the patient must clean the mask with soapy water every other day. reposition the elastic band frequently. apply petroleum jelly around and inside the nares. make sure there is adequate condensation in the tubing. reposition the elastic band frequently. 11 Administering oxygen therapy with a nonrebreather mask has which of the following advantages? Offers the highest oxygen concentration of the low-flow systems Is designed for safety once the mask's valves and flaps are sealed Provides oxygen concentrations of 40% to 60% Incorporates a design that requires minimal monitoring of the patient Offers the highest oxygen concentration of the low-flow systems What indicates an adverse effect of oxygen therapy?Oxygen therapy is generally safe, but it can cause side effects. They include a dry or bloody nose, tiredness, and morning headaches. Oxygen poses a fire risk, so you should never smoke or use flammable materials when using oxygen.
What is the preferred oxygen delivery device?A nasal cannula is the most common oxygen delivery system, used for mild hypoxia (figure 4a).
What are the benefits of using liquid oxygen?The primary benefit of liquid oxygen is that continuous flow oxygen can be supplied in a relatively small, lightweight container. The key advantages of liquid oxygen include portable, continuous flow capability, 100% concentrated oxygen, low weight (less than 10 pounds), and long duration (over 18 hours).
During which of the following phases of the nursing process will the nurse determine that the client has impaired gas exchange?The nurse determines that the patient has impaired gas exchange during which of the following phases of the nursing process? During the diagnosis phase, the nurse analyzes and interprets data gathered from the nursing assessment to formulate a nursing diagnosis, in this case, impaired gas exchange.
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A nurse is providing discharge teaching with a client who is going home on continuous liquid oxygen therapy
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