Deck 38: Oxygen and Miscellaneous Respiratory Agents

Question 1

Which of the following renal tissues is the most highly dependent on oxygen?

A) The parenchyma
B) The medulla
C) The cortex
D) The tubules

Answer 1

The cortex

Question 2

The nurse determines that a client has met the goals for short-term oxygen therapy after noting which of the following laboratory measurements?

A) Blood pH of 7.32
B) Arterial oxygen level of 94 mm Hg
C) Arterial carbon dioxide level of 38 mm Hg
D) Oxygen saturation level of 89%

Answer 2

Arterial oxygen level of 94 mm Hg

Question 3

A client has undergone diagnostic testing of the stomach by using histamine.When the result indicates hypersecretion of gastric acid,the nurse should suspect which of the following conditions?

A) Pernicious anemia
B) Atrophic gastritis
C) Zollinger-Ellison syndrome
D) Gastric polyps

Answer 3

Zollinger-Ellison syndrome

Question 4

The nurse concludes that the family of a client who will have oxygen therapy in the home understand safety measures after they make which of the following statements?

A) "The system should be checked at least once per week."
B) "Anyone smoking cigarettes should be 6 feet away from the oxygen."
C) "We should not use Vaseline to moisten the nasal cannula."
D) "Using an electric blanket while wearing oxygen is alright."

Question 5

For which of the following organs is a constant supply of oxygen most vital?

A) Brain
B) Kidneys
C) Liver
D) Lungs

Question 6

When the unlicensed caregiver assigned to a client with newly diagnosed chronic obstructive pulmonary disease reports that the client has confusion,lethargy,and visual problems,the nurse should

A) administer at least 6 L of oxygen by nasal cannula.
B) administer carbon dioxide therapy.
C) administer low levels of oxygen as ordered.
D) administer high oxygen levels by a mask.

Question 7

Which of the following symptoms would alert the nurse that the client is accumulating carbon dioxide?

A) Alertness
B) Paresthesias
C) Auditory disturbances
D) Increased respirations

Question 8

Which of the following statements about the Ventimask is accurate?

A) The size of the mask determines the oxygen levels of the client
B) This mask is used with clients who have chronic alveolar hypoventilation
C) The device may be left on while the client eats his or her meals
D) Exact high-flow concentrations of oxygen are delivered to the client

Question 9

A client with a routine need for oxygen would most likely benefit from oxygen therapy by using which of the following methods of administration?

A) Nonrebreathing face mask
B) Partial rebreathing mask
C) Simple face mask
D) Ventimask

Question 10

A client will be starting on oxygen therapy by nasal cannula.The nurse anticipates that the oxygen order will be somewhere in the standard range of

A) 1 to 6 L/min.
B) 2 to 4 L/min.
C) 4 to 8 L/min.
D) 8 to 10 L/min.

Question 11

A client in the early postoperative period would most likely benefit from oxygen therapy by which of the following methods of administration?

A) Simple face mask
B) Partial rebreathing mask
C) Nonrebreathing mask
D) Ventimask

Question 12

A client with smoke inhalation would most likely benefit from oxygen therapy by using which of the following methods of administration?

A) Simple face mask
B) Partial rebreathing mask
C) Nonrebreathing mask
D) Ventimask

Question 13

A client who will undergo gastric testing with histamine is currently taking ranitidine (Zantac).The nurse complies with standard preprocedure teaching by instructing the client to do which of the following?

A) Avoid taking ranitidine for 24 hours before the test
B) Avoid taking ranitidine for 72 hours before the test
C) Take a double dose of ranitidine on the morning of the test
D) Take a double dose of ranitidine for two days before the test

Question 14

A client who is taking brompheniramine (Dimetane)indicates an understanding of drug therapy by stating which of the following anticholinergic effects of this drug?

A) More frequent urination
B) Excessive watering of eyes
C) Blue-green vision
D) Dry mouth

Question 15

A client with alveolar hypoventilation and carbon dioxide retention would most likely benefit from oxygen therapy by using which of the following methods of administration?

A) Simple face mask
B) Partial rebreathing mask
C) Nonrebreathing mask
D) Ventimask

Question 16

The nurse is most concerned about sedation as an adverse drug effect in the client taking which of the following antihistamines?

A) Desloratadine (Clarinex)
B) Fexofenadine (Allegra)
C) Diphenhydramine (Benadryl)
D) Loratadine (Claritin)

Question 17

The nurse would question an order for fluticasone (Flonase)in a client who has which of the following conditions?

A) Heart failure
B) Bronchial asthma
C) Ocular herpes simplex
D) Cerebral arteriovenous malformation

Question 18

The nurse would be especially vigilant to assess for which of the following adverse drug effects in an older adult male client taking diphenhydramine (Benadryl)?

A) Excessive tear formation
B) Urinary retention
C) Anorexia
D) Constipation

Question 19

Which oxygen delivery device can supply oxygen concentrations of up to 90%?

A) Nasal catheter
B) Nasal cannula
C) Oxygen mask
D) Simple face mask

Question 20

The nurse caring for a premature infant who is receiving oxygen in an incubator notes that the maximum oxygen percentage given to the infant should not exceed what percentage to avoid risk of retrolental fibroplasias?

A) 25%
B) 30%
C) 40%
D) 50%

Question 21

The nurse determines that a client is having the expected effect of drug therapy with fluticasone (Flonase)when the client indicates control of which of the following symptoms?

A) Nasal congestion
B) Dyspnea
C) Bronchospasm
D) Fluid retention

Question 22

A labor and delivery nurse is working with a client delivering a premature infant at 26 weeks' gestation.Planning for this infant would include being ready to administer a lung surfactant such as beractant (Survanta)by which of the following routes?

A) Oral
B) Subcutaneous
C) Intramuscular
D) Inhalation

Question 23

The client reports feeling drowsy after beginning drug therapy with diphenhydramine (Benadryl).The nurse recommends that the client

A) be prepared that this will worsen over time before getting better.
B) can take a central nervous system stimulant to combat fatigue.
C) should stop taking the drug at once.
D) use caution for activities requiring mental alertness.