Deck 28: Oxygen Needs

Question 1

Respirations gradually increase in rate and depth and then become shallow and slow.Breathing may stop for 10 to 20 seconds.This is

A)Biot's respirations
B)Cheyne-Stokes respirations
C)Kussmaul's respirations
D)Hypoventilation

Answer 1

Cheyne-Stokes respirations

Question 2

A reduced amount of oxygen in the blood is

A)Hypoxemia
B)Hypoxia
C)Oxygen concentration
D)Respiratory depression

Answer 2

Hypoxemia

Question 3

A person can breathe deeply and comfortably only when sitting.This is

A)Apnea
B)Bradypnea
C)Dyspnea
D)Orthopnea

Answer 3

Orthopnea

Question 4

What is the definition of hypoxia?

A)Air is in the pleural space.
B)Cells do not have enough oxygen.
C)Breathing stops.
D)Respirations are slow and weak.

Question 5

A harmful chemical or substance in the air or water is a(n)

A)Allergy
B)Irritant
C)Pollutant
D)Allergen

Question 6

You are not responsible for oxygen therapy because

A)Oxygen is a fire hazard
B)Nursing assistants do not give drugs
C)A doctor's order is needed
D)It is not part of your training

Question 7

Respirations are very deep and rapid.They are

A)Biot's respirations
B)Cheyne-Stokes respirations
C)Kussmaul's respirations
D)Hypoventilation

Question 8

Which statement about the respiratory system and oxygen needs is incorrect?

A)To meet oxygen needs,respiratory structures must be intact.
B)To meet oxygen needs,alveoli must exchange O? and CO?.
C)To meet oxygen needs,the airway must be open.
D)To meet oxygen needs,artificial airways are needed.

Question 9

Sitting up in bed and leaning over a table to breathe is _____ position.

A)Fowler's
B)Semi-Fowler's
C)Orthopneic
D)Hypoxic

Question 10

Difficult,labored,or painful breathing is

A)Apnea
B)Bradypnea
C)Dyspnea
D)Orthopnea

Question 11

A resident is sensitive to a substance.The person's body reacts with signs and symptoms.This is

A)A pollutant
B)An allergy
C)Hypoxia
D)Hypoxemia

Question 12

The lack of or absence of breathing is

A)Apnea
B)Kussmaul's respirations
C)Bradypnea
D)Hypoxia

Question 13

Bloody sputum is

A)Hemothorax
B)Hemoptysis
C)Pleural effusion
D)Pneumothorax

Question 14

Respirations are less than 12 per minute.This is

A)Apnea
B)Bradypnea
C)Orthopnea
D)Tachypnea

Question 15

Respiratory arrest is when

A)Breathing stops
B)The heart stops
C)Respirations are very rapid
D)Breathing and heart action stop

Question 16

Respirations are greater than 20 per minute.This is

A)Apnea
B)Bradypnea
C)Dyspnea
D)Tachypnea

Question 17

Respirations are slow and weak.They are not deep enough to bring air into the lungs.This is

A)Respiratory arrest
B)Respiratory depression
C)Bradypnea
D)Biot's respirations

Question 18

Rapid and deep respirations followed by 10 to 30 seconds of apnea is

A)Biot's respirations
B)Bradypnea
C)Cheyne-Stokes respirations
D)Orthopnea

Question 19

Respirations are slow,shallow,and sometimes irregular.This is

A)Bradypnea
B)Tachypnea
C)Hypoventilation
D)Hyperventilation

Question 20

The amount of hemoglobin containing oxygen is

A)Hypoxia
B)Hypoxemia
C)Oxygen concentration
D)Alveolar-capillary exchange

Question 21

Cyanosis can be observed in all of the following except

A)Skin
B)Lips and mucous membranes
C)Nail beds
D)Eyes

Question 22

Oxygen and carbon dioxide are exchanged

A)In the upper airway
B)In lung tissue
C)At the alveoli
D)In the lower airway

Question 23

The doctor ordered the following.You can assist with

A)A lung scan
B)A bronchoscopy
C)Thoracentesis
D)Collecting a sputum specimen

Question 24

Narcotics affect oxygen needs because they

A)Cause brain damage
B)Depress the respiratory center in the brain
C)Decrease heart rate and blood flow
D)Cause swelling of the mucous membranes in the upper airway

Question 25

A resident has cardiovascular disease.The person has narrowed blood vessels.Why are oxygen needs affected?

A)The person does not have enough blood cells.
B)The person's heart cannot pump blood well because of pressure around the heart.
C)Blood flow to and from the heart is affected.
D)Blood loss occurs with cardiovascular disease.

Question 26

Which statement about hypoxia is incorrect?

A)The brain is very sensitive to inadequate oxygen.
B)Hypoxia threatens life.
C)Anything affecting respiratory function can cause hypoxia.
D)Mechanical ventilation is needed.

Question 27

All of the following can cause tachypnea except

A)Fever and exercise
B)Pain
C)Apnea
D)Airway obstruction

Question 28

Oxygen needs increase with all of the following except

A)Exercise
B)Fever
C)Rest
D)Pain

Question 29

Aging affects oxygen needs.Which is incorrect?

A)Respiratory muscles weaken.
B)Lung tissue is less elastic.
C)Coughing strength decreases.
D)Body temperature increases.

Question 30

If abused,narcotics and depressant drugs can cause

A)Respiratory depression and respiratory arrest
B)Dyspnea and orthopnea
C)Pain and fever
D)Aspiration and pneumonia

Question 31

A productive cough produces

A)Sputum
B)Cyanosis
C)Chest pain
D)Shortness of breath

Question 32

Which part of the blood carries oxygen?

A)Red blood cells
B)White blood cells
C)Platelets
D)Plasma

Question 33

A radioisotope is given for a

A)Chest x-ray
B)Lung scan
C)Bronchoscopy
D)Thoracentesis

Question 34

To produce red blood cells,the body needs

A)Protein
B)Fats
C)Carbohydrates
D)Iron and vitamins

Question 35

Which involves inserting a needle into the chest wall?

A)Chest x-ray
B)Lung scan
C)Bronchoscopy
D)Thoracentesis

Question 36

The earliest signs of hypoxia are

A)Cyanosis,dyspnea,and increased pulse rate
B)Sitting and leaning forward
C)Restlessness,dizziness,and disorientation
D)Fatigue and agitation

Question 37

Brain damage can affect

A)Respiratory rate,rhythm,and depth
B)Bone marrow function
C)Allergies and pollutant exposure
D)Lung tissue elasticity

Question 38

Persons who are in cardiac arrest or respiratory arrest have

A)Apnea
B)Bradypnea
C)Biot's respirations
D)Hypoventilation

Question 39

You find a person learning forward over a table.What should you do?

A)Tell the nurse.
B)Remind the person to sit straight.
C)Give oxygen.
D)Provide a postural support.

Question 40

All of the following are reported to the nurse except

A)Respirations that are quiet,effortless,and regular
B)Noisy respirations
C)The color,odor,and consistency of sputum
D)Changes in vital signs

Question 41

Which SpO? is abnormal?

A)83%
B)95%
C)97%
D)99%

Question 42

Deep-breathing and coughing exercises are done

A)Every hour
B)Every 2 hours
C)Every 4 hours
D)As often as directed by the nurse and care plan

Question 43

A part of a resident's lung has collapsed.This is

A)Dehiscence
B)An evisceration
C)A pneumothorax
D)Atelectasis

Question 44

Which of the following can cause part of a lung to collapse?

A)Deep breathing and coughing
B)Mucus collecting in the airway
C)Mechanical ventilation
D)Suctioning

Question 45

A person has continuous pulse oximetry monitoring.Which statement is incorrect?

A)An alarm sounds when the person has hypoxia.Observations are not necessary.
B)The nurse tells you how often to check the sensor site.
C)The nurse tells you what sensor and what type of tape to use.
D)The person's apical or radial pulse rate should equal the pulse rate displayed.

Question 46

Which test measures the amount of air moving into and out of the lungs?

A)Pulse oximetry
B)Incentive spirometry
C)Pulmonary function tests
D)Arterial blood gases

Question 47

Laying on one side for too long

A)Prevents lung expansion on that side
B)Causes coughing
C)Causes pneumothorax
D)Prevents a patent airway

Question 48

A resident has a pulse oximetry sensor on his left index finger.You need to measure his blood pressure.Which is correct?

A)Remove the sensor and reapply it after measuring blood pressure.
B)Use the right arm.
C)Use a larger cuff.
D)Change the sensor site.

Question 49

You are assisting a resident with deep-breathing and coughing exercises.For these exercises,the person can be positioned in all of the following ways except

A)Fowler's position
B)Semi-Fowler's position
C)In a chair or dangling at the bedside
D)Orthopneic position

Question 50

Which removes mucus?

A)Coughing
B)Deep breathing
C)Incentive spirometry
D)Endotracheal tube

Question 51

Pulse oximetry monitors display

A)SpO? and the respiratory rate
B)The respiratory rate and pulse rate
C)SpO? and pulse rate
D)Vital signs

Question 52

To prevent respiratory complications,a person is re-positioned at least every

A)Hour
B)2 hours
C)4 hours
D)Shift

Question 53

A pulse oximeter has an alarm.When does the alarm sound?

A)The respiratory rate is too high.
B)The respiratory rate is too low.
C)O? concentration is low.
D)Cyanosis is present.

Question 54

Respiratory secretions do all of the following except

A)Promote coughing and deep breathing
B)Interfere with air movement
C)Interfere with O? and CO? exchange
D)Provide an environment for microbes

Question 55

Pulse oximetry is ordered.Which is not a sensor site?

A)Chest
B)Finger
C)Nose
D)Earlobe

Question 56

Laying on one side for too long

A)Leads to the need for suctioning
B)Leads to the need for mechanical ventilation
C)Prevents the use of pulse oximetry
D)Allows secretions to pool

Question 57

A resident is on bedrest.The person will require

A)Deep-breathing and coughing exercises
B)Suctioning
C)Mechanical ventilation
D)Incentive spirometry and pulse oximetry

Question 58

All of the following affect pulse oximetry measurements except

A)Dark light
B)Nail polish
C)Fake nails
D)Movement

Question 59

A resident is in the orthopneic position.How can you increase the person's comfort?

A)Place a pillow under the person's head and shoulders.
B)Place a pillow on the overbed table.
C)Raise the head of the bed.
D)Lower the head of the bed.

Question 60

How many deep breaths and coughs does a person need to do?

A)3
B)5
C)10
D)As many as directed by the nurse and care plan

Question 61

Which oxygen administration device allows the person to talk and eat?

A)Nasal cannula
B)Simple face mask
C)Partial-rebreather mask
D)Venturi mask

Question 62

Who decides which oxygen device to use?

A)The person
B)The doctor
C)The nurse
D)The respiratory therapist

Question 63

You are assisting with deep-breathing and coughing exercises.The person needs to cough

A)Once with the mouth open
B)Twice with the mouth open
C)Once through pursed lips
D)Twice through pursed lips

Question 64

Which oxygen administration device does not cover the nose and mouth?

A)Nasal cannula
B)Simple face mask
C)Partial-rebreather mask
D)Venturi mask

Question 65

Which oxygen sources are used when the person is ambulatory or uses a wheelchair?

A)Wall outlet or oxygen tank
B)Oxygen tank or oxygen concentrator
C)Oxygen concentrator or liquid oxygen unit
D)Small oxygen tank or portable liquid oxygen unit

Question 66

A resident uses incentive spirometry.How many breaths does the person need to take with the device?

A)2
B)4
C)6
D)As many as the nurse directs

Question 67

An oxygen administration device has two prongs that insert into the nostrils.This device is a

A)Nasal cannula
B)Simple face mask
C)Partial-rebreather mask
D)Venturi mask

Question 68

You are assisting a resident with coughing and deep-breathing exercises.She needs to exhale through

A)Pursed lips
B)The mouth
C)The nose
D)A mouthpiece

Question 69

You are assisting a resident with deep-breathing and coughing exercises.The person needs to inhale through

A)Pursed lips
B)The mouth
C)The nose
D)A mouthpiece

Question 70

Incentive spirometry improves lung function because it

A)Promotes coughing
B)Moves air deep into the lungs
C)Prevents aspiration
D)Prevents the need for oxygen therapy

Question 71

What is measured during incentive spirometry?

A)The amount of oxygen in the blood
B)The amount of oxygen in hemoglobin
C)The amount of air inhaled
D)The amount of air exhaled

Question 72

Incentive spirometry also is called

A)Pulse oximetry
B)Arterial blood gases
C)Coughing and deep breathing
D)Sustained maximal inspiration

Question 73

Who sets and adjusts the oxygen flow rate?

A)The doctor or nurse
B)The doctor or respiratory therapist
C)The nurse or respiratory therapist
D)The nurse or nursing assistant

Question 74

Who starts and maintains oxygen therapy?

A)The doctor and nurse
B)The doctor and respiratory therapist
C)The nurse and respiratory therapist
D)The nurse and nursing assistant

Question 75

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?

A)Placing a pillow on the table
B)Holding a pillow over the person's incision
C)Being suctioned
D)Using incentive spirometry

Question 76

What is the danger of liquid oxygen systems?

A)Liquid oxygen can freeze the skin.
B)Liquid oxygen can burn the skin.
C)Liquid oxygen can cause pressure on the skin.
D)Liquid oxygen can cause atelectasis.

Question 77

You are assisting a resident with incentive spirometry.Which action is incorrect?

A)The person inhales through a mouthpiece.
B)The person takes a slow,deep breath until the balls rise to the desired height.
C)The person holds his or her breath for 3 to 6 seconds.
D)The person exhales through the mouthpiece.

Question 78

The deep breaths taken using incentive spirometry are like

A)Bradypnea
B)Yawning or sighing
C)Coughing and sneezing
D)Inhalation and exhalation

Question 79

Who decides when to give oxygen?

A)The person
B)The doctor
C)The nurse
D)The respiratory therapist

Question 80

Who decides how much oxygen to give?

A)The person
B)The doctor
C)The nurse
D)The respiratory therapist