Deck 39: Oxygen Needs
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Deck 39: Oxygen Needs
1
Breathing is slow,shallow,and sometimes irregular.This is:
A) Bradypnea
B) Tachypnea
C) Hypoventilation
D) Hyperventilation
A) Bradypnea
B) Tachypnea
C) Hypoventilation
D) Hyperventilation
Hypoventilation
2
Respirations are less than 12 per minute.This is:
A) Apnea
B) Bradypnea
C) Orthopnea
D) Tachypnea
A) Apnea
B) Bradypnea
C) Orthopnea
D) Tachypnea
Bradypnea
3
A reduced amount of oxygen in the blood is:
A) Hypoxemia
B) Hypoxia
C) Oxygen concentration
D) Respiratory depression
A) Hypoxemia
B) Hypoxia
C) Oxygen concentration
D) Respiratory depression
Hypoxemia
4
The lack of or absence of breathing is:
A) Apnea
B) Kussmaul respirations
C) Bradypnea
D) Hypoxia
A) Apnea
B) Kussmaul respirations
C) Bradypnea
D) Hypoxia
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5
Respiratory arrest is when:
A) Breathing has stopped
B) The heart has stopped
C) Respirations are very rapid
D) Breathing and heart action have stopped
A) Breathing has stopped
B) The heart has stopped
C) Respirations are very rapid
D) Breathing and heart action have stopped
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6
Respirations are greater than 20 per minute.This is:
A) Apnea
B) Bradypnea
C) Dyspnea
D) Tachypnea
A) Apnea
B) Bradypnea
C) Dyspnea
D) Tachypnea
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7
Breathing is rapid and deeper than normal.This is:
A) Bradypnea
B) Tachypnea
C) Hypoventilation
D) Hyperventilation
A) Bradypnea
B) Tachypnea
C) Hypoventilation
D) Hyperventilation
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8
A harmful chemical or substance in the air or water is:
A) An allergy
B) An irritant
C) A pollutant
D) An allergen
A) An allergy
B) An irritant
C) A pollutant
D) An allergen
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9
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
A) Biot's respirations.
B) Bradypnea
C) Cheyne-Stokes respirations
D) Orthopnea
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10
Difficult,labored,or painful breathing is:
A) Apnea
B) Bradypnea
C) Dyspnea
D) Orthopnea
A) Apnea
B) Bradypnea
C) Dyspnea
D) Orthopnea
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11
A person can breathe deeply and comfortably only when sitting.This is:
A) Apnea
B) Bradypnea
C) Dyspnea
D) Orthopnea
A) Apnea
B) Bradypnea
C) Dyspnea
D) Orthopnea
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12
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
A) Respiratory arrest
B) Respiratory depression
C) Bradypnea
D) Biot's respirations
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13
Respirations are very deep and rapid.They are:
A) Biot's respirations.
B) Cheyne-Stokes respirations.
C) Kussmaul respirations.
D) Hypoventilation
A) Biot's respirations.
B) Cheyne-Stokes respirations.
C) Kussmaul respirations.
D) Hypoventilation
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14
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
A) A pollutant
B) An allergy
C) Hypoxia
D) Hypoxemia
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15
The amount of hemoglobin containing oxygen is:
A) Hypoxia
B) Hypoxemia
C) Oxygen concentration
D) Alveolar-capillary exchange
A) Hypoxia
B) Hypoxemia
C) Oxygen concentration
D) Alveolar-capillary exchange
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16
Sitting up in bed and leaning over a table to breathe is:
A) Fowler's position.
B) Semi-Fowler's position
C) Orthopneic position
D) Hypoxic position
A) Fowler's position.
B) Semi-Fowler's position
C) Orthopneic position
D) Hypoxic position
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17
Hypoxia means :
A) Respiratory depression
B) Cells do not have enough oxygen
C) Breathing stops
D) Slow and weak respirations
A) Respiratory depression
B) Cells do not have enough oxygen
C) Breathing stops
D) Slow and weak respirations
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18
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 respirations.
D) Hypoventilation
A) Biot's respirations.
B) Cheyne-Stokes respirations.
C) Kussmaul respirations.
D) Hypoventilation
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19
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
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
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20
Bloody sputum is:
A) Hemothorax
B) Hemoptysis
C) Pleural effusion
D) Pneumothorax
A) Hemothorax
B) Hemoptysis
C) Pleural effusion
D) Pneumothorax
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21
A person 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.
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.
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22
Oxygen needs increase with which of the following?
A) Reading
B) Fever
C) Rest
D) Eating
A) Reading
B) Fever
C) Rest
D) Eating
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23
Which part of the blood carries oxygen?
A) Red blood cells
B) White blood cells
C) Platelets
D) Plasma
A) Red blood cells
B) White blood cells
C) Platelets
D) Plasma
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24
Persons who are in cardiac arrest or respiratory arrest have:
A) Apnea
B) Bradypnea
C) Biot's respirations
D) Hypoventilation
A) Apnea
B) Bradypnea
C) Biot's respirations
D) Hypoventilation
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25
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
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
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26
A productive cough produces:
A) Sputum
B) Cyanosis
C) Chest pain
D) Shortness of breath
A) Sputum
B) Cyanosis
C) Chest pain
D) Shortness of breath
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27
Which of the following are reported to the nurse?
A) Respirations that are quiet,effortless,and regular
B) Noisy respirations
C) Clear,thin sputum
D) Consistent vital signs
A) Respirations that are quiet,effortless,and regular
B) Noisy respirations
C) Clear,thin sputum
D) Consistent vital signs
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28
Aging affects oxygen needs in which of the following ways?
A) Respiratory muscles strengthen.
B) Lung tissue is more elastic.
C) Coughing strength decreases.
D) Body temperature increases.
A) Respiratory muscles strengthen.
B) Lung tissue is more elastic.
C) Coughing strength decreases.
D) Body temperature increases.
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29
Alcohol use causes what effect on the brain?
A) Depression
B) Excitement
C) Pain and fever
D) Decreases aspiration risk
A) Depression
B) Excitement
C) Pain and fever
D) Decreases aspiration risk
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30
Which statement about hypoxia is correct?
A) The brain is not very sensitive to inadequate oxygen.
B) Hypoxia threatens life.
C) Cells have an overabundance of oxygen.
D) Hyperventilation is needed.
A) The brain is not very sensitive to inadequate oxygen.
B) Hypoxia threatens life.
C) Cells have an overabundance of oxygen.
D) Hyperventilation is needed.
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31
Mucus from the respiratory tract that is expectorated through the mouth is:
A) Saliva
B) Sputum
C) Hemoptysis
D) Hypoxia
A) Saliva
B) Sputum
C) Hemoptysis
D) Hypoxia
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32
Oxygen and carbon dioxide are exchanged:
A) In the upper airway
B) In lung tissue
C) At the alveoli
D) In the lower airway
A) In the upper airway
B) In lung tissue
C) At the alveoli
D) In the lower airway
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33
Brain damage can affect:
A) Respiratory rate,rhythm,and depth
B) Bone marrow function
C) Allergies and pollutant exposure
D) Lung tissue elasticity
A) Respiratory rate,rhythm,and depth
B) Bone marrow function
C) Allergies and pollutant exposure
D) Lung tissue elasticity
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34
Excessive amounts of alcohol intake:
A) Cause pneumonia
B) Reduce the cough reflex
C) Decrease the risk of aspiration
D) Obstruct the airway
A) Cause pneumonia
B) Reduce the cough reflex
C) Decrease the risk of aspiration
D) Obstruct the airway
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35
You find a person leaning 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.
A) Tell the nurse.
B) Remind the person to sit straight.
C) Give oxygen.
D) Provide a postural support.
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36
Which of the following can cause tachypnea?
A) Sleeping
B) Pain
C) Narcotic overdose
D) Vagal response
A) Sleeping
B) Pain
C) Narcotic overdose
D) Vagal response
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37
To produce red blood cells,the body needs:
A) Protein
B) Fats
C) Carbohydrates
D) Iron and vitamins
A) Protein
B) Fats
C) Carbohydrates
D) Iron and vitamins
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38
Cyanosis can be observed in which of the following?
A) Inner ear
B) Lips and mucous membranes
C) Palms of hands
D) Eyes
A) Inner ear
B) Lips and mucous membranes
C) Palms of hands
D) Eyes
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39
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
A) Cyanosis,dyspnea,and increased pulse rate
B) Sitting and leaning forward
C) Restlessness,dizziness,and disorientation
D) Fatigue and agitation
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40
Which statement about the respiratory system and oxygen needs is correct?
A) To meet oxygen needs,respiratory structures must be intact by the time they are 2 years old.
B) To meet oxygen needs,alveoli must exchange O2 and CO2.
C) To meet oxygen needs,the airway must be open 50% of the time.
D) To meet oxygen needs,oxygen therapy is needed.
A) To meet oxygen needs,respiratory structures must be intact by the time they are 2 years old.
B) To meet oxygen needs,alveoli must exchange O2 and CO2.
C) To meet oxygen needs,the airway must be open 50% of the time.
D) To meet oxygen needs,oxygen therapy is needed.
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41
Deep-breathing and coughing exercises are done:
A) Every hour
B) Every 1 to 2 hours
C) Every 4 hours
D) As often as directed by the nurse and care plan
A) Every hour
B) Every 1 to 2 hours
C) Every 4 hours
D) As often as directed by the nurse and care plan
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42
To prevent respiratory complications,the person is repositioned at least every:
A) Hour
B) 2 hours
C) 4 hours
D) Shift
A) Hour
B) 2 hours
C) 4 hours
D) Shift
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43
Which SpO? is abnormal?
A) 93%
B) 95%
C) 97%
D) 99%
A) 93%
B) 95%
C) 97%
D) 99%
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44
Which removes mucus?
A) Coughing
B) Deep breathing
C) Incentive spirometry
D) Surgery
A) Coughing
B) Deep breathing
C) Incentive spirometry
D) Surgery
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45
A person has a productive cough.Respiratory hygiene involves which of the following?
A) Covering the mouth and nose when coughing or sneezing
B) Using bed linens to absorb respiratory secretions
C) Disposing of tissues on the person's dietary tray
D) Washing hands at least once per day
A) Covering the mouth and nose when coughing or sneezing
B) Using bed linens to absorb respiratory secretions
C) Disposing of tissues on the person's dietary tray
D) Washing hands at least once per day
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46
A resident is on bedrest.The person will require:
A) Deep-breathing and coughing exercises
B) Suctioning
C) Pulse oximetry
D) Incentive spirometry and oxygen therapy
A) Deep-breathing and coughing exercises
B) Suctioning
C) Pulse oximetry
D) Incentive spirometry and oxygen therapy
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47
A person has a pulse oximetry sensor on a left finger.When measuring blood pressure,you should:
A) Remove the sensor and re-apply it after measuring blood pressure
B) Use the right arm
C) Use a larger cuff
D) Change the sensor site
A) Remove the sensor and re-apply it after measuring blood pressure
B) Use the right arm
C) Use a larger cuff
D) Change the sensor site
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48
A part of a person's lung has collapsed.This is:
A) Dehiscence
B) An evisceration
C) Hypoxemia
D) Atelectasis
A) Dehiscence
B) An evisceration
C) Hypoxemia
D) Atelectasis
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49
A person has continuous pulse oximetry monitoring.Which is correct?
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 doctor tells you what sensor and what type of tape to use.
D) The person's apical or radial pulse rate should be greater than the pulse rate displayed.
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 doctor tells you what sensor and what type of tape to use.
D) The person's apical or radial pulse rate should be greater than the pulse rate displayed.
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50
Pulse oximetry monitors display:
A) SpO2 and the respiratory rate.
B) the respiratory rate and pulse rate.
C) SpO2 and pulse rate.
D) vital signs.
A) SpO2 and the respiratory rate.
B) the respiratory rate and pulse rate.
C) SpO2 and pulse rate.
D) vital signs.
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51
A pulse oximeter has an alarm.The alarm sounds when:
A) The respiratory rate is too high
B) The respiratory rate is too low
C) The SpO2 is low
D) Temperature is elevated
A) The respiratory rate is too high
B) The respiratory rate is too low
C) The SpO2 is low
D) Temperature is elevated
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52
Lying on one side for too long:
A) Prevents lung expansion on that side
B) Causes coughing
C) Causes pneumothorax
D) Prevents a patent airway
A) Prevents lung expansion on that side
B) Causes coughing
C) Causes pneumothorax
D) Prevents a patent airway
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53
Which of the following affects pulse oximetry measurements?
A) Dark light
B) Nail polish
C) Short fingernails
D) Skin color
A) Dark light
B) Nail polish
C) Short fingernails
D) Skin color
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54
Respiratory secretions do which of the following?
A) Promote coughing and deep breathing.
B) Assist with air movement.
C) Assist with lung function.
D) Provide an environment for microbes to grow.
A) Promote coughing and deep breathing.
B) Assist with air movement.
C) Assist with lung function.
D) Provide an environment for microbes to grow.
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55
Which can cause part of a lung to collapse?
A) Deep breathing and coughing
B) Mucus collecting in the airway
C) Mechanical ventilation
D) Suctioning
A) Deep breathing and coughing
B) Mucus collecting in the airway
C) Mechanical ventilation
D) Suctioning
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56
You are assisting a patient with deep-breathing and coughing exercises.For these exercises,the person can be positioned in which of the following ways?
A) Sims' position
B) Trendelenburg position
C) In a chair or dangling at the bedside
D) Orthopneic position
A) Sims' position
B) Trendelenburg position
C) In a chair or dangling at the bedside
D) Orthopneic position
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57
Which is a risk factor for atelectasis?
A) Increased activity
B) Crying
C) Deep breathing
D) Paralysis
A) Increased activity
B) Crying
C) Deep breathing
D) Paralysis
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58
Lying on one side for too long:
A) Leads to the need for suctioning
B) Leads to deep breathing and coughing
C) Prevents the use of pulse oximetry
D) Allows secretions to pool
A) Leads to the need for suctioning
B) Leads to deep breathing and coughing
C) Prevents the use of pulse oximetry
D) Allows secretions to pool
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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 table.
C) Raise the head of the bed.
D) Lower the head of the bed.
A) Place a pillow under the person's head and shoulders.
B) Place a pillow on the table.
C) Raise the head of the bed.
D) Lower the head of the bed.
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60
Pulse oximetry is ordered.Which is a sensor site?
A) Chest
B) Knee
C) Nose
D) Elbow
A) Chest
B) Knee
C) Nose
D) Elbow
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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
A) Nasal cannula
B) Simple face mask
C) Partial-rebreather mask
D) Venturi mask
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62
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
A) Nasal cannula
B) Simple face mask
C) Partial-rebreather mask
D) Venturi mask
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63
Which health team member decides when to give oxygen?
A) The person
B) The doctor
C) The nurse
D) The respiratory therapist
A) The person
B) The doctor
C) The nurse
D) The respiratory therapist
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64
You are assisting a resident with incentive spirometry.Which is correct?
A) The person inhales through a tube.
B) The person takes a quick,shallow breath until the balls rise to the desired height.
C) The person holds his breath for 3 to 6 seconds.
D) The person exhales through the mouthpiece.
A) The person inhales through a tube.
B) The person takes a quick,shallow breath until the balls rise to the desired height.
C) The person holds his breath for 3 to 6 seconds.
D) The person exhales through the mouthpiece.
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65
You are assisting with deep-breathing and coughing exercises.The person needs to:
A) Cough once with the mouth open
B) Cough twice with the mouth open
C) Cough once through pursed lips
D) Cough twice through pursed lips
A) Cough once with the mouth open
B) Cough twice with the mouth open
C) Cough once through pursed lips
D) Cough twice through pursed lips
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66
Which health team members start and maintain 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
A) The doctor and nurse
B) The doctor and respiratory therapist
C) The nurse and respiratory therapist
D) The nurse and nursing assistant
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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
A) Nasal cannula
B) Simple face mask
C) Partial-rebreather mask
D) Venturi mask
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68
The deep breaths taken using incentive spirometry are like:
A) Bradypnea
B) Yawning or sighing
C) Coughing and sneezing
D) Inhalation and exhalation
A) Bradypnea
B) Yawning or sighing
C) Coughing and sneezing
D) Inhalation and exhalation
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69
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.
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.
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70
A patient 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
A) Placing a pillow on the table
B) Holding a pillow over the person's incision
C) Being suctioned
D) Using incentive spirometry
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71
Incentive spirometry is also called:
A) Pulse oximetry
B) Arterial blood gases
C) Deep breathing and coughing
D) Sustained maximal inspiration
A) Pulse oximetry
B) Arterial blood gases
C) Deep breathing and coughing
D) Sustained maximal inspiration
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72
You are assisting a patient with deep-breathing and coughing exercises.The person needs to exhale:
A) Through pursed lips
B) Though the mouth
C) Through the nose
D) Through a mouthpiece
A) Through pursed lips
B) Though the mouth
C) Through the nose
D) Through a mouthpiece
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73
Which health team member decides how much oxygen to give?
A) The person
B) The doctor
C) The nurse
D) The respiratory therapist
A) The person
B) The doctor
C) The nurse
D) The respiratory therapist
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74
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
A) Promotes coughing
B) Moves air deep into the lungs
C) Prevents aspiration
D) Prevents the need for oxygen therapy
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75
You are assisting a patient with deep-breathing and coughing exercises.The person needs to inhale:
A) Through pursed lips
B) Though the mouth
C) Through the nose
D) Through a mouthpiece
A) Through pursed lips
B) Though the mouth
C) Through the nose
D) Through a mouthpiece
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76
Which health team members set and adjust the oxygen flow rate?
A) The doctor and nurse
B) The doctor and respiratory therapist
C) The nurse and respiratory therapist
D) The nurse and nursing assistant
A) The doctor and nurse
B) The doctor and respiratory therapist
C) The nurse and respiratory therapist
D) The nurse and nursing assistant
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77
Which oxygen source is 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
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
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78
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
A) 2
B) 4
C) 6
D) As many as the nurse directs
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79
Which health team member decides which oxygen device to use?
A) The person
B) The doctor
C) The nurse
D) The respiratory therapist
A) The person
B) The doctor
C) The nurse
D) The respiratory therapist
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80
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
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
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