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Oxygenation and Perfusion

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Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition
Oxygenation and Perfusion

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Question 1 of 5

A nurse is assessing a patient with COPD who is experiencing dyspnea. What action will the nurse take first?

A. Place the patient in Fowler position.

B. Encourage diaphragmatic breathing.

C. Ask the patient to cough.

D. Initiate oral suctioning of secretions.

Correct Answer:

Rationale:

Question 2 of 5

A nurse is maintaining airway patency in an unconscious patient by providing frequent nasopharyngeal suction. When would the nurse anticipate inserting a nasopharyngeal airway (nasal trumpet)?

A. Vomiting during suctioning occurs.

B. Secretions appear to contain stomach contents.

C. The suction catheter touches an unsterile surface.

D. Epistaxis is noted with continued suctioning.

Correct Answer:

Rationale:

Question 3 of 5

A nurse in the PACU is performing oral suctioning for a patient with an oropharyngeal airway, when the patient begins to vomit. What is the nurse's priority nursing action at this time?

A. Removing the suction catheter and elevating the head of the bed

B. Notifying the primary health care provider

C. Confirming the size of the oral airway is correct

D. Placing the patient in the supine position

Correct Answer:

Rationale:

Question 4 of 5

A nurse plans to suction a patient's endotracheal tube using the open suction technique. Which intervention is appropriate for this technique?

A. Using a suction catheter that is the diameter of the endotracheal tube

B. Maintaining the patient in the supine position

C. Administering oxygen prior to suctioning

D. Changing the inline suction device every 24 hours

Correct Answer:

Rationale:

Question 5 of 5

A nurse is caring for a patient admitted for an acute asthma exacerbation. The patient reports extreme dyspnea, stating, 'Turn up the oxygen, I'm not getting enough air.' Which actions would the nurse take first?

A. Suction the airway.

B. Assess the pulse oximetry reading.

C. Obtain a peak flow meter reading.

D. Assess for cyanosis of the lips.

Correct Answer:

Rationale:

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