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NCO Gas Exchange
Nightingale BSN 205, Week 9, NCO Gas Exchange
Question | Answer |
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When caring for a patient receiving oxygen by nasal cannula, which of the following is a priority to help maintain good skin integrity? | Assessing the patient's external ears, nares, and nasal mucosa for breakdown at least once per shift |
When caring for a patient for whom oxygen by nonrebreathing mask has been ordered, which action ensures appropriate oxygen delivery? | Assessing that the reservoir bag stays inflated |
What would the nurse do when receiving an order to increase the delivery rate of a patient's oxygen per nasal cannula from 1 L/min to 3 L/min? | Adjust the float ball on the flow meter to 3 L/min |
When caring for a patient who is receiving oxygen by simple face mask, which action ensures that the rate of oxygen being delivered is appropriate? | Assessing for proper placement of the mask on the patient's face |
When caring for a patient who is receiving supplemental oxygen by face tent, which action ensures that the oxygen is flowing? | Ensuring that a mist is always present |
Which action can the nurse take to keep a patient from consciously controlling his or her breathing during an assessment? | Assess respiration after measuring the pulse |
On the last assessment of a patient's respiration, her respiratory rate was 10 breaths per minute. What should the nurse do when conducting the next assessment of this patient's respiratory rate? | Count breaths for 60 seconds. |
When measuring a patient's respiratory rate, the nurse will count the number of completed respiratory cycles per minute. What is the definition of a respiratory cycle? | The number |
During the assessment of a patient's respiratory rate, when the second hand reaches the 15-second mark, the respiratory count is 8. What should the nurse do at this time? | Continue to count the patient's breath for a full 60 seconds. |
The nurse plans to assess a patient's respiratory rate; however, the patient has just returned from ambulating to the bathroom. What should the nurse do to minimize the effect of exercise on the patient's respiratory rate? | Encourage the patient to rest for 10 minutes before assessing respiration |
What would the nurse do first when preparing to begin oxygen therapy for a patient? | Review the medical prescription for delivery method and flow rate. |
When preparing the patient's environment for safe oxygen therapy, which intervention is a priority to minimize the patient's risk for injury? | Inspect all electrical equipment in the patient's room for the presence of safety-check tags. |
When a patient is receiving oxygen at home, which instruction to the family would help them understand how to use the oxygen safely? | Place a No Smoking sign at the entrance to the house |
What would the nurse do first when preparing to educate the patient about safe administration of oxygen therapy at home? | Assess the patient's emotional readiness and physical ability to provide autonomous care |
Which statement by the patient would indicate that he or she understands the safe use of oxygen? | I'll alert the nurse immediately if I have any increased difficulty breathing. |
What would be the nurse's priority in order to minimize a patient's risk for injury during oxygen therapy? | Observing the six rights of medication administration. |
What can the nurse do to evaluate a patient's response to continuous oxygen therapy delivered at 4 L/min by nasal cannula? | Regularly measure and trend the patient's pulse oximetry (SpO2) values. |
Why is it important for the nurse to set the correct flow rate for a patient to whom oxygen is prescribed? | To provide the correct amount of oxygen to the patient |
What should the nurse do when a patient is ordered to receive 4 L/min oxygen by nasal cannula? | Ensure that humidification is present |
What would the nurse monitor frequently to ensure that the prescribed amount of oxygen is being delivered to a patient? | Oxygen flow meter setting |