1.
What is important to remember for using oxygen at home with Chronic Obstructive Pulmonary Disease safety precautions?
Correct Answer
B. "Avoid materials that generate static electricity."
Explanation
When using oxygen at home with Chronic Obstructive Pulmonary Disease (COPD), it is important to avoid materials that generate static electricity. Static electricity can create sparks, which can potentially ignite the oxygen and cause a fire. Therefore, it is crucial to ensure that the environment is free from static-generating materials to maintain safety while using oxygen at home.
2.
The nursing intervention that is appropriate for use with clients having an endotracheal tube is:
Correct Answer
A. Providing room air
Explanation
The correct answer is providing room air. Endotracheal tubes are used to maintain an open airway in clients who are unable to breathe on their own. Providing room air ensures that the client is receiving sufficient oxygenation. Communicating frequently with the client and rapidly assessing nasal and oral mucosa for redness and irritation are important nursing interventions, but they are not specific to clients with endotracheal tubes.
3.
Safety is necessary when oxygenating a human.
Correct Answer
A. True
Explanation
Oxygenation is the process of supplying oxygen to the body, which is essential for human survival. However, oxygen can also be dangerous if not handled properly. High concentrations of oxygen can increase the risk of fire and explosion, and prolonged exposure to high levels of oxygen can cause lung damage. Therefore, safety measures such as proper ventilation and monitoring of oxygen levels are necessary when oxygenating a human to prevent any potential hazards.
4.
When a client is suffering from respiratory difficulty and requires suctioning, the appropriate method to use is:
Correct Answer
B. Portable or wall suction machine with tubing and collection receptacle.
Explanation
When a client is suffering from respiratory difficulty and requires suctioning, the appropriate method to use is a portable or wall suction machine with tubing and collection receptacle. This method is necessary to effectively remove excess secretions or fluids from the airway and improve the client's breathing. Goggles are not needed in this situation as they are not directly related to the suctioning procedure. Dextrose-and-water solution and nasal cannula are also not appropriate methods for suctioning and would not effectively address the respiratory difficulty.
5.
After suctioning, appropriate follow-up evaluation of a client does not include:
Correct Answer
D. Only document findings abnormal in the client record; the doctor will see the results when rounds on the client are done.
Explanation
The appropriate follow-up evaluation of a client after suctioning includes assessment of vital signs, charting the appearance of secretions, and comparing findings to previous assessment data. However, it is not correct to only document findings that are abnormal in the client record and assume that the doctor will see the results during rounds. It is important to document all findings, both normal and abnormal, for proper communication and continuity of care.
6.
At the time of suctioning a client in ICU, the nurse sees that the activity causes deep breathing and coughing maneuvers. This is a good action because:
Correct Answer
B. Deep breathing oxygenates the lungs, and coughing loosens and moves secretions in the lungs.
Explanation
Deep breathing and coughing maneuvers are beneficial during suctioning in the ICU because deep breathing helps to oxygenate the lungs, while coughing helps to loosen and move secretions in the lungs. This can help to clear the airways and improve respiratory function.
7.
There are no steps or measurements to follow for oxygenation.
Correct Answer
B. False
Explanation
This statement is false because there are indeed steps and measurements to follow for oxygenation. Oxygenation can be achieved through various methods such as providing supplemental oxygen, ensuring proper ventilation, and monitoring oxygen saturation levels. Additionally, healthcare professionals use specific measurements and assessments to determine the effectiveness of oxygenation, such as arterial blood gas analysis and pulse oximetry readings. Therefore, the statement that there are no steps or measurements to follow for oxygenation is incorrect.
8.
The right nursing responsibility in client's caring with chest drainage systems would be:
Correct Answer
D. Monitoring the patency and integrity of the drainage system.
Explanation
The correct answer is "Monitoring the patency and integrity of the drainage system." This is the right nursing responsibility for the client's chest drainage systems because it involves ensuring that the system is functioning properly and that there are no obstructions or leaks. This is important for the patient's respiratory status and overall well-being.
9.
Which of these clients is at the highest risk for developing an upper respiratory infection?
Correct Answer
A. A 3-year-old in preschool
Explanation
Preschool-aged children, like the 3-year-old in this scenario, are at a higher risk for developing upper respiratory infections compared to other age groups. This is because their immune systems are still developing and they have frequent close contact with other children, making it easier for viruses to spread. Additionally, young children may not have developed good hygiene habits yet, such as proper handwashing, which further increases their risk of infection.
10.
In promoting healthy breathing, which of these actions is not appropriate to follow?
Correct Answer
C. Provide for rest periods during the day.
Explanation
While rest is important for overall well-being, it is not a specific action related to promoting healthy breathing. The other actions mentioned, such as eliminating or reducing household pesticides, ensuring proper ventilation, and maintaining good posture, are more directly related to supporting healthy respiratory function.