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ATI Skills Module - Oxygen Therapy

front 1

Oxygen therapy is prescribed for a patient who is brought to an emergency department in the early stages of hypoxia. When assessing this patient, the nurse should expect to find which of the following clinical indicators?

Decreased respiratory rate

Cyanosis

Elevated blood pressure

Peripheral edema

back 1

Elevated blood pressure

front 2

A patient admitted with community-acquired pneumonia has been receiving oxygen therapy for several days. Which of the following assessment findings indicates an adverse effect of oxygen therapy?

Elevated heart rate

Copious respiratory secretions

Cracks in the oral mucosa

Poor skin turgor

back 2

Cracks in the oral mucosa

front 3

A nurse is providing discharge teaching to a patient who will continue oxygen therapy at home. The nurse should instruct the patient that turning the knob on the oxygen flow meter all the way to the right...

provides a minimal oxygen flow.

stops the flow of oxygen.

provides the maximal oxygen flow.

starts the flow of oxygen.

back 3

stops the flow of oxygen.

front 4

A patient who is prescribed oxygen therapy 24hr/day is concerned about being confined to bed. Which of the following should the nurse do to provide mobility for this patient?

Make sure the patient has up to 50 feet of connecting tubing.

Suggest rest periods between activities of daily living.

Allow the patient to remove the oxygen-delivery device periodically.

back 4

Make sure the patient has up to 50 feet of connecting tubing.

front 5

A nurse is caring for a critically ill patient with COPD who requires delivery of a precise concentration of oxygen. Which of the following types of oxygen-delivery device is indicated for this patient?

Simple face mask

Venturi mask

Face tent

Nasal cannula

back 5

Venturi mask

front 6

A nurse should recognize that which of the following is an indication for oxygen therapy?

Respiratory rate 32/min; anxiety

Chest pain; FiO2 65% for 4 days

Dyspnea; PaO2 90 mm Hg

Tachypnea; SaO2 90%

back 6

Tachypnea; SaO2 90%

front 7

A patient has been receiving oxygen PRN via nasal cannula for 4 hr. Which of the following assessment findings helps indicate that oxygen therapy has been effective?

SaO2 90%

Cardiac output 5.6 L/min

Respiratory rate 14/min

PaCO2 68 mm Hg

back 7

Respiratory rate 14/min

front 8

A nurse is caring for a patient who has a tracheostomy. Which of the following must the nurse use when administering oxygen to this patient?

A tracheostomy collar

An inner tracheostomy cannula

An aerosol mask

Distilled water for humidification

back 8

A tracheostomy collar

front 9

A nurse is caring for a patient who is dyspneic and slightly cyanotic, with a respiratory rate of 28/min. The nurse determines that the patient has impaired gas exchange during which of the following phases of the nursing process?

Diagnosis

Planning

Evaluation

Assessment

back 9

Diagnosis

front 10

A home health nurse is instructing a patient who has just started receiving oxygen therapy via mask. The nurse should emphasize that the patient must

clean the mask with soapy water every other day.

reposition the elastic band frequently.

apply petroleum jelly around and inside the nares.

make sure there is adequate condensation in the tubing.

back 10

reposition the elastic band frequently.

front 11

Administering oxygen therapy with a nonrebreather mask has which of the following advantages?

Offers the highest oxygen concentration of the low-flow systems

Is designed for safety once the mask's valves and flaps are sealed

Provides oxygen concentrations of 40% to 60%

Incorporates a design that requires minimal monitoring of the patient

back 11

Offers the highest oxygen concentration of the low-flow systems