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NUR 221 Exam 2: Gas Exchange
Questions and Answers Already Passed
What are the components of a gas exchange assessment? ✔✔Health History, Family History, Physical Assessment, Lab Values
What are examples of components included in the health history of a gas exchange assessment? ✔✔Medicines, Chronic Illnesses, Immunizations
What are examples of components included in the family history of a gas exchange assessment? ✔✔Gas Exchange-related respiratory illnesses, cystic fibrosis (CF), COPD, Asthma
What are examples of components included in the physical assessment of a gas exchange assessment? ✔✔SpO2, Respirations (rhythm, rate, & depth)
What are examples of components included in the lab values of a gas exchange assessment? ✔✔Hemoglobin, WBCs, ABGs, Hematocrit (to check for diluted blood)
What are some causes of alterations in oxygen? ✔✔Inherently respiratory in nature, kidney failure, cardiovascular, and infection
What are 3 nursing goals associated with oxygen alterations? ✔✔Increasing SpO2, Maintaining SpO2, & Maintaining Work of Breathing (not sitting in the tripod position)
_______ & _________ are seen early before clinical signs of beginning respiratory failure ✔✔Restlessness, Anxiety
What are some examples of nursing interventions related to gas exchange? ✔✔Raising HOB, Apply oxygen, Coughing/Deep Breaths, Early Mobility
T/F: After applying oxygen, the HCP must be notified so an order can be inputted ✔✔True
T/F: Incentive Spirometers (IS) help the alveoli in the lungs after surgery ✔✔True
_________ ________ ________ ______ is a chronic condition that can present as a cough (sometimes productive) with thick/tenacious sputum, rhonchi in the lungs (sound is the air trying to move through the mucus) and wheezing in the lungs. ✔✔Chronic Obstructive Pulmonary Disease (COPD)
T/F: It is common for the patient to be slightly jittery when using short/long-acting beta agonists ✔✔True
What is another form of medication that is common when managing gas exchange related problems? ✔✔Inhaled Corticosteroids
What are some examples of inhaled corticosteroids? ✔✔Budesonide & Fluticasone
T/F: Symptoms of an infection need to be monitored for if on inhaled corticosteroids for a long period of time ✔✔True
________ is dry mouth ✔✔Xerostomia
T/F: It is important to was the mouth out after using an inhaler to prevent Xerostomia ✔✔True
T/F: It is important to educate patients on the use of an inhaled medication if they are using the medication more often than normal ✔✔True
When using an inhaler, the user should _______ _____ all of their air, ______ the inhaler, _______ and ideally hold for 10-15 seconds. ✔✔blow out, puff, inhale
T/F: There should be 5-10 minutes in between each puff of air from an inhaler ✔✔True
T/F: The fungal infection, Thrush, is common if the patient's mouth is not washed out after utilizing inhaled medications ✔✔True
____________ is the fraction of inspired oxygen ✔✔FiO
T/F: Oxygen is measured in flow rate or in FiO2 ✔✔True
__________ _________ sits in the nares and can provide up to 6 L/min of oxygen flow, ✔✔Nasal Cannula
What are 2 important considerations for nasal cannula use? ✔✔Humidification (oxygen can dry out the nares) & Pressure Ulcers
________ ______ ______ sits over the patient's face and accommodates up to 15 L/min ✔✔Simple Face Mask
What are 4 important considerations for simple face mask use? ✔✔Patients cannot eat or drink with the mask on, pressure ulcers, humidification, **better option for mouth breathers
_________-_________ ______ (NRB) can accommodate up to 15L/min flow rate and prevents the rebreathing of CO2 ✔✔Non-Rebreather Mask
What are 3 important considerations for non-rebreather mask use? ✔✔Reservoir bag must be inflated while using, pressure ulcers, and the air is not humidified due to the patient's not being on it long enough (it's used in more of a rescue situation)
