Exam 5: Enteral Tubes and Oxygen

Question 1

-a

Answer 1

without

Question 2

anoxia

Answer 2

without oxygen

Question 3

apnea

Answer 3

without breath

Question 4

Eu

Answer 4

normal

Question 5

Eupnea

Answer 5

breathing normal

Question 6

euthyroid

Answer 6

normal thyroid

Question 7

dyspnea

Answer 7

difficulty breathing

Question 8

hyper

Answer 8

excessive

Question 9

hypercapnia

Answer 9

too much Co2

Question 10

hypoxemic

Answer 10

confusion, precursor to cyanosis or dyspnea

Question 11

Types of oxygen administration

Answer 11

nasal cannula, nebulizer, humidifier, face mask, venturi mask

Question 12

Pulse oximeter does what

Answer 12

measures oxygen saturation

Question 13

Tenacious secretions are?

Answer 13

Thick and sticky

Question 14

What happens with respiratory issues

Answer 14

retractions-breath in, muscles move inward instead of out

Question 15

What should you use if the pt cannot take the oxygen off to eat?

Answer 15

nasal cannula

Question 16

What should you use if the patient requires exact oxygen concentration

Answer 16

venturi mask

Question 17

in the recovery room, the tongue can obstruct an airway, what should you use

Answer 17

nasopharyngeal airway

Question 18

When is the best time of day to complete postural drainage for a pt that is having trouble mobilizing secretions

Answer 18

first thing in the morning before food

Question 19

What is the most important chemical regulator

Answer 19

Co2

Question 20

Oxygen is transported in the bloodstream by?

Answer 20

RBCs

Question 21

Cilia?

Answer 21

located in the nose and trachea to move debris away from the throat to help cough up secretions

Question 22

Gas exchange occurs where in the body?

Answer 22

in the alveoli

Question 23

What do patients with asthma do when they are having trouble breathing?

Answer 23

They raise their shoulders and use their accessory muscles in the abdomen

Question 24

What is a loud crowing sound when assessing an airway

Answer 24

stridor

Question 25

If your patient cannot get sputum up, what should you do

Answer 25

encourage deep breathing

Question 26

When an ABG is drawn from a wrist what should you do

Answer 26

apply pressure after

Question 27

Oxygen saturation minimum is

Answer 27

90%

Question 28

Trach care is what kind of procedure

Answer 28

aseptic procedure

Question 29

You can safely suction a trach for how long

Answer 29

10 seconds

Question 30

Most common Cpap side effects

Answer 30

skin breakdown, should use padding with the mask

Question 31

Encourage a patient with pneumonia and emphysema to do what?

Answer 31

sit up and lean forward

Question 32

IF a patient has no new inner cannula you should wash it with what?

Answer 32

50% saline and 50% peroxide

Question 33

You have a patient with an NG tube that has a small bowel obstruction and belly extension, what type of intervention should you try

Answer 33

reposition the tube

Question 34

When you remove an NG tube what should you do?

Answer 34

pinch the tube on the way out so it doesn't get stuck or cause trauma to the stomach or esophagus

Question 35

Tube feedings: what should you do?

Answer 35

check for residual > 100 hold/ stop feeding Bolus feedings - check for residual

Question 36

Methods to check for NG placement

Answer 36

Withdraw contents to check the pH , air bolus to listen for gurgling most accurate: verify with xray

Question 37

NG suctioning

Answer 37

low intermittent to ensure it does not stick to the stomach, mucosa and cause irriation

Question 38

How to measure an NG tube for insertion

Answer 38

tip of the nose to tip of the ear lobe to tip of the xiphoid process

Question 39

Should you start suctioning right after insertion?

Answer 39

No, xray should verify placement first , no feeding or suctioning should be started

Question 40

When a feeding is completed in a PEG tube or NG tube what should you do

Answer 40

flush with water or saline.

Question 41

High O2, Moderate O2, and Low O2

Answer 41

High: 40-50%, 12L per min Moderate: 30% or Less 4L per min Low: 24% or less, 1-3 L per min