Oxygenation Exam 2

Question 1

What is hypoxemia?

Answer 1

Low oxygen levels within the blood

mia-blood

Common causes include respiratory conditions like COPD, pneumonia, asthma, as well as old age, smoking, and high altitude.

Question 2

What is hypoxia?

Answer 2

Low oxygen levels in the tissues of the body

xia-tissue

Hypoxia is sometimes associated with hypoxemia but not always.

Question 3

What is the average tidal volume in adults?

Answer 3

400-500 ml

Tidal volume is the volume of air inspired and expired with each breath.

Question 4

What does FiO2 stand for?

Answer 4

Fraction of inspired oxygen

FiO2 increases with nasal cannula, masks, BiPAP, or mechanical ventilation.

Question 5

What is the oxygenation percentage of room air?

Answer 5

21% oxygenation

Question 6

What is the oxygen delivery percentage from a 2 liters nasal cannula?

Answer 6

28% oxygen

Question 7

What nursing intervention can help clients receiving high levels of oxygen through a nasal cannula?

Answer 7

Comfort measures

This may include humidification or adjusting the flow rate.

Question 8

True or False: Oxygen administration will fix carbon dioxide levels.

Answer 8

False

Clients with decreased lung compliance may still retain CO2 despite oxygen administration.

Question 9

What therapy benefits clients with decreased lung compliance?

Answer 9

BiPAP therapy

BiPAP provides both oxygen and positive airway pressure to help exhale CO2.

Question 10

What is the purpose of BiPAP?

Answer 10

To provide oxygen and positive airway pressure

It also helps with exhalation of carbon dioxide.

Question 11

What should a nurse monitor for in a client with elevated CO2 levels due to COPD?

Answer 11

Assessment findings such as confusion or shortness of air (SOA)

Question 12

What oxygen saturation level is realistic for a client with a history of COPD?

Answer 12

Lower than normal saturation levels

Specific levels may vary based on individual conditions.

Question 13

Fill in the blank: A client admitted with sleep apnea may show _______ as symptoms.

Answer 13

[Common symptoms such as loud snoring, daytime sleepiness, etc.]

Question 14

What cues would indicate the client’s current regimen isn’t working?

Answer 14

Signs of increased respiratory distress or worsening symptoms

Question 15

What nursing interventions should be taken for a client with suspected sleep apnea?

Answer 15

Monitor sleep patterns, assess respiratory status, educate on lifestyle changes

Additional interventions may include weight management and CPAP use.

Question 16

What questions may the nurse want to ask the family of a client with confusion?

Answer 16

About the client’s recent health changes, medication adherence, and any known triggers

Question 17

What labs would the nurse analyze to validate confusion in a client with COPD?

Answer 17

Arterial blood gas levels

Question 18

Fill in the blank: _______ will help lower CO2 and increase oxygen levels.

Answer 18

[Oxygen therapy]

Question 19

What are some nursing interventions for those with pulmonary disorders?

Answer 19

Encourage pulmonary toilet, assess lung sounds, position in Semi to High Fowler’s, monitor oxygen saturation

Additional interventions include monitoring skin color and respiratory effort.

Question 20

What lung sound indicates an emergency?

Answer 20

Wheezing or stridor

Question 21

What discharge considerations should be taken into account for a client going home with oxygen?

Answer 21

Oxygen needs and follow-up care

Question 22

What education should be provided to a client going home with BiPAP?

Answer 22

How to properly use and maintain the BiPAP machine

This includes troubleshooting common issues and understanding therapy goals.

Question 23

Bipap vs cpap?

Answer 23

Bipap for COPD Different air pressure levels for inhale and exhale

CPAP for SLEEP APNEA- only oxygen 1 way valve. Same pressure on inhale and exhale

Question 24

What s/s would the nurse expect to see in a client in respiratory distress?

Answer 24

anxiety

Question 25

What are some other observations you might note r/t oxygenation?

Question 26

When is a nasal cannula not appropriate?

Answer 26

Mouth breathers, broken nose, burns

Question 27

When clients are receiving high levels of O2 through a nasal cannula what is a nursing intervention to help with comfort?

Answer 27

Humidify

Question 28

Will oxygen administration fix carbon dioxide levels?

Answer 28

No, bipap will fix Co2

Question 29

Nursing intervention to promote oxygen.

Answer 29

Dont smoke No petroleum products hard breathing, labor- sit up. Might see blue skin-COPD

Question 30

If CO2 rises- look at level if patient is confused and lethargic

Answer 30

N/A

Question 31

If bibpap is not working, what will the nurse do?

Answer 31

intubate/ vent patient

Question 32

Transporting a client on oxygen

Answer 32

Do not put oxy on bed. Educate on replacement oxy.

Question 33

What assessment findings would the nurse expect in someone with elevated carbon dioxide levels due to COPD?

Answer 33

Lethargic, blue

Question 34

What oxygen saturation is realistic for a client with a history of COPD?

Answer 34

88%

Question 35

If the client is receiving biPap therapy, what are some assessment findings the nurse would expect if therapy is effective? What if it isn’t? 

Answer 35

Alert, orientated, less RR

Question 36

Scenarios both sides Client admitted with sleep apnea. S/S: Snoring, big neck Risk factors: Big neck, overweight Treatment: Cpap What cues would indicate the client’s current regimen isn’t working? Tired, snoring. If it is working, less headaches and less tired

Answer 36

Currently on biPap therapy due to elevated carbon dioxide levels secondary to COPD. S/S: Blue? Risk factors: smoking, enviroment Treatment: bipap What cues would indicate the client needs more aggressive therapy? lethargic, confused

Question 37

65 yo, retired, Filipino female admitted for sleep study after she reports waking up several times each night Her wife states the client’s snoring keeps her up all night. Height: 52 inches Weight: 195 pounds Client reports feeling sleepy throughout the day. Client reports moodiness and irritability. What do you suspect the client is experiencing?

Answer 37

Sleep apnea Name 3 nursing interventions for a client with the suspected condition. How would the nurse evaluate the interventions? -Cpap -more exercise -position, pulmonary toilet, incentive spirodomer

Question 38

55 yo, male, white, truck driver with history of COPD and smoking presents to ER with confusion and SOA. What are questions the nurse may want to ask the family? Why is the client confused? What labs would the nurse analyze to validate their analysis?

Answer 38

Do they smoke? Use oxygen? confused because co2 in increased. What labs would the nurse analyze? ABG blood gas

Question 39

Arterial blood gas shows the client has elevated CO2 levels. The nurse understands _______ will help lower CO2 and increase oxygen levels.

Answer 39

BIPAP

Question 40

What other nursing interventions are appropriate when initiating this type of oxygen therapy?

Answer 40

Lung sounds, incentive spirometer

Question 41

Nursing Interventions for those with Pulmonary Disorders

Answer 41

Encourage pulmonary toilet. Assess lung sounds. What lung sound indicates an emergency? Position in Semi to High Fowler's position. Monitor oxygen saturation, skin color, breathing effort, RR Monitor for s/s of irritation and irritability, especially in clients who cannot verbalize soa. Monitor lab values.  Administer medications as ordered and PRN (as needed). Perform suctioning, if needed. Provide Yankauer to low wall suction at bedside 

Question 42

Oxygen home safety (Exam)

Answer 42

Question 43

Oxygen needs Follow up Education – What would you teach the client going home with oxygen? What would you teach the client going home with biPap?

Answer 43

No smoking, no fire, how to change oxy.