Oxygenation/Respiratory System

Question 1

oxygen is a ____ and therefore must be ordered by an NP or Physician

Answer 1

DRUG

Question 2

oxygen is ___/____ in the cell for energy

Answer 2

burnt/consumed

Question 3

we breathe ___, oxygen is just a component

Answer 3

air

Question 4

at sea level air is:
\_\_\_% oxygen
\_\_\_% nitrogen
\_\_\_% argon
\_\_\_% CO2
\_\_\_% water vapor
and small amounts of other gases

Answer 4

at sea level air is:
21 % oxygen
78.09 % nitrogen
.93 % argon
.039 % CO2
1 % water vapor
and small amounts of other gases

Question 5

on an airplane there is __ to ___ % O2

Answer 5

15 to 18

Question 6

____ is low oxygen content in the environment

Answer 6

hypoxia

Question 7

____ is deficiency of oxygen in the arterial blood

Answer 7

hypoxemia

Question 8

____ are increased levels of O2 delivered at higher than atmospheric pressure

Answer 8

hyperbaric

Question 9

normal O2 sats are

Answer 9

95-100%

Question 10

the zone of minimal SENSORY IMPAIRMENT

Answer 10

90-95%

Question 11

the zone of minimal MENTAL IMPAIRMENT

Answer 11

75-85%

Question 12

the zone of INC SENSORY AND MENTAL IMPAIRMENT

Answer 12

65-75%

Question 13

the zone of POTENTIAL COLLAPSE

Answer 13

55-65%

Question 14

two stimuli for breathing

Answer 14

1. inc CO2, low PH –> chemoreceptors are activated

2. O2 receptors activated if O2 is VERY low

Question 15

with inhalation the

1. diaphragm ____/___
2. rib cage ____
3. ___ pressure allows air to come in

Answer 15

with inhalation the

1. diaphragm contracts/flattens
2. rib cage expands
3. negative pressure allows air to come in

Question 16

with exhalation

1. diaphragm ___
2. rib cage ____
3. ___ pressure inside pushes air out

Answer 16

with exhalation

1. diaphragm relaxes
2. rib cage gets smaller
3. positive pressure inside pushes air out

Question 17

___ are the site of gas exchange

Answer 17

alveoli

Question 18

rhonchi are ___ pitched ___ sounds that are like ____

Answer 18

low pitched rattling sounds that are like snoring

Question 19

rhonchi are caused by ___ in the ___ ____

Answer 19

secretions in the larger airways

Question 20

___ will clear after coughing

Answer 20

rhonchi

Question 21

rhonchi are associated with what two diseases

Answer 21

COPD and CF

Question 22

crackles are ___ and on ___-

Answer 22

bubbling and on inhalation

Question 23

crackles are caused by lots of fluid in the ___/____

Answer 23

bronchioles/alveloi

Question 24

crackles ___ with coughing

Answer 24

WONT clear

Question 25

crackles can be heard with what two diseases

Answer 25

heart failure, PNA

Question 26

list 5 causes of hypoxemia

Answer 26

1. hypoxia (low environmental O2) 2. higher O2 demand than supply 3. dec. resp system function 4. dec. O2 carrying capacity of blood (anemia) 5. inadequate vascular system

Question 27

you get destruction of alveoli with ___ and ___

Answer 27

CF and TB

Question 28

trachea causes deviation to the...

Answer 28

side of collapse

Question 29

5 signs of abnormal respirations

Answer 29

1. change in RR 2. facial distress 3. accessory muscle use 4. skin/mucous membrane color 5. blood gases

Question 30

2 ways to measure blood gases

Answer 30

1. pulse ox | 2. arterial/venous blood gases

Question 31

___ is the gold standard for measuring blood gases

Answer 31

ABG

Question 32

VBG require a special

Answer 32

catheter

Question 33

___ measures absorption of red and infrared light by pulsatile blood

Answer 33

pulse ox

Question 34

``` normal ABG levels: pH CO2 HCO3 O2 BE ```

Answer 34

``` pH 7.35-7.45 CO2 35-45 HCO3 22-26 O2 80-100 BE -2 to +2 ```

Question 35

if O2 is normal it is ____

Answer 35

compensated

Question 36

if O2 is abnormal it is _____

Answer 36

uncompensated

Question 37

never give ____ O2, ____ has better neurological sequelae

Answer 37

100%, 21%

Question 38

nasal cannula are for ___ O2 between __

Answer 38

LOW flow O2 between 1-5 L/min

Question 39

nasal cannula deliver __% O2

Answer 39

28-44%

Question 40

rebreather mask is for ___ and deliver ___% O2

Answer 40

6-15L/min and deliver 35-55% O2

Question 41

rebreather mask saves ___ of a person's exhaled air

Answer 41

1/3

Question 42

rebreather mask allows the person to ____ some of the CO2, which ____ ____

Answer 42

rebreathe some of their CO2, which stimulates breathing

Question 43

non-rebreather mask delivers the ____ O2

Answer 43

highest non invasive

Question 44

non-rebreather masks should be set at ___ or more with ___ % O2 delivery

Answer 44

15 L/min or more, 60-80% O2

Question 45

with a NRB exhaled air escapes via

Answer 45

side ports

Question 46

___ delivers up to 100% O2

Answer 46

ETT

Question 47

___ is a handheld device used to provide positive pressure ventilation to pts not breathing or not breathing adequately

Answer 47

ambu bag/BVM

Question 48

SBAR stands for

Answer 48

S - situation, concise statement of the problem B - background, pertinent and brief info related to the situation A - assessment, analysis and consideration of options (what you think) R - recommendations, action requested/recommended (what you want)

Question 49

QSEN stands for

Answer 49

Quality and Safety Education for Nurses

Question 50

QSEN focuses on ___ and ____

Answer 50

HC quality and safety

Question 51

5 TARGETS of QSEN

Answer 51

1. patient centered care 2. teamwork and collaboration 3. EBP 4. safety 5. informatics