Respiration and Oxygen Sherpath WK 3

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Which definition of breathing is accurate?

The exchange of oxygen between alveoli and red blood cells
The movement of red blood cells carrying oxygen to tissues and cells
The movement of oxygen in and out of the lungs, or inhaling and exhaling (correct)
The active, conscious effort of moving the lungs and chest wall

Match the stimulus or action to its corresponding physiologic receptor site.

Chemoreceptors in aortic arch, carotid arteries = React to hypoxemia Receptors in medulla = React to high levels of carbon dioxide Receptors in lungs and muscles = Provide stretch input to medulla and pons Chemoreceptors located throughout the body = Stimulate respiratory centers in medulla and pons

In which primary area of the lung does carbon dioxide transfer (diffusion) occur?

Nose
Alveoli (correct)
Trachea
Bronchioles

Which factors affect respirations? (Select all that apply.)

Exercise (A), Diseases (B), Fear (C), Acid-base balance (D) Signup and view all the answers

Which questions would the nurse ask before taking a patient’s respirations? Select all that apply.

Do you vape? (B), Have you taken any pain medication? (C), Do you have any shortness of breath? (D) Signup and view all the answers

Match the respiratory rate to its corresponding age group.

Newborn = 24-38 1 y/o = 22-30 6 y/o = 20-24 older adult = 15-20 Signup and view all the answers

Which breathing pattern would the nurse suspect when a patient is breathing 8 breaths/min?

Bradypnea (C) Signup and view all the answers

Which observation would the nurse observe in a patient who has Cheyne-Stokes respirations?

Rhythmic respirations, going from very deep to very shallow or apneic periods (C) Signup and view all the answers

Which cues would the nurse obtain from the medical records about respiration and oxygenation? Select all that apply.

Vital signs from the graphics (A), Medication records (B), Chronic obstructive pulmonary disease (COPD) from the history (C), Baselines from the vital signs flow sheet (D) Signup and view all the answers

Match the respiration hypothesis to its cause.

Difficulty breathing = Dyspnea Excess of carbon dioxide exhaled = Hyperventilation Respiratory center in the brain shuts down = Apnea Alterations in patterns, rate, depth, quality, and/or rhythm = Impaired Breathing Signup and view all the answers

Which adult patient would the nurse assess first?

Patient’s airway occluded (A) Signup and view all the answers

Which goal would the nurse develop for a patient with an elevated respiratory rate?

Patient’s respiratory rate improves. (A) Signup and view all the answers

Which finding would indicate to the nurse that an adult patient with Hyperventilation is improving?

Respiratory rate decreasing (A) Signup and view all the answers

Which finding would alert the nurse that an adult patient with dyspnea is declining?

Accessory muscle use increasing (D) Signup and view all the answers

Which actions would the nurse take for a disoriented patient who “can’t catch a breath” and has a respiratory rate of 32? Select all that apply.

Apply prescribed oxygen. (B), Offer emotional support. (C), Reorient patient. (D) Signup and view all the answers

Which breathing pattern would the nurse assess for in a patient who has a fever, anxiety, and a respiratory disorder?

Tachypnea (B) Signup and view all the answers

Which alterations would the nurse anticipate in an older adult patient who is having shortness of breath, can only breathe if in a sitting position, and has a current respiratory rate of 28? Select all that apply.

Dyspnea (B), Tachypnea (C), Orthopnea (D) Signup and view all the answers

Which oxygen saturation sites would the nurse select for an adult patient who has decreased perfusion in the fingers and hand? Select all that apply.

Earlobe (A), Nose (C), Toe (D) Signup and view all the answers

Which expected outcome would the nurse develop for a patient with altered respiration and oxygenation?

Patient demonstrates regular rate and depth of respirations before discharge. (B) Signup and view all the answers

What respiratory rate would the nurse document for a rate of 12 breaths in 30 seconds? Record your answer as a whole number. _________ breaths/min

24 Signup and view all the answers

Which actions to improve oxygenation would the nurse take for a patient who has dyspnea, confusion, lung secretions, and hypoxia? Select all that apply.

Reposition the patient to a sitting position. (A), Suction the patient’s airway. (B), Apply prescribed supplemental oxygen to the patient. (C) Signup and view all the answers

Which technique would the nurse use to obtain a patient’s respiratory rate?

Count inhalation and exhalation as one breath. (B) Signup and view all the answers

Which factors would the nurse consider are causing a patient’s tachypnea? Select all that apply.

A smoker (B), Cardiovascular disease (D), Reports of chest pain (C) Signup and view all the answers

What is the expected respiratory rate (breaths per minute) for an adult patient? Record your answers as whole numbers separated by a hyphen. ______ breaths/min

12-20 Signup and view all the answers

Which patient respiratory rates (breaths/minute) would the nurse report as unexpected (abnormal)? Select all that apply.

15-year-old: 26 (A), Older adult: 10 (B), Adult: 28 (C), 1-year-old: 50 (D) Signup and view all the answers

Which hypothesis would the nurse select for a patient who has ascites, painful breathing, and a subjective feeling of shortness of breath?

Dyspnea (B) Signup and view all the answers

Which information would the nurse share with a patient who has rapid, deep breaths, feels faint, and has tingling in fingers?

Try to make the abdomen move out during inhalation. (C) Signup and view all the answers

Which cues would the nurse categorize as irrelevant for a patient’s respiration and oxygenation? Select all that apply.

Had prostate surgery 7 years ago (B), Has been a teacher for 25 years (D) Signup and view all the answers

Place the patients in the order in which the nurse would prioritize their care from highest priority to lowest priority.

(1)Patient with cessation of breathing and no pulse (3)Patient with Kussmaul breathing (2)Patient with a respiratory rate of 8 (4)Patient with chronic obstructive pulmonary disease (COPD) and an oxygen saturation of 90% Signup and view all the answers

Which parameter would the nurse assess to determine quality of respirations?

Whether respirations are labored or nonlabored (C) Signup and view all the answers

Which action would the nurse take for a patient with apnea who is not responding to treatment?

Assist with placement on a ventilator. (B) Signup and view all the answers

Which conditions would prompt the nurse to observe for Cheyne-Stokes respirations? Select all that apply.

Increased intracranial pressure (A), Impending death (B) Signup and view all the answers

Trace the sequence of events that occurs during the oxygen transport cycle.

1 Oxygen is breathed into the lungs. 3 Oxygen binds to hemoglobin. 4 Oxygen is perfused through the arteries. 5 Oxygen is released to the body’s cells. 2 Oxygen diffuses across the alveoli. Signup and view all the answers

Which actions would the nurse take when finding the following respiratory rates on the flow sheet: 20, 16, 12? Select all that apply.

Reassess respiratory system. (A), Perform a head-to-toe assessment. (B), Review medications. (C), Notify the health care provider. and Obtain an oxygen saturation measurement. (D) Signup and view all the answers

Which finding would alert the nurse a newborn with impaired breathing is declining?

Nasal flaring (A) Signup and view all the answers

Which outcome would the nurse develop for a patient experiencing bradypnea?

Patient will exhibit an expected respiratory rate within 1 hour of treatment. (A) Signup and view all the answers

Match the breathing pattern the nurse would report for each patient.

Patient with rapid, deep, regular respirations = Kussmaul breathing Patient with two or three shallow breaths followed by apnea = Biot breathing Patient with decreased respiratory rate = Bradypnea Patient with pattern of deep to shallow to apneic periods that repeats = Cheyne-Stokes respirations Signup and view all the answers

Which factors can compromise an oxygen saturation reading? Select all that apply.

Jaundice (A), Peripheral edema (B), Some fingernail polishes (C), Cold or injury to extremities (D) Signup and view all the answers