Oxygen and Breathing
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Questions and Answers

Why do alcohol and narcotics affect oxygen needs?

  • They trigger allergic reactions that constrict airways.
  • They depress the breathing center in the brain. (correct)
  • They directly cause a pneumothorax.
  • They act as pollutants within the respiratory system.

During suctioning of a patient's airway, what is the MOST appropriate technique to prevent tissue damage?

  • Omit wearing gloves if the patient's secretions appear clear.
  • Perform suctioning routinely every 2 hours, regardless of need.
  • Limit each suction cycle to 10 to 15 seconds. (correct)
  • Apply continuous suction while inserting the catheter.

What is the most accurate definition of hypoxia?

  • The lack of oxygen in the environmental air.
  • Insufficient oxygen reaching the body's cells. (correct)
  • Not enough oxygen in the blood.
  • The amount of hemoglobin that contains oxygen.

Which of the following is typically the earliest sign of hypoxia that a healthcare provider might observe?

<p>Restlessness (C)</p> Signup and view all the answers

A patient with a chest tube is being transported to another unit. What is the MOST important action to ensure the chest tube's functionality during transport?

<p>Ensure the drainage system remains below the patient's chest level. (D)</p> Signup and view all the answers

A patient reports being able to breathe comfortably only in an upright position. What is the correct term for this condition?

<p>Orthopnea (C)</p> Signup and view all the answers

When using an Ambu bag to hyperventilate a patient, what is a KEY indicator of effective ventilation?

<p>Visible chest rise and fall with each ventilation. (D)</p> Signup and view all the answers

A patient on mechanical ventilation has an endotracheal tube. What implications does this have for the patient's communication?

<p>The patient's ability to speak is significantly impaired. (B)</p> Signup and view all the answers

Which finding is most indicative of altered respiratory function during a physical assessment?

<p>Wheezing or crowing sounds (A)</p> Signup and view all the answers

A client's pulse oximetry (SpO2) reading is 98%. What does this indicate about the client's oxygen saturation?

<p>The measurement is within the normal range. (D)</p> Signup and view all the answers

While caring for a patient with a pneumothorax and a chest tube, you notice continuous bubbling in the water-seal chamber. What does this MOST likely indicate?

<p>There is a leak in the chest tube system that needs to be addressed. (B)</p> Signup and view all the answers

Which location is most commonly used for applying a pulse oximetry sensor?

<p>Second toe (A)</p> Signup and view all the answers

When is the optimal time to collect a sputum specimen for diagnostic testing?

<p>Upon awakening (C)</p> Signup and view all the answers

Flashcards

Hypoxia

Reduced oxygen supply to cells and tissues.

Orthopnea

Difficulty breathing when lying down, relieved by sitting or standing.

Wheezing

Whistling or coarse sound heard during breathing, indicates airway narrowing.

SpO2

Percentage of hemoglobin in blood that is saturated with oxygen.

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Incentive spirometer

Deep breathing technique using a device to encourage maximum lung inflation.

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Tracheostomy

Artificial airway surgically created in the trachea.

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Obturator

Device inserted into the outer cannula of a tracheostomy tube to guide insertion.

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Suctioning

To draw fluid or secretions by suction.

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Suction Cycle Duration

Briefly applying suction to remove secretions from the airway.

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Chest Tubes Purpose

Tubes inserted into the chest to drain air or fluid.

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Ambu Bag Function

A bag used to manually provide breaths, hyperventilating the lungs.

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Endotracheal (ET) Tube

A tube inserted into the trachea to facilitate mechanical ventilation.

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Pneumothorax

The accumulation of air in the pleural space, leading to lung collapse.

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Study Notes

  • Alcohol and narcotics affect oxygen needs by depressing the breathing center in the brain.
  • Hypoxia is defined as not enough oxygen in the cells.
  • An early sign of hypoxia is restlessness.
  • Orthopnea is a condition where a client can breathe deeply and comfortably only while sitting.
  • Wheezing or crowing sounds are signs of altered respiratory function.
  • A client's SpO2 of 98% indicates the measurement is within normal range.
  • A common site for a pulse oximetry sensor is the index finger.
  • The best time to collect sputum is on awakening.
  • When a sputum specimen is needed, patients should rinse their mouth with clear water.
  • When assisting a client with coughing and deep breathing, they should exhale through pursed lips.
  • An incentive spirometer is useful for deep breathing.
  • When assisting with oxygen therapy, keep the connecting tubing secure and free of kinks.
  • If a client has a tracheostomy, the outer cannula must be secured in place.
  • A client who has a tracheostomy can safely shave.
  • If a client has a tracheostomy, the old ties are removed after the outer cannula is held in place for safety considerations.
  • When suctioning, a suction cycle should be no more than 10 to 15 seconds.
  • Chest tubes remove trapped air from the chest cavity.
  • An Ambu bag is used to hyperventilate the lungs.
  • If a patient requires mechanical ventilation, they likely have an endotracheal (ET) tube or a tracheostomy tube.
  • If an alarm sounds on a ventilator, first check to see if the airway is attached to the ventilator.
  • A pneumothorax is the collection of air in the pleural space.
  • When chest tubes are attached to a disposable water-seal drainage system, keep the drainage system below the client's chest.

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Description

This lesson covers the impact of substances on oxygen needs, signs of hypoxia, and respiratory conditions like orthopnea. Also covered are methods for assessing oxygenation with pulse oximetry, sputum collection techniques, and interventions such as deep breathing exercises and oxygen therapy.

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