Chapter 25 Skills in Clinical Nursing 8th Edition by Audrey J. Berman- Shirlee Snyder

Chapter 25 Skills in Clinical Nursing 8th Edition by Audrey J. Berman- Shirlee Snyder

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE.  Choose the one alternative that best completes the statement or answers the question.

• The nurse needs to deliver the highest concentration of oxygen (95-100%). What type of oxygen 1) delivery device would the nurse choose?

1. A) Face mask B) Nasal cannula
2. C) Partial rebreather mask D) Nonrebreather mask

Answer: D

Explanation: A)       The nonrebreather mask is used when high concentrations of oxygen are required (greater than 90%). The nasal cannula delivers low oxygen concentrations (24-44%), while face masks deliver 40-60%. The partial nonrebreather can deliver

40-60% oxygen.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Planning

1. The nonrebreather mask is used when high concentrations of oxygen are required (greater than 90%). The nasal cannula delivers low oxygen concentrations (24-44%), while face masks deliver 40-60%. The partial nonrebreather can deliver

40-60% oxygen.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Planning

1. The nonrebreather mask is used when high concentrations of oxygen are required (greater than 90%). The nasal cannula delivers low oxygen concentrations (24-44%), while face masks deliver 40-60%. The partial nonrebreather can deliver

40-60% oxygen.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Planning

1. The nonrebreather mask is used when high concentrations of oxygen are required (greater than 90%). The nasal cannula delivers low oxygen concentrations (24-44%), while face masks deliver 40-60%. The partial nonrebreather can deliver

40-60% oxygen.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Planning

Objective: Learning Outcome 25-1: Define the key terms used in the skills of oxygen delivery.

 

• The nurse is caring for a 5-month-old infant requiring oxygen What would be the most 2) effective means of delivering oxygen?

1. A) Partial rebreather mask B) Nonrebreather mask
2. C) Face mask D) Face tent

Answer: D

Explanation: A) The infant will not usually allow placement of a mask of any type, and this is not an effective means of delivering oxygen to young children. Infants might tolerate nasal cannulas if the tubing is secured using tape, but the older infant or toddler will usually attempt to pull it off. Face tents allow placement over the child’s face, or even over the entire crib, allowing uninterrupted delivery of oxygen.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The infant will not usually allow placement of a mask of any type, and this is not an effective means of delivering oxygen to young Infants might tolerate nasal cannulas if the tubing is secured using tape, but the older infant or toddler will usually attempt to pull it off. Face tents allow placement over the child’s face, or even over the entire crib, allowing uninterrupted delivery of oxygen.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The infant will not usually allow placement of a mask of any type, and this is not an effective means of delivering oxygen to young Infants might tolerate nasal cannulas if the tubing is secured using tape, but the older infant or toddler will usually attempt to pull it off. Face tents allow placement over the child’s face, or even over the entire crib, allowing uninterrupted delivery of oxygen.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The infant will not usually allow placement of a mask of any type, and this is not an effective means of delivering oxygen to young Infants might tolerate nasal cannulas if the tubing is secured using tape, but the older infant or toddler will usually attempt to pull it off. Face tents allow placement over the child’s face, or even over the entire crib, allowing uninterrupted delivery of oxygen.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

Objective: Learning Outcome 25-1: Define the key terms used in the skills of oxygen delivery.

 

• The client is being prepared for home oxygen The client’s spouse smokes 2-3 packs of 3) cigarettes per day. The nurse’s priority instruction to the client and spouse would be to:

1. Inform the doctor that home oxygen use would be dangerous for this
2. Instruct the spouse on the need to smoke
3. Instruct the spouse on the hazards of smoking in the same room with the
4. Instruct the spouse to quit

Answer: C

Explanation: A)      While the ideal would be for the spouse to stop smoking, as this would be healthiest for both the client and the spouse, the most important information for both the client and spouse to understand is the danger of smoking around the

oxygen delivery equipment.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Implementation

1. While the ideal would be for the spouse to stop smoking, as this would be

healthiest for both the client and the spouse, the most important information for both the client and spouse to understand is the danger of smoking around the

oxygen delivery equipment.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Implementation

1. While the ideal would be for the spouse to stop smoking, as this would be

healthiest for both the client and the spouse, the most important information for both the client and spouse to understand is the danger of smoking around the

oxygen delivery equipment.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Implementation

1. While the ideal would be for the spouse to stop smoking, as this would be

healthiest for both the client and the spouse, the most important information for both the client and spouse to understand is the danger of smoking around the

oxygen delivery equipment.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Implementation

Objective: Learning Outcome 25-2: Identify indications and contraindications for oxygen therapy.

 

• The client is started on 90% oxygen by nonrebreather mask at 8 m. The nurse working night shift 4) assesses the client, who complains of substernal pain and dyspnea and has rales audible in the lower lung field bilaterally. The nurse suspects:

1. A) Myocardial B) Pulmonary emboli.
2. C) Oxygen D) Congestive heart failure.

Answer: C

Explanation: A)      Oxygen toxicity can develop as early as 12 hours after breathing high concentrations of oxygen, and is indicated by substernal pain, cough, sore throat, dyspnea, and pulmonary edema. Oxygen toxicity should be ruled out before

assessing for other causes.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Assessment

1. Oxygen toxicity can develop as early as 12 hours after breathing high

concentrations of oxygen, and is indicated by substernal pain, cough, sore throat, dyspnea, and pulmonary edema. Oxygen toxicity should be ruled out before

assessing for other causes.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Assessment

1. Oxygen toxicity can develop as early as 12 hours after breathing high

concentrations of oxygen, and is indicated by substernal pain, cough, sore throat, dyspnea, and pulmonary edema. Oxygen toxicity should be ruled out before

assessing for other causes.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Assessment

1. Oxygen toxicity can develop as early as 12 hours after breathing high

concentrations of oxygen, and is indicated by substernal pain, cough, sore throat, dyspnea, and pulmonary edema. Oxygen toxicity should be ruled out before

assessing for other causes.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Assessment

Objective: Learning Outcome 25-2: Identify indications and contraindications for oxygen therapy.