NR 224 Final Exam Test Map (Latest 2020 / 2021) Chamberlain College of Nursing

Document Content and Description Below

NR224 Final Exam Test Map Distribution of Questions: Main Focus Topics : Oxygenation, Bowel/Nutrition, Medications Delegation: For all topics, please know what the nurse can and cannot delegate re... lated to the patient’s care. Oxygenation Basic A & P • Ventilation - the movement of air between the atmosphere and the alveoli of the lungs as we inhale and exhale • Diffusion - gas exchange which involves CO2 between the alveoli and the pulmonary capillaries • Transportation - transport of oxygen from the lungs to the tissues and transport of carbon dioxide from the tissues to the lungs Respiratory assessment/Priorities of care/s/s of respiratory abnormalities and RN Response • Assessment includes pain, dyspnea, wheezing, respiratory infections, health risks, smoking, cough, environmental exposures, allergies, and medications used. • Alterations in Respiratory Functioning • Hyperventilation - ventilation in excess of that required to eliminate carbon dioxide produced by cellular metabolism • Hypoventilaiton - alveolar ventilation inadequate to meet the body’s oxygen demand or to eliminate sufficient carbon dioxide • Hypoxia - inadequate tissue oxygenation at the cellular level • Cyanosis - blue discoloration of the skin and mucous membranes • Interventions • Position the client to allow for maximal chest expansion • Encourage or assist client with frequent changes in position,every 2 hours • Encourage deep breathing and coughing • Encourage ambulation • Promote comfort so client can tolerate the above activities • increased fluids • suctioning Delivery systems • Oxygen is a medication, it must be administered as prescribed. • The dose or concentration of the oxygen should be continuously monitored • Humidification is necessary for clients receiving O2 therapy >4L/min • If you have a client receiving oxygen you must check it when you assess the client • If client is transported make sure portable tank has enough oxygen in tank • Initiating the adm of oxygen is considered similar to administering a medication and is not delegated to UAP • UAP may reapply the oxygen delivery device • Nasal Cannula • Most commonly used oxygen device because of convenience and client comfort • Delivered oxygen concentration can vary with client breathing pattern • Nasal passages must be patent for client to receive O2 • Can cause skin breakdown over the ears and in the nares • Face Mask • Face Masks cover the client’s nose and mouth • To avoid rebreathing CO2 while wearing a mask,a minimum of 5L/min oxygen flow rate is required [Show More]

Last updated: 1 year ago

Preview 1 out of 18 pages