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RNSG 1105 nursing skills module 8 Exam with verified solutions, Exams of Nursing

RNSG 1105 nursing skills module 8 Exam with verified solutions

Typology: Exams

2024/2025

Available from 07/13/2025

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RNSG [] 1105 [] nursing [] skills [] module []
8 [] Exam [] with [] verified [] solutions
How [] does [] coughing [] assist [] with [] supporting [] respiratory [] function? [] - []
Correct [] answer [] Coughing [] Permits [] patient [] to [] remove [] secretions []
from [] both [] upper [] and [] lower [] airways
- [] Assess [] pain [] before [] coughing [] exercises [] & [] medicate [] as [] needed. [] Many []
patients [] do [] not [] want [] to [] cough [] because [] of [] their [] pain [] or [] fear [] of [] the []
pain [] the [] exercise [] might [] cause.
- [] Teach [] Proper [] technique [] because [] ineffective [] coughing [] will [] increase []
the [] amount [] of [] energy [] the [] patient [] uses [] as [] they [] work [] to [] clear [] the []
airways. []
- [] Splint [] abdomen [] for [] patients [] with [] abdominal [] incision
- [] Take [] 2 [] deep [] breaths
- [] In-2-3-4 [] Out [] 2-3-4 []
- [] On [] third [] deep [] breath, [] COUGH [] on [] expiration
How [] does [] breathing [] exercises [] support [] respiratory [] function? [] - [] Correct []
answer [] - [] Loosens [] respiratory [] secretions
- [] Improves [] pulmonary [] ventilation
- [] Counteracts [] the [] effects [] of [] anesthesia [] and [] /or [] hypoventilation
- [] Expands [] collapsed [] alveoli [] (atelectasis)
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RNSG [] 1105 [] nursing [] skills [] module []

8 [] Exam [] with [] verified [] solutions

How [] does [] coughing [] assist [] with [] supporting [] respiratory [] function? [] - [] Correct [] answer [] ✔Coughing [] Permits [] patient [] to [] remove [] secretions [] from [] both [] upper [] and [] lower [] airways

  • [] Assess [] pain [] before [] coughing [] exercises [] & [] medicate [] as [] needed. [] Many [] patients [] do [] not [] want [] to [] cough [] because [] of [] their [] pain [] or [] fear [] of [] the [] pain [] the [] exercise [] might [] cause.
  • [] Teach [] Proper [] technique [] because [] ineffective [] coughing [] will [] increase [] the [] amount [] of [] energy [] the [] patient [] uses [] as [] they [] work [] to [] clear [] the [] airways. []
  • [] Splint [] abdomen [] for [] patients [] with [] abdominal [] incision
  • [] Take [] 2 [] deep [] breaths
  • [] In-2-3-4 [] Out [] 2-3-4 []
  • [] On [] third [] deep [] breath, [] COUGH [] on [] expiration How [] does [] breathing [] exercises [] support [] respiratory [] function? [] - [] Correct [] answer [] ✔- [] Loosens [] respiratory [] secretions
  • [] Improves [] pulmonary [] ventilation
  • [] Counteracts [] the [] effects [] of [] anesthesia [] and [] /or [] hypoventilation
  • [] Expands [] collapsed [] alveoli [] (atelectasis)

What [] is [] the [] difference [] in [] pursed-lip [] breathing [] and [] deep [] breathing? [] How [] would [] you [] teach [] a [] patient [] to [] perform [] each [] of [] these? [] (only [] focus [] on [] pursed-lip [] and [] deep [] diaphragmatic [] breathing, [] not [] on [] the [] others) [] - [] Correct [] answer [] ✔Pursed [] lip [] breathing [] involves [] deep [] inspiration [] and [] prolonged [] expiration [] through [] pursed [] lips [] to [] prevent [] alveolar [] collapse. [] It [] is [] used [] to [] improve [] exercise [] tolerance. [] Patient [] sits [] up [] while [] you [] instruct [] them [] to [] take [] a [] deep [] breath [] and [] exhale [] slowly [] as [] if [] blowing [] through [] a [] straw. [] Diaphragmatic [] breathing [] is [] useful [] for [] patients [] with [] pulmonary [] disease, [] postoperative [] patients, [] and [] women [] in [] labor [] to [] promote [] relaxation [] and [] provide [] pain [] control. [] It [] requires [] a [] patient [] to [] relax [] intercostal [] and [] accessory [] respiratory [] muscles [] while [] taking [] deep [] inspirations. [] The [] patient [] places [] one [] hand [] flat [] below [] the [] breastbone [] (upper [] hand) [] and [] the [] lower [] hand [] flat [] on [] the [] abdomen. [] Ask [] them [] to [] inhale [] slowly, [] making [] the [] abdomen [] push [] out [] and [] moving [] the [] lower [] hand [] outward. [] When [] the [] patient [] exhales, [] the [] abdomen [] goes [] in. [] The [] patient [] practices [] it [] initially [] in [] the [] supine [] position [] then [] while [] sitting [] and [] standing. A [] HCP [] ordered: [] T,C, [] DB [] q [] 2 [] h. [] What [] does [] this [] mean? [] How [] often [] is [] this [] usually [] performed? [] - [] Correct [] answer [] ✔Turn, [] cough, [] deep [] breathing [] every [] 2 [] hours. [] Turn [] the [] patient [] assists [] with [] ventilation [] and [] redistribution [] of [] pulmonary [] blood [] flow [] and [] direct [] them [] to [] cough [] every [] 2 [] hours [] permits [] patient [] to [] remove [] secretions [] from [] both [] upper [] and [] lower [] airways [].

What [] are [] measures [] that [] promote [] oxygen [] safety? [] - [] Correct [] answer [] ✔- [] can [] only [] be [] prescribed [] by [] an [] HCP [] and [] distribution [] must [] be [] in [] accordance [] with [] federal, [] state, [] and [] local [] regulations

  • [] "oxygen [] in [] use" [] sign [] on [] patient's [] door [] and [] in [] patient's [] room. [] If [] using [] at [] home, [] sign [] should [] be [] placed [] on [] door [] of [] the [] house [] and [] smoking [] is [] not [] allowed [] on [] the [] premises.
  • [] keep [] oxygen [] delivery [] systems [] away [] from [] open [] flames
  • [] make [] sure [] all [] electrical [] equipment [] in [] the [] room [] is [] functioning [] correctly [] and [] properly [] grounded [] to [] avoid [] an [] electrical [] spark
  • [] when [] using [] oxygen [] cylinders, [] they [] must [] be [] stored [] and [] secured [] upright
  • [] Check [] oxygen [] level [] of [] portable [] tanks [] before [] transporting [] a [] patient [] to [] ensure [] there [] is [] enough [] oxygen [] in [] the [] tank.
  • [] ensure [] that [] patient's [] have [] adequate [] oxygen [] tubing [] to [] safely [] move [] around [] their [] home [] or [] environment. How [] is [] oxygen [] supplied [] to [] the [] patient's [] bedside? [] - [] Correct [] answer [] ✔Either [] by [] oxygen [] tanks [] or [] through [] a [] permanent [] wall-piped [] system. [] Regulators [] control [] the [] amount [] of [] oxygen [] delivered What [] are [] ways [] that [] oxygen [] is [] delivered [] to [] the [] patient? [] What [] is [] the [] nursing [] care [] related [] to [] each [] device? [] - [] Correct [] answer [] ✔- [] Nasal [] cannula [] has [] 2 [] nasal [] prongs [] inserted [] into [] the [] patient's [] nostrils. [] The [] attached [] tubing [] goes [] behind [] each [] ear [] and [] under [] the [] chin. [] Nurses [] must [] be [] aware [] of [] the [] breakdown [] of [] skin [] over [] the [] ears [] and [] in [] the [] nostrils [] from [] too [] tight [] an [] application. []
  • [] Oxygen [] masks [] are [] placed [] over [] the [] nose [] and [] mouth [] and [] is [] secured [] in [] place [] with [] a [] strap. [] There [] are [] 2 [] primary [] types [] of [] masks: [] one [] delivering [] low [] concentrations [] of [] oxygen [] and [] those [] delivering [] high [] concentrations. [] The [] simple [] face [] mask [] delivers [] low [] dose [] concentrations [] of [] oxygen [] (6 [] to [] 12 [] L/min [] or [] 35% [] to [] 50%). [] Flow [] rates [] > [] 5L [] to [] avoid [] rebreathing [] exhaled [] CO2 [] in [] the [] mask. [] Nurses [] should [] be [] aware [] of [] skin [] breakdown [] under [] mask [] from [] long [] term [] use. []
  • [] A [] plastic [] face [] mask [] with [] a [] reservoir [] bag [] is [] capable [] of [] delivering [] higher [] concentrations [] of [] oxygen [] (partial [] rebreather [] or [] nonrebreather [] mask). [] Bag [] must [] be [] 1/3 [] to [] ½ [] full [] and [] delivers [] a [] flow [] rate [] of [] 10-15 [] L/min(60% [] to [] 90% [] oxygen).Frequently [] inspect [] the [] reservoir [] bag [] to [] make [] sure [] it's [] inflated. [] If [] it [] is [] deflated, [] the [] patient [] is [] breathing [] large [] amounts [] of [] exhaled [] CO2. [] Should [] be [] humidified. [] Venturi [] mask [] delivers [] higher [] O2 [] concentrations [] of [] 24% [] to [] 60% [] and [] usually [] requires [] oxygen [] flow [] rates [] of [] 4 [] to [] 12 [] L/min [] depending [] on [] the [] flow- [] control [] meter [] selected. How [] would [] you [] apply [] a [] nasal [] cannula [] or [] face [] mask? [] - [] Correct [] answer [] ✔Nasal [] cannula [] has [] 2 [] nasal [] prongs [] inserted [] into [] the [] patient's [] nostrils. [] The [] attached [] tubing [] goes [] behind [] each [] ear [] and [] under [] the [] chin. [] Face [] mask [] goes [] over [] the [] nose [] and [] mouth [] with [] a [] strap [] behind [] the [] head What [] does [] a [] pulse [] oximeter [] measure? [] Which [] sites [] on [] the [] body [] are [] appropriate [] to [] measure [] oxygen [] saturation [] via [] pulse [] oximeter? [] - [] Correct [] answer [] ✔It [] detects [] the [] amount [] of [] oxygen [] bound [] to [] hemoglobin [] molecules [] and [] calculates [] the [] pulse [] saturation. [] Can [] be []

Which [] position [] allows [] maximum [] chest [] expansion [] in [] a [] patient [] who [] is [] on [] bed [] rest. [] - [] Correct [] answer [] ✔Tripod [] or [] Orthopneic [] - [] the [] position [] assumed [] by [] patients [] with [] orthopnea, [] namely [] sitting [] up [] leaning [] forward [] on [] several [] pillows. Why [] might [] a [] patient [] be [] a [] candidate [] for [] oxygen [] therapy? [] - [] Correct [] answer [] ✔With [] hypoventilation, [] he [] could [] have [] inadequate [] transport [] of [] oxygen [] and [] develop [] hypoxemia. How [] is [] the [] nurse [] going [] to [] regulate [] the [] flow [] rate [] of [] oxygen [] to [] 2liters/min? [] - [] Correct [] answer [] ✔Use [] the [] xmas [] tree [] to [] regulate [] the [] flow What [] is [] the [] purpose [] of [] humidification? [] - [] Correct [] answer [] ✔to [] prevent [] drying [] of [] the [] nose [] and [] mouth [] with [] a [] nasal [] cannula What [] is [] a [] normal [] pulse [] oximetry [] reading? [] What [] reading [] level [] would [] cause [] concern [] for [] hypoxemia? [] - [] Correct [] answer [] ✔Normal [] saturation [] = [] 95% [] - [] 100%. []

  • [] 95% [] = [] oxygenation [] problems. []
  • [] 90% [] = [] a [] life-threatening [] which [] requires [] immediate [] attention Nursing [] responsibilities [] for [] a [] low [] pulse [] ox [] reading [] - [] Correct [] answer [] ✔Assess [] the [] patient [] first!

Assess [] if [] there [] are [] any [] factors [] present [] that [] might [] alter [] the [] pulse [] ox [] reading [] such [] as: Oxygen [] off Acetylic [] nail [] polish Cold [] extremity Not [] on [] the [] patient [] correctly Mr. [] Y [] becomes [] confused [] and [] restless. [] The [] nurse [] thinks [] it [] might [] be [] a [] respiratory [] problem. What [] should [] the [] nurse [] assess [] to [] establish [] if [] they [] are [] correct? [] - [] Correct [] answer [] ✔Level [] of [] Conscious Breath [] Sounds O2 [] Therapy [] correct Pulse [] Ox [] (Oxygen [] Saturation [] in [] blood)