Albany Medical College Oxygenation Questionnaire

Oxygenation HandoutPlease answer all questions in your own words. No citations are needed for this assignment as the
answers are located in your textbook. Please ensure your answers are brief so they will fit inside each
box.
1. Describe the following cardiopulmonary terms:
Frank Starling law
Cardiac Output
Cardiac Index
Stroke Volume
Preload
Afterload
ECG
Normal Sinus Rhythm
2. Explain the waves in the heart’s electrical conduction system and what they represent:
P Wave
QRS Complex
QT Interval
PR Interval
3. Explain the following terms. Use table below.
Work of breathing
Ventilation
Inspiration
Expiration
Airway
Resistance
4. What four factors affect oxygenation and ventilation?
5. What seven conditions affect chest wall movement?
6. Explain the characteristics/differences between left-sided heart failure and right-sided heart
failure. How do these conditions affect efficient oxygenation? Use table below.
Condition
Characteristics
Effects on oxygenation
Right sided heart
failure
Left sided heart
failure
7. Explain the following impaired valvular functions: stenosis and regurgitation. How is
oxygenation affected?
Condition
Stenosis
Characteristics
Effect on oxygenation
Regurgitation
8. Briefly describe the following disorders. Use table below.
Myocardial ischemia
Angina pectoris
Myocardial Infarction
Acute Coronary Syndrome
9. Define/explain the following. Use table below.
Hyperventilation
Hypoventilation
Atelectasis
Hypoxia
Cyanosis
10. What are the differences between the following chest pains? Use table below.
Cardiac pain
Pleuritic pain
Musculoskeletal
pain
11. How does cardiac function relate to respiratory function and what common assessment data
supports a diagnosis of impaired cardiac and respiratory function. Use table below.
Function
Definition
Assessment data
Cardiac
Respiratory
12. How does the following affect oxygenation? Use table below.
Fatigue
Dyspnea
Orthopnea
Cough
Wheezing
13. Give one nursing diagnosis for a patient with alterations in oxygenation.
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14. Give two specific outcomes for maintaining patent airway.
a)_____________________________________________
b)_____________________________________________
15. Give five modalities appropriate for a patient with dyspnea.
a)____________________________________________________________________________
b)____________________________________________________________________________
c)____________________________________________________________________________
d)____________________________________________________________________________
e)____________________________________________________________________________
16. Define the following terms. Use table below.
Hemothorax.
Pneumothorax
17. Define the following oxygen delivery methods and identify advantages and disadvantages.
Method of
delivery
Nasal cannula
Advantages
Disadvantages
Venturi mask
Face mask
Non-rebreather
mask
18. What are the ABCs of CPR? Briefly provide an explanation for each.
A
B
C
19. How does the following improve ventilation and oxygenation?
Coughing
Respiratory
muscle training
Pursed lip
breathing
Diaphragmatic
breathing
20. Briefly describe the following dysrhythmias?
Sinus tachycardia
Atrial fibrillation
Ventricular
tachycardia
Ventricular
fibrillation
Sinus
bradycardia
Premature atrial
contractions
Answer the following questions and give the rationale for your answer.
21. Ventilation, perfusion, and exchange of gases are the major purposes for
A. Respiration
B. Circulation
C. Aerobic metabolism
D. Anaerobic metabolism
ANSWER AND RATIONALE
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22. Afterload refers to:
A. The resistance to left ventricular ejection.
B. The amount of blood in the left ventricle at the end of diastole.
C. The amount of blood ejected from the left ventricle each minute.
D. The amount of blood ejected from the left ventricle with each contraction.
ANSWER AND RATIONALE
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23. The movement of gases in and out of the lungs depends on:
A. 50% oxygen content in the atmospheric air.
B. The pressure gradient between the atmosphere and the alveoli.
C. The use of accessory muscles of respiration during expiration.
D. The amount of carbon dioxide dissolved in the fluid of the alveoli.
ANSWER AND RATIONALE
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24. Mr. Isaac comes to the emergency room complaining of difficulty in breathing. An
objective finding associated with his dyspnea might include:
A. Feelings of heaviness in his chest.
B. Complaints of shortness of breath.
C. Use of accessory muscles of respiration.
D. Statements about a sense of impending doom.
ANSWER AND RATIONALE
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25. The use of chest physiotherapy to mobilize pulmonary secretions involves the use of
A. Hydration
B. Percussion
C. Nebulization
D. Humidification
ANSWER AND RATIONALE
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