NUR 265 Exam 2: Questions & Answers
How is an ET tube placement confirmed?
(Ans- From first to last
ETCO2 20-40mmHg
Chest symmetry
Listen to left/right/abdomen
Chest X-Ray
Describe the A/C vent mode.
(Ans- The vent does everything for the patient. It delivers a set amount of
breaths per minute
Describe SIMV vent mode.
(Ans- The pt attempts to breath and the vent assists with their breaths
What are the different ventilator settings?
(AnsMode
FiO2
Rate
Tidal Volume (Vt)
PEEP
What is PEEP?
(Ans- It is positive pressure that tells the alveoli in the lungs to stay open a
little longer. It helps with gas exchange.
What are some complications of PEEP?
(AnsPneumothorax
SubQ Emphysema (crepatus)
Decreased pre-load
What are the 3 buttons that a nurse is able to touch on a vent?
(AnsSilence
Restart
100% Oxygen (before suctioning a patient)
When is it acceptable to shut off a vent alarm?
(Ans- NEVER
What should be done when a patient is in respiratory distress?
(Ans- Call for help, disconnect the vent, start bagging the patient, then reassess
What are ways to prevent VAP?
(Ans-
Remove water from circuits
HOB up to 30 degrees
Turn Q2h
Suction
Oral care Q2H
Prevent aspiration
Lip moisturizer
Percussion
Give examples of what could cause a high pressure alarm.
(AnsBlocked airway
Coughing
Tension pneumothorax
Anxiety/Pain: Sedate them
Kinks in tubing
Decreased lung compliance: ARDS