Mechanical Ventilation Questions Complex care exam 1

Mechanical Ventilation Questions Complex care exam 1 Leave the first rating Students also studied Terms in this set (23) Science MedicineNursing Save quiz 1 critical care nursing 27 terms boatingclass25 Preview RN Pharmacology Online Practice 2...60 terms arandy_Preview Pediatric Nursing HESI Case Study ...26 terms The_AstoRiaN_44 Preview Nursing 50 terms Ale A patient who is orally intubated and receiving mechanical ventilation is anxious and is fighting the ventilator. Which action should the nurse take next?Verbally coach the patient to breathe with the ventilator.Sedate the patient with the ordered PRN lorazepam (Ativan).Manually ventilate the patient with a bag-valve-mask device.Increase the rate for the ordered propofol (Diprivan) infusion.Verbally coach the patient to breathe with the ventilator.The nurse educator is evaluating the performance of a new registered nurse (RN) who is providing care to a patient who is receiving mechanical ventilation with 15 cm H2O of peak end-expiratory pressure (PEEP). Which action indicates that the new RN is safe?The RN plans to suction the patient every 1 to 2 hours.The RN uses a closed-suction technique to suction the patient.The RN tapes connection between the ventilator tubing and the ET.The RN changes the ventilator circuit tubing routinely every 48 hours.The RN uses a closed-suction technique to suction the patient.

The nurse is caring for a patient with a subarachnoid hemorrhage who is intubated and placed on a mechanical ventilator with 10 cm H2O of peak end- expiratory pressure (PEEP). When monitoring the patient, the nurse will need to notify the health care provider immediately if the patient develops oxygen saturation of 93%.respirations of 20 breaths/minute.green nasogastric tube drainage.increased jugular venous distention.increased jugular venous distention To evaluate the effectiveness of ordered interventions for a patient with ventilatory failure, which diagnostic test will be most useful to the nurse?Chest x-ray Oxygen saturation Arterial blood gas analysis Central venous pressure monitoring Arterial blood gas analysis Which statement by the nurse when explaining the purpose of positive end-expiratory pressure (PEEP) to the family members of a patient with ARDS is accurate?PEEP will push more air into the lungs during inhalation.PEEP prevents the lung air sacs from collapsing during exhalation.PEEP will prevent lung damage while the patient is on the ventilator.PEEP allows the breathing machine to deliver 100% oxygen to the lungs.PEEP prevents the lung air sacs from collapsing during exhalation.The nurse responds to a ventilator alarm and finds the patient lying in bed holding the endotracheal tube (ET).Which action should the nurse take next?Activate the rapid response team.Provide reassurance to the patient.Call the health care provider to reinsert the tube.Manually ventilate the patient with 100% oxygen.Manually ventilate the patient with 100% oxygen.The nurse educator is evaluating the care that a new registered nurse (RN) provides to a patient receiving mechanical ventilation. Which action by the new RN indicates the need for more education?The RN increases the FIO2 to 100% before suctioning.The RN secures a bite block in place using adhesive tape.The RN asks for assistance to reposition the endotracheal tube.The RN positions the patient with the head of bed at 10 degrees.The RN positions the patient with the head of bed at 10 degrees.

After change-of-shift report on a ventilator weaning unit, which patient should the nurse assess first?Patient who failed a spontaneous breathing trial and has been placed in a rest mode on the ventilator Patient who is intubated and has continuous partial pressure end-tidal CO2 (PETCO2) monitoring Patient with a central venous oxygen saturation (ScvO2) of 69% while on bilevel positive airway pressure (BiPAP) Patient who was successfully weaned and extubated 4 hours ago and now has no urine output for the last 6 hours Patient who was successfully weaned and extubated 4 hours ago and now has no urine output for the last 6 hours A patient with respiratory failure has a respiratory rate of

• breaths/minute and an oxygen saturation (SpO2) of

88%. The patient is increasingly lethargic. Which intervention will the nurse anticipate?Administration of 100% oxygen by non-rebreather mask Endotracheal intubation and positive pressure ventilation Insertion of a mini-tracheostomy with frequent suctioning Initiation of continuous positive pressure ventilation

(CPAP)

Endotracheal intubation and positive pressure ventilation A nurse is caring for a patient who is orally intubated and receiving mechanical ventilation. To decrease the risk for ventilator-associated pneumonia, which action will the nurse include in the plan of care?Elevate head of bed to 30 to 45 degrees.Suction the endotracheal tube every 2 to 4 hours.Limit the use of positive end-expiratory pressure.Give enteral feedings at no more than 10 mL/hr.Elevate head of bed to 30 to 45 degrees Which actions should the nurse initiate to reduce the risk for ventilator-associated pneumonia (VAP) (select all that apply)?Obtain arterial blood gases daily.Provide a sedation holiday daily.Elevate the head of the bed to at least 30.Give prescribed pantoprazole (Protonix).Provide oral care with chlorhexidine (0.12%) solution daily.Provide a sedation holiday daily.Elevate the head of the bed to at least 30.Give prescribed pantoprazole (Protonix).Provide oral care with chlorhexidine (0.12%) solution daily.A patient with respiratory failure has arterial pressure- based cardiac output (APCO) monitoring and is receiving mechanical ventilation with peak end-expiratory pressure (PEEP) of 12 cm H2O. Which information indicates that a change in the ventilator settings may be required?The arterial pressure is 90/46.The heart rate is 58 beats/minute.The stroke volume is increased.The stroke volume variation is 12%.The arterial pressure is 90/46.

To verify the correct placement of an oral endotracheal tube (ET) after insertion, the best initial action by the nurse is to auscultate for the presence of bilateral breath sounds.obtain a portable chest x-ray to check tube placement.observe the chest for symmetric chest movement with ventilation.use an end-tidal CO2 monitor to check for placement in the trachea.use an end-tidal CO2 monitor to check for placement in the trachea.To maintain proper cuff pressure of an endotracheal tube (ET) when the patient is on mechanical ventilation, the nurse should inflate the cuff with a minimum of 10 mL of air.inflate the cuff until the pilot balloon is firm on palpation.inject air into the cuff until a manometer shows 15 mm Hg pressure.inject air into the cuff until a slight leak is heard only at peak inflation.inject air into the cuff until a slight leak is heard only at peak inflation.A nurse is caring for a patient with acute respiratory distress syndrome (ARDS) who is receiving mechanical ventilation using synchronized intermittent mandatory ventilation (SIMV). The settings include fraction of inspired oxygen (FIO2) 80%, tidal volume 450, rate 16/minute, and positive end-expiratory pressure (PEEP) 5 cm. Which assessment finding is most important for the nurse to report to the health care provider?Oxygen saturation 99% Respiratory rate 22 breaths/minute Crackles audible at lung bases Heart rate 106 beats/minute Oxygen saturation 99% A patient is receiving 35% oxygen via a Venturi mask. To ensure the correct amount of oxygen delivery, which action by the nurse is most important?Teach the patient to keep mask on at all times.Keep the air entrainment ports clean and unobstructed.Give a high enough flow rate to keep the bag from collapsing.Drain moisture condensation from the oxygen tubing every hour.Keep the air entrainment ports clean and unobstructed.