Zusammenfassung der Ressource
Frage 1
Frage
The low tidal volume alarm on a client's ventilator keeps sounding. What is the nurse's first action?
Antworten
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A) Manually ventilate the client.
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B) Put air into the endotracheal tube cuff.
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C) Check ventilator connections.
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D) Call the physician.
Frage 2
Frage
A client has just been intubated for placement on a mechanical ventilator. What is the first assessment of the tube placement?
Antworten
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A) Chest X-Ray
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B) Auscultation of breath sounds
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C) Pulse oximetry reading of 95%
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D) End tidal CO2 monitoring
Frage 3
Frage
What are strategies to prevent Ventilator-associated Pneumonia? select all that apply
Antworten
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A. Oral care every 4 hours,
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B. HOB elevated 30-45 degrees unless contraindicated by the patient's condition
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C. HOB elevated 10-15 degrees, unless contraindicated by the patient's condition
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D. Allow family to suction patient as needed to remove secretions
Frage 4
Frage
A Client has been intubated and placed on a volume-cycled mechanical ventilator. The nurse carefully assess the client for findings associated with a risk associated with this type of ventilator. What is the risk?
Antworten
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a. Hypoventilation
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B. Hypercapnia
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C. Respiratory acidosis
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D. Barotrauma
Frage 5
Frage
A patient is placed on volume-cycled ventilation. The nurse plans care for this client based on which characteristic of this method of ventilation?
Antworten
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A. Delivers a set volume, which will help overcome the client's airway resistance changes.
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B. The mechanism by which the phase of the breath switches from inspiration to expiration.
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C. Provides a consistent tidal volume.
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D. Delivers a preset volume of gas to the lungs to generate high pressures.
Frage 6
Frage
The client is on CPAP for weaning from a mechanical ventilator. Assessment reveals a respiratory rate of 32/min, oxygen saturation of 88 percent, and use of accessory muscles. What should the nurse anticipate will occur?
Antworten
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A. The FiO2 will be increased.
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B. Weaning will continue.
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C. The client will be placed back on full ventilatory support.
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D. The client will be extubated.