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?(Ans- Mode 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?(Ans- Pneumothorax SubQ Emphysema (crepatus) Decreased pre-load 1 / 2
What are the 3 buttons that a nurse is able to touch on a vent?(Ans- Silence 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.(Ans- Blocked airway Coughing Tension pneumothorax
Anxiety/Pain: Sedate them
Kinks in tubing
Decreased lung compliance: ARDS
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