(Answered)Exam 2: Mechanical Ventilation (NCLEX)Solved 2022

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a The purpose of adding PEEP to positive pressure ventilation is to a. increase functional residual capacity and improve oxygenation b. increase FIO2 in an attempt to wean the patient and avoid O... 2 toxicity c. determine if the patient is in synchrony with the ventilator or needs to be paralyzed d. determine is the patient is able to be weaned and avoid the risk of pneumomediastinum c The nursing management of a patient with an artificial airway includes a. maintaining the ET tube cuff pressure at 30 cm H20 b. routine suctioning of the tube at least every 2 hours c. observing for cardiac dysrhythmias during suctioning d. preventing tube dislodgment by limiting mouth care to lubrication of the lips 00:03 00:46 c The nurses monitors the patient with positive pressure mechanical ventilation for a. paralytic ileus because pressure on the abdominal contents affects bowel motility b. diuresis and sodium depletion because of increased release of atrial natriuretic peptide c. signs of cardiovascular insufficiency because pressure in the chest impedes venous return d. respiratory acidosis in a patient with COPD because of alveolar hyperventilation and increased PaO2 levels c A comatose patient with a possible cervical spine injury is intubated with a nasal ET tube. The nurse recognizes that what is a disadvantage of a nasal ET tube in comparison with an oral ET tube? a. requires the placement of a bite block b. is more likely to cause laryngeal edema c. requires greater respiratory effort in breathing d. requires the placement of an additional airway to keep the trachea open a In preparing a patient in the ICU for oral ET intubation, what should the nurse do that is most important for successful intubation? a. place the patient supine with the head extended and the neck flexed b. tell the patient that the tongue must be extruded while the tube is inserted c. position the patient supine with the head hanging over the edge of the bed to align the mouth and trachea d. inform the patient that while it will not be possible to talk during insertion of the tube, speech will be possible after it is correctly placed c The nurse uses the minimal occluding volume technique to inflate the cuff on an ET tube to minimize the incidence of what? a. infection b. hypoexmia c. tracheal damage d. accidental extubation c When should the nurse suction a patient's ET tube? a. when the patient has peripheral wheezes in all lobes b. when the patient has not been suctioned for the past 2 hours c. when the nurse auscultates adventitious sounds over the central airways d. when the nurse assesses a need to stimulate the patient to cough and deep breathe c What nursing care is included for the patient with an ET tube? a. check the cuff pressure every hour b. keep a tracheosotmy tray at the bedside c. hyperoxygenate before and after suctioning d. reuse the suction catheter at the bedside for 24 hours d While suctioning the ET tube of a spontaneously breathing patient, the nurse notes that the patient develops bradycardia with PVCs. What should the nurse do first? a. stop the suctioning and assess the patient for spontaneous respirations b. attempt to resuction the patient with reduced suction pressure and pass time c. stop the suctioning and ventilate the patient with slow, small-volume breaths using a bag-valve-mask d. stop suctioning and ventilate the patient with a BVM device with 100% oxygen until the HR returns to baseline a d What precautions should the nurse take during mouth care and repositioning of an oral ET tube to prevent and detect tube dislodgment? Select all that apply a. confirm bilateral breath sounds after care b. use suction pressures less than 120 mm Hg c. use humidified inspired gas to help thin secretions d. one staff member holds the tube and one performs care e. move secretions into larger airways with turning every 2 hours [Show More]

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