NUR 251 Quiz 1 mechanical ventilators and hemodynamics answers

NUR 251 Quiz 1 mechanical ventilators and hemodynamics answers 1. The patient diagnosed with acute respiratory failure is transferred to the ICU and placed on a ventilator. Which intervention should the nurse implement first? a. Confirm that the ventilator settings are correct b. Verify that the ventilator alarms are functioning properly c. Assess the respiratory status and pulse oximeter reading d. Monitor the patient’s ABG results Lewis, Chapter 65 – page 1550 - monitor oxygenation and ventilation, Assess patient first! 2. The patient with ARDS is on a mechanical ventilator. Which intervention should be included in the nursing care plan addressing the endotracheal tube care? a. Do not move or touch the ET tube b. Obtain a chest x-ray daily c. Determine if the ET cuff is deflated d. Ensure that the Et tube is secure Lewis, Chapter 65 - Page : very important to ensure correct placement of ETT, this can be done by ensuring the tube is securely taped. Always identify the "exit mark" - this helps maintain correct tube placement 3. The patient diagnosed with ARDS is in respiratory distress and the ventilator is malfunctioning. Which intervention should the nurse implement first? a. Notify the respiratory therapist immediately b. Ventilate with a manual resuscitation (BVM) bag c. Request a stat ABG d. Auscultate the patient’s lung sounds Lewis, Chapter 65, page 1552: always have an BVM bag available connected to an oxygen source in case of vent malfunction or other possible complications. 4. All of the following are indications for the placement of an artificial airway except: a. Apnea b. High risk for aspiration c. Respiratory rate of 16 d. Ineffective clearance of secretions Lewis, Chapter 65, page 1548 indications for intubating a patient include: upper airway obstruction, apnea, aspiration risk, inability to clear secretions effectively and respiratory distress.