NUR 265 Exam 2 Questions and Answers Latest Update 100% Correct A+ Score.

NUR 265 Exam 2 Questions and Answers Latest Update 100% Correct A+ Score. How is an ET tube placement confirmed? - ANSWER From first to last ETCO2 20-40mmHg Chest symmetry Listen to left/right/abdomen Chest X-Ray Describe the A/C vent mode. - ANSWER The vent does everything for the patient. It delivers a set amount of breaths per minute Describe SIMV vent mode. - ANSWER The pt attempts to breath and the vent assists with their breaths What are the different ventilator settings? - ANSWER Mode FiO2 Rate Tidal Volume (Vt) PEEP What is PEEP? - ANSWER 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? - ANSWER Pneumothorax SubQ Emphysema (crepatus) Decreased pre-load What are the 3 buttons that a nurse is able to touch on a vent? - ANSWER Silence Restart 100% Oxygen (before suctioning a patient) When is it acceptable to shut off a vent alarm? - ANSWER NEVER What should be done when a patient is in respiratory distress? - ANSWER *Call for help, disconnect the vent, start bagging the patient, then reassess* What are ways to prevent VAP? - ANSWER *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. - ANSWER Blocked airway Coughing Tension pneumothorax Anxiety/Pain: Sedate them Kinks in tubing Decreased lung compliance: ARDS *Assess the patient not the monitor* Give examples of what could cause a low pressure alarm. - ANSWER Not getting enough air (in or out) Air leak in the cuff: Check the pilot balloon Disconnected tubing Low Vt *Assess the patient not the monitor* What are some things we have to do when caring for a vented patient? - ANSWER Lung assessment Frequent vital signs (every 4 hours) I&O (look at balances) Foley NPO Nutrition (NG Tube for all vent patients) Skin Care Monitor ABG/labs VTE prophylaxis What are some risk factors for a PE? - ANSWER Immobility Central Lines Surgery Obesity DVT's Birth Control Pills Smoking What is the best way to prevent a PE? - ANSWER *Move the patient post op.* What should be done immediately after the nurse notes s/s of a PE? - ANSWER *Notify the Rapid Response Team* What are ways to manage the symptoms of a PE? - ANSWER ABC: might need intubation Anticoags (heparin/warfarin/fibrinolytics) High Fowlers Telemetry Safety/bleeding precatutions 100% non rebreather What is a pulmonary contusion? - ANSWER A "bruise" of the lung What is the treatment/nursing interventions for a pulmonary contusion? - ANSWER PEEP to try and fix itself (bruise will desolve itself) Monitor ABC's Is an increase in output from a chest tube expected? - ANSWER *NO* .