NCM 118 LEC 2024 (Questions with 100% verified answers)

1. 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? A. Weaning will continue. B. The FiO2 will be increased. C. The client will be extubated. D. The client will be placed back on full ventilatory support. correct answers 1. Answer: D - The client will be placed back on full ventilatory support. 2. A Client has been placed on a volume-cycled mechanical ventilator. The nurse carefully assesses the client for findings associated with a risk associated with this type of ventilator. What is the risk? A. Hypoventilation B. Hypercapnia C. Respiratory acidosis D. Barotrauma correct answers Answer: D - Barotrauma 3. When a critically ill client has a compromised airway, the following objective cues are usually present except A. unresponsiveness B. wheezes C. tracheal tug D. crackles correct answers Answer: C - tracheal tug; 4. A patient with respiratory failure has a respiratory rate of 8 and an SpO2 of 89%. The patient is increasingly lethargic. The nurse will anticipate assisting with A. administration of 100% oxygen by non-rebreather mask. B. endotracheal intubation and positive pressure ventilation. C. insertion of a mini tracheostomy with frequent suctioning. D. initiation of bilevel positive pressure ventilation (BiPAP). correct answers Answer: B - endotracheal intubation and positive pressure ventilation. 5. When admitting a patient in possible respiratory failure with a high PaCO2, which assessment information will be of most concern to the nurse? A. The patient is somnolent. B. The patient's SpO2 is 90%. C. The patient complains of weakness. D. The patient's blood pressure is 162/94. correct answers ANS: A - The patient is somnolent. 6. A patient with acute respiratory distress syndrome (ARDS) and acute renal failure has the following medications prescribed. Which medication should the nurse discuss with the health care provider before administration? A. Ranitidine (Zantac) 50mg IV