2022final
NUR2755 / NUR 2755
Multidimensional Care IV Final Exam
Review | Rated A | LATEST 2021/2022
1. what are the assessment findings in pneumothorax?
- Sudden dyspnea
- Chest pain
- Feeling of doom/anxiety
- JVD
- Tachy
- Chest petechiae
- ECG changes
- Abnormal heart sounds
2. what are the s/s of flail chest
- paradoxical chest movement
- dyspnea
- cyanosis
- tachycardia
- hypotension
3. how does the patient usually present with flail chest
- anxious
- short of breath
- in pain
4. what are interventions for flail chest
- humidified oxygen
- pain management
- promotion of lung expansion through deep breathing and positioning
- secretion clearance by coughing and tracheal suction
final
, 2022final
5. can a person with flail chest recover
- manageable with vigilant respiratory care
6. when is mechanical ventilation needed for a patient with flail chest
- respiratory failure
- shock
- severe hypoxemia and hypercarbia
7. nursing care for flail chest
- monitor ABGs
- monitor vitals
8. with flail chest, what causes increase the risk of respiratory failure
- lung contusion
- underlying pulmonary disease
9. how is flail chest usually stabilized
- positive pressure ventilation
10. what interventions are needed for low BP
- fluid replacement
- Trendelenburg
- compression stockings
- medication
11. what causes a high pressure vent alarm
- thick mucus/secretions blocking the airway
- coughing
- biting on tube
- fighting vent
- wheezing
- bronchospasms
final
, 2022final
- pneumothorax
- displaced tube
- obstruction
- water in vent circuit
12. what causes a low pressure vent alarm
- leak in circuit
- cuff leak
- patient disconnected
- *apnea alarm*
13. possible interventions for high pressure vent alarm
- check patient first!
- check all tubing is connected and not kinked
- suction patient
- medication for pain, anxiety, sedation
- change vent settings
14. what causes increased or thick secretions/mucus in a patient who is intubated
- not enough humidity
15. possible interventions for low pressure vent alarms
- check patient first!
- manually bag patient
- reconnect/unkink tubing
16. nursing care of ventilated patient
- q2-4 respiratory assessment, oral care, suctioning if needed
- q4 head to toe assessment and vitals
- maintain head of bed 30 degrees
- q2 turns
- monitor I&O
- collaborate with RT
- monitor vent settings q8-12
- manual resuscitation bag at bedside
final
, 2022final
17. Vent Settings
- tidal volume
- rate
- FIO2
- %O2
- sighs
- PEEP
18. what does tidal volume mean on a vent
- amount of air delivered w/each machine breath
19. what is the rate mean on a vent
- number of breaths delivered by the machine in a minute
20. what does FIO2 mean on a vent
- fraction of inspired O2 (written as 0.6)
21. what does PEEP mean
- Positive end-expiratory pressure during mechanical ventilation.
- PEEP aids in preventing alveolar and small airway collapse and may
help recruit lung units that were previously collapsed.
22. what does sighs mean on a vent
- deep breaths (higher vol) delivered periodically by vent
23. what does an FIO2 of 0.6 mean
- 60% of oxygen
24. acronym for vent alarms
- HOLD:
final
NUR2755 / NUR 2755
Multidimensional Care IV Final Exam
Review | Rated A | LATEST 2021/2022
1. what are the assessment findings in pneumothorax?
- Sudden dyspnea
- Chest pain
- Feeling of doom/anxiety
- JVD
- Tachy
- Chest petechiae
- ECG changes
- Abnormal heart sounds
2. what are the s/s of flail chest
- paradoxical chest movement
- dyspnea
- cyanosis
- tachycardia
- hypotension
3. how does the patient usually present with flail chest
- anxious
- short of breath
- in pain
4. what are interventions for flail chest
- humidified oxygen
- pain management
- promotion of lung expansion through deep breathing and positioning
- secretion clearance by coughing and tracheal suction
final
, 2022final
5. can a person with flail chest recover
- manageable with vigilant respiratory care
6. when is mechanical ventilation needed for a patient with flail chest
- respiratory failure
- shock
- severe hypoxemia and hypercarbia
7. nursing care for flail chest
- monitor ABGs
- monitor vitals
8. with flail chest, what causes increase the risk of respiratory failure
- lung contusion
- underlying pulmonary disease
9. how is flail chest usually stabilized
- positive pressure ventilation
10. what interventions are needed for low BP
- fluid replacement
- Trendelenburg
- compression stockings
- medication
11. what causes a high pressure vent alarm
- thick mucus/secretions blocking the airway
- coughing
- biting on tube
- fighting vent
- wheezing
- bronchospasms
final
, 2022final
- pneumothorax
- displaced tube
- obstruction
- water in vent circuit
12. what causes a low pressure vent alarm
- leak in circuit
- cuff leak
- patient disconnected
- *apnea alarm*
13. possible interventions for high pressure vent alarm
- check patient first!
- check all tubing is connected and not kinked
- suction patient
- medication for pain, anxiety, sedation
- change vent settings
14. what causes increased or thick secretions/mucus in a patient who is intubated
- not enough humidity
15. possible interventions for low pressure vent alarms
- check patient first!
- manually bag patient
- reconnect/unkink tubing
16. nursing care of ventilated patient
- q2-4 respiratory assessment, oral care, suctioning if needed
- q4 head to toe assessment and vitals
- maintain head of bed 30 degrees
- q2 turns
- monitor I&O
- collaborate with RT
- monitor vent settings q8-12
- manual resuscitation bag at bedside
final
, 2022final
17. Vent Settings
- tidal volume
- rate
- FIO2
- %O2
- sighs
- PEEP
18. what does tidal volume mean on a vent
- amount of air delivered w/each machine breath
19. what is the rate mean on a vent
- number of breaths delivered by the machine in a minute
20. what does FIO2 mean on a vent
- fraction of inspired O2 (written as 0.6)
21. what does PEEP mean
- Positive end-expiratory pressure during mechanical ventilation.
- PEEP aids in preventing alveolar and small airway collapse and may
help recruit lung units that were previously collapsed.
22. what does sighs mean on a vent
- deep breaths (higher vol) delivered periodically by vent
23. what does an FIO2 of 0.6 mean
- 60% of oxygen
24. acronym for vent alarms
- HOLD:
final
