NR341 Quiz 2 EXAM LATEST
QUESTIONS AND VERIFIED
CORRECT ANSWERS 100%
GUARANTEED PASS
Patient is on ventilator and restless, which is the priority nursing action? - CORRECT ANSWER-
Assess for pain and agitation
What are included in the prevention of ventilator associated pneumonia (VAP)? - CORRECT
ANSWER-- Daily assessment for readiness for extubation
- Provide oral care with chlorhexidine 0.12% solution
- Good hand hygiene
Pt on ventilator, high pressure alarm going on, O2 sat decreasing, nurses priority action? -
CORRECT ANSWER-- Manually ventilate the client
Pt on ventilator, low pressure alarm going off, what does it indicate? - CORRECT ANSWER--
Ventilator tubing is disconnected
Pt may require immediate intubation and mechanical ventilation? - CORRECT ANSWER-A client
who has angioedema related to an allergic reaction
, Brought to the ER with stridor, what should the nurse's priority action? - CORRECT ANSWER--
Prepare the patient for endotracheal intubation
At risk for hypoxic and hypercapnic, combined resp failure? - CORRECT ANSWER-- Client with
COPD and ARDs
Pt with acute respiratory failure, manifestations should the nurse anticipate (select all): -
CORRECT ANSWER-- Dyspnea
- Agitation
- Hypertension
- Confusion
Pt intubated and on mechanical ventilation, priority interventions (select all): - CORRECT
ANSWER-- Assess the face for skin breakdown around tube
- Implement ventilator associated pneumonia VAP bundle
- Administer prescribed pain medications as needed
- Document the correct position of endotracheal tube
Range for pH - CORRECT ANSWER-7.35-7.45
Range for PaCO2 - CORRECT ANSWER-35-45 mm Hg
Respiratory Acidosis - CORRECT ANSWER-DECREASED pH
INCREASED PaCO2
Respiratory Alkalosis - CORRECT ANSWER-INCREASED pH
QUESTIONS AND VERIFIED
CORRECT ANSWERS 100%
GUARANTEED PASS
Patient is on ventilator and restless, which is the priority nursing action? - CORRECT ANSWER-
Assess for pain and agitation
What are included in the prevention of ventilator associated pneumonia (VAP)? - CORRECT
ANSWER-- Daily assessment for readiness for extubation
- Provide oral care with chlorhexidine 0.12% solution
- Good hand hygiene
Pt on ventilator, high pressure alarm going on, O2 sat decreasing, nurses priority action? -
CORRECT ANSWER-- Manually ventilate the client
Pt on ventilator, low pressure alarm going off, what does it indicate? - CORRECT ANSWER--
Ventilator tubing is disconnected
Pt may require immediate intubation and mechanical ventilation? - CORRECT ANSWER-A client
who has angioedema related to an allergic reaction
, Brought to the ER with stridor, what should the nurse's priority action? - CORRECT ANSWER--
Prepare the patient for endotracheal intubation
At risk for hypoxic and hypercapnic, combined resp failure? - CORRECT ANSWER-- Client with
COPD and ARDs
Pt with acute respiratory failure, manifestations should the nurse anticipate (select all): -
CORRECT ANSWER-- Dyspnea
- Agitation
- Hypertension
- Confusion
Pt intubated and on mechanical ventilation, priority interventions (select all): - CORRECT
ANSWER-- Assess the face for skin breakdown around tube
- Implement ventilator associated pneumonia VAP bundle
- Administer prescribed pain medications as needed
- Document the correct position of endotracheal tube
Range for pH - CORRECT ANSWER-7.35-7.45
Range for PaCO2 - CORRECT ANSWER-35-45 mm Hg
Respiratory Acidosis - CORRECT ANSWER-DECREASED pH
INCREASED PaCO2
Respiratory Alkalosis - CORRECT ANSWER-INCREASED pH
