NR 341 EXAM 1 LATEST UPDATE
VERIFIED QUESTIONS & DETAILED
EXPLANATIONS GRADED A+
Professional Academic Assistance Services
What dressing should be applied upon chest tube removal ? -
Answer: airtight sterile petroleum jelly gauze dressing
What are the reasons YOUR pt. may need an artificial airway ? -
Answer: ●upper airway obstruction (bleeds, tumor, gcs less
than 8, burns)
●sx
●trauma
●neuromuscular diseases
●sepsis
●apnea
●high risk for aspiration
●ineffective clearance of secretions
●resp distress
When a pt. has a tube in their trachea, what do you need to
,know as a nurse ? - Answer: where was it last marked (@ the
teeth or lip)
cuff pressure
Two real reasons there's a inflated cuff ? - Answer: when cuff
inflated, prevent secretions from going to lungs (infections)
when pt. on ventilator, CERTAIN amount of gas that'll be going
through each ventilator. with the cuff inflated, the volume is
more accurate. with the cuff slightly deflated, theres no telling
how much amount of volume is going to the lungs- BASICALLY
prevents escape of ventilating gases
Patient needs an artificial airway, how are we going to prepare
for this procedure ?
What should you do to prepare ?
What equipment is needed ?
What position should the pt. be in ?
,What should be done before intubation ? - Answer: preparation
-dentures & plates NEEDS to be removed
*equipment
-oxygen, suction tubing, cardiac monitor, yankuer, tonsil tip
suction
*before intubation
-sniffing position (pt. supine with the head extended & the neck
flexed)
-pre-oxygenate / BVM 100% O2 for 3-5 minutes
-meds (sedative, paralytic agent, analgesic)
What's the reason behind putting the pt. in a sniffing position ? -
Answer: to get a better view of vocal cords
Describe rapid sequence intubation.
When is rapid sequence intubation NOT indicated ? - Answer:
BOTH sedative & paralytic agent are given to emergency airway
, pt.s (decrease aspiration, )
crashed airway-unstable pt. (cardiac arrest OR )
if pt. not awake, then this wont be done known difficult airway
there is not time for all this.
Nursing responsibilities when assigned to a airway pt. ? -
Answer: maintain correct tube placement
maintain proper cuff inflation
monitor oxygen & vent
maintain tube patency
oral care & skin integrity
comfort & communication
VERIFIED QUESTIONS & DETAILED
EXPLANATIONS GRADED A+
Professional Academic Assistance Services
What dressing should be applied upon chest tube removal ? -
Answer: airtight sterile petroleum jelly gauze dressing
What are the reasons YOUR pt. may need an artificial airway ? -
Answer: ●upper airway obstruction (bleeds, tumor, gcs less
than 8, burns)
●sx
●trauma
●neuromuscular diseases
●sepsis
●apnea
●high risk for aspiration
●ineffective clearance of secretions
●resp distress
When a pt. has a tube in their trachea, what do you need to
,know as a nurse ? - Answer: where was it last marked (@ the
teeth or lip)
cuff pressure
Two real reasons there's a inflated cuff ? - Answer: when cuff
inflated, prevent secretions from going to lungs (infections)
when pt. on ventilator, CERTAIN amount of gas that'll be going
through each ventilator. with the cuff inflated, the volume is
more accurate. with the cuff slightly deflated, theres no telling
how much amount of volume is going to the lungs- BASICALLY
prevents escape of ventilating gases
Patient needs an artificial airway, how are we going to prepare
for this procedure ?
What should you do to prepare ?
What equipment is needed ?
What position should the pt. be in ?
,What should be done before intubation ? - Answer: preparation
-dentures & plates NEEDS to be removed
*equipment
-oxygen, suction tubing, cardiac monitor, yankuer, tonsil tip
suction
*before intubation
-sniffing position (pt. supine with the head extended & the neck
flexed)
-pre-oxygenate / BVM 100% O2 for 3-5 minutes
-meds (sedative, paralytic agent, analgesic)
What's the reason behind putting the pt. in a sniffing position ? -
Answer: to get a better view of vocal cords
Describe rapid sequence intubation.
When is rapid sequence intubation NOT indicated ? - Answer:
BOTH sedative & paralytic agent are given to emergency airway
, pt.s (decrease aspiration, )
crashed airway-unstable pt. (cardiac arrest OR )
if pt. not awake, then this wont be done known difficult airway
there is not time for all this.
Nursing responsibilities when assigned to a airway pt. ? -
Answer: maintain correct tube placement
maintain proper cuff inflation
monitor oxygen & vent
maintain tube patency
oral care & skin integrity
comfort & communication
