NUR2755 / NUR 2755 Multidimensional Care IV Exam 2 Review | Week 5 Quiz Bank | LATEST, 2022 / 2023 | Rasmussen College

NUR2755 / NUR 2755 Multidimensional Care IV Exam 2 Review | Week 5 Quiz Bank | LATEST, 2022 / 2023 | Rasmussen College 1. The nurse suctions a patient through the endotracheal tube for 20 seconds and observes dysrhythmias on the monitor. What does the nurse determine is occurring with the patient? A. The patient is hypoxic from suctioning. B. The patient is having a stress reaction. C. The patient is having a myocardial infarction. D. The patient is in a hypermetabolic state. 2. For a client with an endotracheal (ET) tube, which nursing action is the most important? A. Auscultating the lungs for bilateral breath sounds B. Turning the client from side to side every 2 hours C. Monitoring serial blood gas values every 4 hours D. Providing frequent oral hygiene 3. A client is being mechanically ventilated with an oral endotracheal tube in place. The nurse observes that the cuff pressure is 28 mm Hg. The nurse is aware of what complications that can be caused by this pressure? Select all that apply. A. Tracheal aspiration B. Hypoxia C. Tracheal ischemia D. Tracheal bleeding E. Pressure necrosis 4. The nurse is caring for a client with an endotracheal tube (ET). Which nursing intervention is contraindicated? A. Deflating the cuff before removing the tube B. Routinely deflating the cuff C. Checking the cuff pressure every 6 to 8 hours D. Ensuring that humidified oxygen is always introduced through the tube 5. When performing endotracheal suctioning, the nurse applies suctioning while withdrawing and gently rotating the catheter 360 degrees for how long? A. no longer than 5 seconds B. no longer than 10 seconds C. no longer than 20 seconds D. no longer than 30 seconds 6. A client is receiving mechanical ventilation. How frequently should the nurse auscultate the client's lungs to check for secretions? A. Every 30 to 60 minutes B. Every 1 to 2 hours C. Every 2 to 4 hours D. Every 4 to 6 hours 7. A client has been receiving 100% oxygen therapy by way of a nonrebreather mask for several days. Now the client complains of tingling in the fingers and shortness of breath, is extremely restless, and describes a pain beneath the breastbone. What should the nurse suspect? A. Oxygen-induced hypoventilation B. Oxygen toxicity C. Oxygen-induced atelectasis D. Hypoxia