NUR265 / NUR 265 Exam 2 (Latest 2024 / 2025 Update): Advanced Concepts of Medical–Surgical Nursing | Grade A | Questions and Verified Answers | 100% Correct - Galen

Exam 2: NUR265 / NUR 265 (Latest 2024 / 2025 Update) Advanced Concepts of Medical–Surgical Nursing Exam Review | Grade A | Questions and Verified Answers | 100% Correct - Galen Q: What should be done when a patient is in respiratory distress? Answer: *Call for help, disconnect the vent, start bagging the patient, then reassess* Q: What are ways to prevent VAP? Answer: *Remove water from circuits* *HOB up to 30 degrees* Turn Q2h Suction Oral care Q2H Prevent aspiration Lip moisturizer Percussion Q: Give examples of what could cause a high pressure alarm. Answer: Blocked airway Coughing Tension pneumothorax Anxiety/Pain: Sedate them Kinks in tubing Decreased lung compliance: ARDS *Assess the patient not the monitor* Q: Give examples of what could cause a low pressure alarm. Answer: Not getting enough air (in or out) Air leak in the cuff: Check the pilot balloon Disconnected tubing Low Vt *Assess the patient not the monitor* Q: What are some things we have to do when caring for a vented patient? Answer: Lung assessment Frequent vital signs (every 4 hours) I&O (look at balances) Foley NPO Nutrition (NG Tube for all vent patients) Skin Care Monitor ABG/labs VTE prophylaxis Q: What are some risk factors for a PE? Answer: Immobility Central Lines Surgery Obesity DVT's Birth Control Pills Smoking