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Exam (elaborations)

MDC4 Test 2 Questions and Answers Already Graded A

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MDC4 Test 2 Questions and Answers Already Graded A what are the assessment findings in pneumothorax? ● Sudden dyspnea ● Chest pain ● Feeling of doom/anxiety ● JVD ● Tachy ● Chest petechiae ● ECG changes ● Abnormal heart sounds what are the s/s of flail chest - paradoxical chest movement - dyspnea - cyanosis - tachycardia - hypotension how does the patient usually present with flail chest - anxious - short of breath - in pain 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 can a person with flail chest recover managable with vigilant respiratory care when is mechanical ventilation needed for a patient with flail chest - respiratory failure - shock - severe hypoxemia and hypercarbia nursing care for flail chest - monitor ABGs - monitor vitals with flail chest, what causes increase the risk of respiratory failure - lung contusion - underlying pulmonary disease how is flail chest usually stabilized positive pressure ventilation what interventions are needed for low BP - fluid replacement - Trendelenburg - compression stockings - medication what causes a high pressure vent alarm - thick mucus/secretions blocking the airway - coughing - biting on tube - fighting vent - wheezing - bronchospasms - pneumothorax - displaced tube - obstruction - water in vent circuit what causes a low pressure vent alarm - leak in circuit - cuff leak - patient disconnected *apnea alarm* 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

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