TEST BANK FOR PILBEAM'S MECHANICAL VENTILATION 6TH EDITION BY J.M. CAIRO - All Chapters ( 1-23) Latest Complete Guide 2024

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TEST BANK FOR PILBEAM'S MECHANICAL VENTILATION:
PHYSIOLOGICAL AND CLINICAL APPLICATIONS 6TH EDITION
BY J.M. CAIRO - All Chapters ( 1-23) Latest Complete Guide 2024

TABLE OF CONTENT

Part I: Basic Concepts and Core Knowledge in Mechanical Ventilation
1. Oxygenation and Acid-Base Evaluation
2. Basic Terms and Concepts of Mechanical Ventilation
3. How Ventilators Work
4. How a Breath Is Delivered

Part II: Initiating Ventilation
5. Establishing the Need for Mechanical Ventilation
6. Selecting the Ventilator and the Mode
7. Initial Ventilator Settings
8. Final Considerations in Ventilator Setup

Part III: Monitoring in Mechanical Ventilation
9. Initial Patient Assessment
10. Ventilator Graphics
11. Noninvasive Monitoring of Mechanically-Ventilated Patients
12. Hemodynamic Monitoring

Part IV: Therapeutic Interventions – Making Appropriate Changes
13. Methods to Improve Ventilation and Other Techniques in Patient-Ventilator
Management
14. Improving Oxygenation, Review of ARDS, and Lung Recruitment Maneuvers
15. Frequently Used Pharmacologic Agents in Ventilated Patients: Sedatives,
Analgesics and Paralytics

Part V: Effects and Complications of Mechanical Ventilation
16. Cardiovascular and Organ System Effects and Complications of Mechanical
Ventilation
17. Effects of Positive Pressure Ventilation on the Pulmonary System
18. Problem-Solving and Troubleshooting




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Part VI: Noninvasive Positive Pressure Ventilation
19. Basic Concepts of Noninvasive Positive Pressure Ventilation

Part VII: Discontinuation from Ventilation and Long-Term Ventilation
20. Weaning and Discontinuation
21. Long-Term Ventilation!

Part VIII: Special Applications of Mechanical Ventilation
22. Neonatal and Pediatric Ventilation
23. Special Techniques in Ventilatory Support




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Chapter 1: Oxygenation and Acid-Base Evaluation

MULTIPLE CHOICE

1. The structure that is responsible for returning oxygenated blood to the heart is the
a. Pulmonary artery.
b. Pulmonary vein.
c. Superior vena cava.
d. Inferior vena cava.

ANS: B
The pulmonary vein carries oxygenated blood to the heart. The pulmonary artery carries
deoxygenated blood from the heart to the lungs. Both venae cavae return blood to the
right atrium of the heart.

DIF: Remember REF: 823-824
OBJ: Describe the structure and function of the cardiopulmonary system.
TOP: Planning MSC: Physiological Integrity

2. Chemical receptors that stimulate inspiration are located in the
a. Brain.
b. Lungs.
c. Aorta.
d. Heart.

ANS: C
Chemical receptors in the aorta send signals to begin the inspiration process. The brain,
lungs, and heart all are affected by this chemical reaction.

DIF: Remember REF: 822
OBJ: State the process of the neural and chemical regulation of respiration.
TOP: Planning MSC: Physiological Integrity

3. The nurse knows that the primary function of the alveoli is to
a. Carry out gas exchange.
b. Store oxygen.
c. Regulate tidal volume.
d. Produce hemoglobin.



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ANS: A
The alveolus is a capillary membrane that allows gas exchange of oxygen and carbon
dioxide during respiration. The alveoli do not store oxygen, regulate tidal volume, or
produce hemoglobin.

DIF: Remember REF: 822
OBJ: Describe the structure and function of the cardiopulmonary system.
TOP: Knowledge MSC: Physiological Integrity

4. The nurse knows that anemia will result in
a. Hypoxemia.
b. Impaired ventilation.
c. Hypovolemia.
d. Decreased lung compliance.

ANS: A
Patients who are anemic do not have the same level of oxygen-carrying capacity. As a
result, oxygen is unable to properly perfuse the tissues, resulting in hypoxemia.
Impaired ventilation occurs when oxygen/carbon dioxide exchange occurs at the
alveolar level. Hypovolemia is related to decreased circulating blood volume. Lung
compliance is related to the elasticity of the lung tissue.

DIF: Understand REF: 822-823
OBJ: Identify the clinical outcomes occurring as a result of disturbances in conduction,
altered cardiac output, impaired valvular function, myocardial ischemia, and impaired
tissue perfusion.
TOP: Assessment MSC: Physiological Integrity

5. The process of exchanging gases through the alveolar capillary membrane is known
as
a. Disassociation.
b. Diffusion.
c. Perfusion.
d. Ventilation.

ANS: B
Diffusion is the process of gases exchanging across the alveoli and capillaries of body
tissues. Disassociation is not related to oxygenation. Perfusion is the ability of the



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