rAND rCLINICAL rAPPLICATIONS r8TH rEDITION rBY rJ.M. rCAIRO
This revidence-based rtest rbank rwalks rreaders rthrough rthe rmost rfundamental rand radvanced
rconcepts rsurrounding rmechanical rventilation rand rguides rthem rin rproperly rapplying rthese
rprinciples rto rpatient rcare. rThis redition rfeatures ra rcompletely rrevised rchapter ron rventilator
rgraphics, radditional rcase rstudies rand rclinical rscenarios, rplus rall rthe rreader-friendly
rfeatures rthat rpromote rcritical rthinking rand rclinical rapplication r— rlike rkey rpoints, rAARC
rclinical rpractice rguidelines, rand rcritical rcare rconcepts r— rthat rhave rhelped rmake rthis rtest
rbank ra rhousehold rname ramong rrespiratory rcare rprofessionals.
TABLE rOFrCONTENT
Part rI: rBasic rConcepts rand rCore rKnowledge rin rMechanical rVentilation
1. Oxygenation rand rAcid-Base rEvaluation
2. Basic rTerms rand rConcepts rof rMechanical rVentilation
3. HowrVentilators rWork
4. Howra rBreath rIs rDelivered
Part rII: rInitiating rVentilation
5. Establishingrthe rNeed rfor rMechanical rVentilation
6. Selectingrthe rVentilator rand rthe rMode
7. Initial rVentilator rSettings
8. Final rConsiderations rin rVentilator rSetup
Part rIII: rMonitoring rin rMechanical rVentilation
9. Initial rPatient rAssessment
10. Ventilator rGraphics
11. Noninvasive rMonitoring rof r Mechanically-Ventilated r Patients
,12. Hemodynamic rMonitoring
Part rIV: rTherapeutic rInterventions r – rMaking rAppropriate rChanges
13. Methods rto rImprove rVentilation rand rOther rTechniques rin rPatient-Ventilator rManagement
14. Improving rOxygenation, rReview rof rARDS, rand rLung rRecruitment rManeuvers
15. Frequently rUsed rPharmacologic rAgents rin rVentilated rPatients: rSedatives, rAnalgesics rand
Paralytics
r
Part rV: rEffects rand rComplications rof rMechanical rVentilation
16. Cardiovascular rand rOrgan rSystem rEffects rand rComplications rof rMechanical rVentilation
17. Effects rof rPositive rPressure rVentilation ron rthe rPulmonary rSystem
18. Problem-Solving rand rTroubleshooting
Part rVI: rNoninvasive rPositive rPressure rVentilation
19. Basic rConcepts rof rNoninvasive rPositive rPressure rVentilation
Part rVII: rDiscontinuation rfrom rVentilation rand rLong-Term rVentilation
20. Weaningrand rDiscontinuation
21. Long-Term rVentilation!
Part rVIII: rSpecial rApplications rof rMechanical rVentilation
22. Neonatal rand rPediatric rVentilation
23. Special rTechniques rin rVentilatoryrSupport
, Chapter 1: Oxygenation
r r
andAcid-BaseEvaluation
r r r
Test Bank
r r
MULTIPLECHOICE
1. Therstructure rthat ris rresponsiblerforrreturning roxygenated rblood rto rtherheart ris rthe
a. Pulmonaryartery.
b. Pulmonary rvein.
c. Superiorrvenarcava.
d. Inferior rvena rcava.
ANS: r B
The rpulmonary rvein rcarries roxygenated rblood rto rthe rheart. rThe rpulmonary rartery rcarries
rdeoxygenated rblood rfrom rthe rheart rto rthe rlungs. rBoth rvenae rcavae rreturn rblood rto rthe rright
ratrium rof rthe rheart.
DIF: Remember REF: r823-824
OBJ: rDescribe rthe rstructure rand rfunction rof rthe rcardiopulmonary rsystem.
rTOP: Planning MSC: r Physiological rIntegrity
2. Chemical rreceptors rthat rstimulate rinspiration rarerlocated rin rthe
a. Brain.
b. Lungs.
c. Aorta.
d. Heart.
ANS: r C
Chemical rreceptors rinrthe raortarsendrsignals rtorbegin rtherinspiration rprocess.rTherbrain, rlungs,
rand rheart rall rare raffected rby rthis rchemical rreaction.
DIF: Remember REF: r822
OBJ: rState rthe rprocess rof rthe rneural rand rchemical rregulation rofrrespiration.
rTOP: Planning MSC: r Physiological rIntegrity
3. Thernurserknows rthat rthe rprimaryrfunction rof rthe ralveoli ris rto
a. Carryout rgas rexchange.
b. Storeroxygen.
c. Regulate rtidal rvolume.
d. Producerhemoglobin.
ANS: r A
Theralveolus ris rarcapillaryrmembrane rthat rallows rgas rexchangerof roxygen rand rcarbon rdioxide rduring
rrespiration. rThe ralveoli rdo rnot rstore roxygen, rregulate rtidal rvolume, ror rproduce rhemoglobin.
DIF: Remember REF: r822
OBJ: rDescribe rthe rstructure rand rfunction rof rthe rcardiopulmonary rsystem.
rTOP: Knowledge MSC: r Physiological rIntegrity
4. Thernurserknows rthat ranemiarwill rresult rin
a. Hypoxemia.