NSG 430 TOPIC 3
1. after thorectomy, pt will need : chest tubes
2. video assisted thoracis surgery (VATS) is , , when
compared tothorectomy: minimally invasive, less expensive, faster recovery
3. after thorectomy/vats, pt will need to monitor for : daily cxr;
lungre-expansion
4. a potentional complication of thorectomy/vats is which occurs
whenarea : pneumonectomies; fills w fluid
5. artifical airways are used to : maintain patent airway
6. nasopharyngeal airway for concious or unconcious pt?: conscious
7. orophayngeal airway for conscious or unconscious pt?: unconscious
8. if oropharyngeal airway inserted into conscious pt, it may cause : vom-iting/aspiration
9. endotracheal (ET) tube is also called and is used to :
intubation;rapidly secure airway
10. ET tube is common in : acute ICU pt on mech vent for short amt of time
11. size of ET tube: 7-8F
12. the size of an ET tube is typically 7-8, but can be larger if needed to
: -decrease WOB
-easier to remove secretions
-easier to preform bronchoscopy
13. indications for ET tube: -acute respiratory distress
-apnea
-upper airway obstruction (burns, tumor, bleed)
-ineffective secretion clearance
-high risk of aspiration
14. ET tube should be placed VERY cautiously in pt w : head/neck
trauma(spinal chord injury)
15. the nurse should carefully document to make sure ET tube doesnt get
displaced: end of tube
16. the nurse comes into shift and sees the pt ET tube has moved slighly fur- ther out than the
last time it was documented, their next step is to : contactHCP
, 17. should ET tube be placed for cardiac arrest/difficult airway: no
18. prep for intubation (ET tube) procedure: -preoxygenate w BVM w 100% o2for 3-5 min
-limit each intubation attempt to <30 sec
-ventilate between intubation attempts
19. nurse or provider places ET tube: provider
20. is used to confirm placement after intubation: -end tidal co2 detector
-cxr
21. trachostomy is placed and may be inserted : into trachea thru
surgi-cal incision; when oral or nasal intubation is not possible
22. clincal s/s of hypoxia: -change in mental status (confusion)
-dusky skin
-dysrhythmias
23. how often should the nurse routinely suction pt?: NOT ROUTINE! assessfor need
24. to maintain tube patency, the nurse will need to assess for suction needs,such as :: -visible
secretions in ET tube
-sudden onset of resp distress
-suspected aspiration of secretion
-increased RR or frequent cough
-sudden drop in spo2
-increased peak airway pressure
-adventitous breath sounds
25. benefits of closed suction (as opposed to open suction): -maintains oxy-
genation/ventilation
-decreases exposure to secretions
26. to prevent hypoxia/dysrhythmias from suctioning, the nurse should
-hyperoxygenate before + after
-limit each pass to 10 seconds
-monitor ecg/spo2
27. suction pressure should be low, limited to to prevent mucosa damage-
: 120
1. after thorectomy, pt will need : chest tubes
2. video assisted thoracis surgery (VATS) is , , when
compared tothorectomy: minimally invasive, less expensive, faster recovery
3. after thorectomy/vats, pt will need to monitor for : daily cxr;
lungre-expansion
4. a potentional complication of thorectomy/vats is which occurs
whenarea : pneumonectomies; fills w fluid
5. artifical airways are used to : maintain patent airway
6. nasopharyngeal airway for concious or unconcious pt?: conscious
7. orophayngeal airway for conscious or unconscious pt?: unconscious
8. if oropharyngeal airway inserted into conscious pt, it may cause : vom-iting/aspiration
9. endotracheal (ET) tube is also called and is used to :
intubation;rapidly secure airway
10. ET tube is common in : acute ICU pt on mech vent for short amt of time
11. size of ET tube: 7-8F
12. the size of an ET tube is typically 7-8, but can be larger if needed to
: -decrease WOB
-easier to remove secretions
-easier to preform bronchoscopy
13. indications for ET tube: -acute respiratory distress
-apnea
-upper airway obstruction (burns, tumor, bleed)
-ineffective secretion clearance
-high risk of aspiration
14. ET tube should be placed VERY cautiously in pt w : head/neck
trauma(spinal chord injury)
15. the nurse should carefully document to make sure ET tube doesnt get
displaced: end of tube
16. the nurse comes into shift and sees the pt ET tube has moved slighly fur- ther out than the
last time it was documented, their next step is to : contactHCP
, 17. should ET tube be placed for cardiac arrest/difficult airway: no
18. prep for intubation (ET tube) procedure: -preoxygenate w BVM w 100% o2for 3-5 min
-limit each intubation attempt to <30 sec
-ventilate between intubation attempts
19. nurse or provider places ET tube: provider
20. is used to confirm placement after intubation: -end tidal co2 detector
-cxr
21. trachostomy is placed and may be inserted : into trachea thru
surgi-cal incision; when oral or nasal intubation is not possible
22. clincal s/s of hypoxia: -change in mental status (confusion)
-dusky skin
-dysrhythmias
23. how often should the nurse routinely suction pt?: NOT ROUTINE! assessfor need
24. to maintain tube patency, the nurse will need to assess for suction needs,such as :: -visible
secretions in ET tube
-sudden onset of resp distress
-suspected aspiration of secretion
-increased RR or frequent cough
-sudden drop in spo2
-increased peak airway pressure
-adventitous breath sounds
25. benefits of closed suction (as opposed to open suction): -maintains oxy-
genation/ventilation
-decreases exposure to secretions
26. to prevent hypoxia/dysrhythmias from suctioning, the nurse should
-hyperoxygenate before + after
-limit each pass to 10 seconds
-monitor ecg/spo2
27. suction pressure should be low, limited to to prevent mucosa damage-
: 120
