Mechanical Ventilation NCLEX Study guides, Class notes & Summaries

The student nurse diligently assesses her patient with a chest tube. She notices that the suction control chamber of the chest tube is not bubbling. What is the first thing this student should do? A) Document this normal finding B) Encourage the patient to cough and deep breathe C) Check the level of the suction on the wall D) Clamp the chest tube and call for help Answer: C. The level of suction is controlled by the amount of water in the suction control chamber. However, it would be prude...

The nurse is caring for an intubated client whose oxygen saturation begins to drop. What action should the nurse do next? Auscultate lungs sounds bilaterally - need to determine cause before you do something next When caring for a client with a left radial artery catheter, which assessment data obtained by the nurse indicates the need to take immediate action? Patient's left hand is cooler than the right What is an Allen's test? a method of gauging the flow of blood in the ha...

To verify the correct placement of an endotracheal tube (ET) after insertion, the best initial action by the nurse is to a. auscultate for the presence of bilateral breath sounds. b. obtain a portable chest radiograph to check tube placement. c. observe the chest for symmetrical movement with ventilation. d. use an end-tidal CO2 monitor to check for placement in the trachea. ANS: D End-tidal CO2 monitors are currently recommended for rapid verification of ET placement. Auscultation for bil...

d. Leave the call light in the patient's hand. Your patient is receiving mechanical ventilation which of the following actions is appropriate for the nursing diagnosis anxiety related to inability to communicate with fear of suffocation? a. Restrain patient to prevent accidental removal of tubes. b. Monitor vital signs hourly. c. Assure the patient that everything will be alright. d. Leave the call light in the patient's hand. d. Peep prevents the air sacs from collapsing during ...

A nurse is caring for a patient undergoing mechanical ventilation who is also receiving positive end-expiratory pressure (PEEP). What is the outcome that the nurse hopes to achieve with PEEP? Expand collapsed alveoli Decrease alveolar volume Decrease bronchospasms Prevent spontaneous breathing Expand collapsed alveoli Positive end-expiratory pressure (PEEP) expands collapsed alveoli and improves resting lung volume by keeping the alveoli open and preventing them from collapsing during ...

Which of the following is NOT an indication for continuous mechanical ventilation? A. MIP -20 cmH2O B. acute ventilatory failure C. Vt < 5 mL/kg D. VC < 10 mL/kg MIP -20 cmH2O Optium PEEP therapy can be identified by all of the following EXCEPT: A. Inflection point of a volume-pressure loop graphic B. Acceptable oxygenation with no cardiovascular side effects C. Increasing oxygenation with increasing plateau pressures D. Increasing static compliance with acceptable oxygenat...

The low tidal volume alarm on a client's ventilator keeps sounding. What is the nurse's first action? A) Manually ventilate the client. B) Put air into the endotracheal tube cuff. C) Check ventilator connections. D) Call the physician. Answer: C- Check ventilator connections Rationale: Ventilator connections should be check initially and loose connections or disconnections should be fixed. If there is no immediate problem found, the client should be manually ventilated and another person...

To verify the correct placement of an endotracheal tube (ET) after insertion, the best initial action by the nurse is to a. auscultate for the presence of bilateral breath sounds. b. obtain a portable chest radiograph to check tube placement. c. observe the chest for symmetrical movement with ventilation. d. use an end-tidal CO2 monitor to check for placement in the trachea. ANS: D End-tidal CO2 monitors are currently recommended for rapid verification of ET placement. Auscultation for b...

a The purpose of adding PEEP to positive pressure ventilation is to a. increase functional residual capacity and improve oxygenation b. increase FIO2 in an attempt to wean the patient and avoid O2 toxicity c. determine if the patient is in synchrony with the ventilator or needs to be paralyzed d. determine is the patient is able to be weaned and avoid the risk of pneumomediastinum c The nursing management of a patient with an artificial airway includes a. maintaining the ET tube ...

A patient has coronary artery bypass graft surgery and is transported to the surgical intensive care unit at noon and is placed on mechanical ventilation. Interpret the initial arterial blood gas levels pH: 7.31 PaCO2: 48 mm Hg Bicarbonate: 22 mEq/L PaO2: 115 mm Hg O2 saturation: 99% a. Normal arterial blood gas levels with a high oxygen level b. Partly compensated respiratory acidosis; normal oxygen c. Uncompensated metabolic acidosis with high oxygen levels d. Uncompensated respirator...