NURSING RNSG 2221 MEDSURG Exam Questions & Answers

NURSING RNSG 2221 MEDSURG Exam Questions & Answers -1. DX. For PNA. Being weaned off. Pt can now breath spontaneously but ventilator now supplementing pts respirations through the cycle. What type of ventilation is being given? o -Pressure support ventilation given to prevent pulmonary of alveolar collapse. 2. older adult pt experiences severe exacerbation , severe respiratory condition. Requires mechanical ventilation . which settings will be given. Select all that apply • fi02 • rate of resp • tidal volume • -PEEP 3.A critical care nurse is aware of high incidence/prevalence of respiratory complication of mechanical ventilator. VAP is one of the main complications especially in high acuity settings. What interventions should you prioritize to prevent such complication • Meticulous oral care/turn 2 hrs /raise HOB 30 4. Caring for a patient with endotracheal tube who is on ventilator. Nurse knows that meticulous management of this patent needs necessary • Maintain patent airway 5. Pt with sepsis is receiving care in ICU and is receiving mechanical ventilation. The patients acuity, decreased LOC and ventilation preclude most forms of mobility and the nurse has identify at risk for VTE. What nursng intervention should the nurse specify in the patients plan of care to reduce the risk • Apply antiembolitic stocking 6.A CPAP has been ordered for a patient in ICU in an effort to defer intubation. RT has set up. RN responsible to maintain the sytem. When assessing the function of the pts CPAP the RN should ensure that. • Ensure tight seal 7. Nurse is caring for a patient. Is anxious and dizzy following traumatic experience. Following ABGs: 7.48, CO2: 110 what condition is this? • Respiratory alkalosis- encourage to bread in a paper bag 8. Pt being in treatment in ICU for neurologic shock secondary to SPI. Despite aggressive interventions the MAP has fallen to 55. Nurse should gauge the onset of AKI by? • Perform strenuous exercise and sweat profusely. 9. Pt suffered brain steam injury in an assault. Receiving controlled ventilation in ICU. When conducting an assessment of the patient, the nurse should be aware of which of the following characteristics of assisit controlled AC • Rate and tidal volume set, no spontaneous breath 10. Pt is schedule for laryngectomy. Nursing diagnosis: • Ineffective airway clearance RT surgical alteration 11. An acutely ill pt has had pulmonary artery catheter placed in ICU. Nurse s closely monitoring the data of the patients PAC. When documenting the patients MAP the nurse understands that the body represents what?