ENA Critical care Questions And Answers Already Graded A+

When assessing a patient on mechanical ventilation, you discover absent breath sounds on one side and tracheal deviation. Which complication of mechanical ventilation should you suspect? A. Pneumonia B. Oxygen toxicity C. Auto-positive end-expiratory pressure D. Tension pneumothorax - Answer D A patient is receiving pressure-controlled, volume variable mechanical ventilation. What is a disadvantage of this type of mechanical ventilation? A. The distending pressure of the lungs is limited. B. Inspiration is terminated when a certain pressure is achieved. C. It is associated with a risk of lung injury. D. Minute ventilation volume is not guaranteed. - Answer D Which finding is considered a manifestation of systemic inflammatory response syndrome? A. A white blood cell count of 11,500/mm3 B. A heart rate of 85 beats per minute C. A partial pressure of carbon dioxide (PaCO2) of 26 mm Hg D. A temperature of 96.8° F (36° C) - Answer C For a mechanically ventilated patient, which nursing intervention decreases the risk of developing ventilator-associated pneumonia? A. Regular oral care B. Use of the same suction catheter periodicallyC. Keeping the patient flat in bed D. Routine saline lavage - Answer A The nurse is caring for a patient after pulmonary artery catheter insertion. Which complication may occur if the catheter migrates? A. Vasospasm B. Cardiac tamponade C. Pulmonary hypertension D. Premature ventricular contractions - Answer D In a patient with abdominal hypertension, what causes inadequate ventilation? A. Anatomical causes B. Shunting C. Muscular abnormalities D. Partial airway obstruction - Answer A A patient in the emergency department is started on permissive hypercapnia. The physician orders arterial blood gas analysis on this patient. Which arterial blood gas finding should you expect? A. pH of 7.15 B. pH of 7.25 C. pH of 7.35 D. pH of 7.45 - Answer B Which mode of mechanical ventilation lets the patient breathe at his or her own tidal volume? A. Pressure control ventilationB. Synchronized intermittent mandatory ventilation C. Assist control D. Continuous positive airway pressure - Answer B