NR 341, Complex Exam 1 CAS Review Questions with 100% Correct Answers

Critical Care Environment Correct Answer - reorient patient - tell them what you're doing - day and night adjust lights, recognize day and night - provide care to family (in room for code) Rapid Response Correct Answer - prevents code - s/s of septic shock Advance Directive Correct Answer - have before admission - NO SLOW CODES - right to say no Visitation Correct Answer - based on the needs of the patient - hospital will never restrict visitation Brain Death Correct Answer perfusion and oxygenation until organ transplant Respiratory Failure Correct Answer - decreased pH - increased CO2 - decreased PaO2 Intubation Correct Answer - sedate - paralyze - auscultate - chest xray - fall and rise bilateral - CO2 detector - gold is good ARDS Correct Answer - decreased Pa02 despite increasing FaO2 - injury to lungs - tachypnic and tachycardic - respiratory acidosis - decreased compliance - INCREASED PEEP ARDS: Intervention Correct Answer - prone (maintain airway) - elevate HOB 30-45 degrees VAP Bundle Correct Answer - HOB 30-45 degrees - Oral care w/ Chlorhexidine - DVT Care - Heparin and Lovenox - PPI's prevent PUD - Sedation Vacation - Drain condensation away from patient What should you do after 7 days on a Ventilator? Correct Answer Trach them Terminal Weaning Correct Answer - DNR - take them off ventilator to die - COMFORT IS KEY, NO PAIN (benzos, pain meds) American Association of Critical Care Nurses: Focus of the Group Correct Answer - assists NURSES to attain knowledge and influence - healthy work environment initiative Highest setting you can put a Nasal Cannula? Correct Answer 6 L, humidify at 4L Patient is on 90% Fi02 (10L), Respiratory Distress...What do I do? Correct Answer INTUBATE Overdose on CNS Depressant? Correct Answer - respiratory depression - respiratory acidosis - hypoventilation Panic Attack: Respiratory Correct Answer - respiratory alkalosis - hyperventilation - tingling, numbness in fingers (decreased perfusion) What is a sign of decreased Perfusion? Correct Answer cyanosis ARDS: Chest Xray? Correct Answer - broken glass - white out What does PEEP increase? Correct Answer PaO2 Ready to wean? Correct Answer - PaO2 >60 and FiO2 <.4 - PEEP <5-8 cm - PaO2/FiO2 should be 150-200 Vented patient is Asystole, don't know if he has DNR? Correct Answer stop the code High Pressure Alarm Correct Answer - biting the tube - mucus plug - kinked tube if you can't figure it out, bag patient and call an RT