NR 341; EXAM 1WITH 100% VERIFIED ANSWERS YEAR
2024/2025
What dressing should be applied upon chest tube removal ? -
verified answers-airtight sterile petroleum jelly gauze dressing
What are the reasons YOUR pt. may need an artificial airway ?
- verified answers-●upper airway obstruction (bleeds, tumor,
gcs less than 8, burns)
●sx
●trauma
●neuromuscular diseases
●sepsis
●apnea
●high risk for aspiration
●ineffective clearance of secretions
●resp distress
When a pt. has a tube in their trachea, what do you need to
know as a nurse ? - verified answers-where was it last marked
(@ the teeth or lip)
cuff pressure
Two real reasons there's a inflated cuff ? - verified answers-
when cuff inflated, prevent secretions from going to lungs
(infections)
when pt. on ventilator, CERTAIN amount of gas that'll be going
through each ventilator. with the cuff inflated, the volume is
more accurate. with the cuff slightly deflated, theres no telling
how much amount of volume is going to the lungs- BASICALLY
prevents escape of ventilating gases
Patient needs an artificial airway, how are we going to prepare
for this procedure ?
,What should you do to prepare ?
What equipment is needed ?
What position should the pt. be in ?
What should be done before intubation ? - verified answers-
preparation
-dentures & plates NEEDS to be removed
*equipment
-oxygen, suction tubing, cardiac monitor, yankuer, tonsil tip
suction
*before intubation
-sniffing position (pt. supine with the head extended & the neck
flexed)
-pre-oxygenate / BVM 100% O2 for 3-5 minutes
-meds (sedative, paralytic agent, analgesic)
What's the reason behind putting the pt. in a sniffing position ? -
verified answers-to get a better view of vocal cords
Describe rapid sequence intubation.
When is rapid sequence intubation NOT indicated ? - verified
answers-BOTH sedative & paralytic agent are given to
emergency airway pt.s (decrease aspiration, )
crashed airway-unstable pt. (cardiac arrest OR )
if pt. not awake, then this wont be done known difficult airway
there is not time for all this.
Nursing responsibilities when assigned to a airway pt. ? -
verified answers-maintain correct tube placement
, maintain proper cuff inflation
monitor oxygen & vent
maintain tube patency
oral care & skin integrity
comfort & communication
assess for complications
How to maintain proper tube placement ?
What are OTHER confirmatory methods for tube placement ?
BUT how is placement verified & confirmed ? - verified
answers-mark the tube with an exit mark
confirm that the mark remains constant throughout the whole
shift (rest, positioning, transporting etc.)
-----------------------------------------------------------
bilateral chest expansion
auscultate lungs & throat
ABG's
-----------------------------------------------------------
placement is VERIFIED w/ an end-tidal CO2 (ETCO2) detector
device (lavender) -how much being exhaled& CONFIRMED by
chest x-ray
If a dislodged tube is not repositioned soon
-minimal oxygen is delivered to the lungs
-NO oxygen at all is going to the lungs
-the entire Vt (tidal volume) is delivered to one lung
2024/2025
What dressing should be applied upon chest tube removal ? -
verified answers-airtight sterile petroleum jelly gauze dressing
What are the reasons YOUR pt. may need an artificial airway ?
- verified answers-●upper airway obstruction (bleeds, tumor,
gcs less than 8, burns)
●sx
●trauma
●neuromuscular diseases
●sepsis
●apnea
●high risk for aspiration
●ineffective clearance of secretions
●resp distress
When a pt. has a tube in their trachea, what do you need to
know as a nurse ? - verified answers-where was it last marked
(@ the teeth or lip)
cuff pressure
Two real reasons there's a inflated cuff ? - verified answers-
when cuff inflated, prevent secretions from going to lungs
(infections)
when pt. on ventilator, CERTAIN amount of gas that'll be going
through each ventilator. with the cuff inflated, the volume is
more accurate. with the cuff slightly deflated, theres no telling
how much amount of volume is going to the lungs- BASICALLY
prevents escape of ventilating gases
Patient needs an artificial airway, how are we going to prepare
for this procedure ?
,What should you do to prepare ?
What equipment is needed ?
What position should the pt. be in ?
What should be done before intubation ? - verified answers-
preparation
-dentures & plates NEEDS to be removed
*equipment
-oxygen, suction tubing, cardiac monitor, yankuer, tonsil tip
suction
*before intubation
-sniffing position (pt. supine with the head extended & the neck
flexed)
-pre-oxygenate / BVM 100% O2 for 3-5 minutes
-meds (sedative, paralytic agent, analgesic)
What's the reason behind putting the pt. in a sniffing position ? -
verified answers-to get a better view of vocal cords
Describe rapid sequence intubation.
When is rapid sequence intubation NOT indicated ? - verified
answers-BOTH sedative & paralytic agent are given to
emergency airway pt.s (decrease aspiration, )
crashed airway-unstable pt. (cardiac arrest OR )
if pt. not awake, then this wont be done known difficult airway
there is not time for all this.
Nursing responsibilities when assigned to a airway pt. ? -
verified answers-maintain correct tube placement
, maintain proper cuff inflation
monitor oxygen & vent
maintain tube patency
oral care & skin integrity
comfort & communication
assess for complications
How to maintain proper tube placement ?
What are OTHER confirmatory methods for tube placement ?
BUT how is placement verified & confirmed ? - verified
answers-mark the tube with an exit mark
confirm that the mark remains constant throughout the whole
shift (rest, positioning, transporting etc.)
-----------------------------------------------------------
bilateral chest expansion
auscultate lungs & throat
ABG's
-----------------------------------------------------------
placement is VERIFIED w/ an end-tidal CO2 (ETCO2) detector
device (lavender) -how much being exhaled& CONFIRMED by
chest x-ray
If a dislodged tube is not repositioned soon
-minimal oxygen is delivered to the lungs
-NO oxygen at all is going to the lungs
-the entire Vt (tidal volume) is delivered to one lung
